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Laurie’s 2018 article for Phreesia’s blog is one of their most popular posts. If you haven’t seen it yet, here’s a link to check it out. It includes time-tested ideas for dealing with the roller-coaster ride that is the transition from the busy-busy fall season to the slowdown in January, including: Identifying the patients who […]
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If you are frustrated by how confused patients can be about their insurance, and by the conflicts this confusion often leads to (especially about patient balances), you have good reason. Insurance is provided by employers, who theoretically should be able to explain it (it’s an important part of employee compensation, after all). And it’s offered […]
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Office visits represent a huge proportion of revenue for most practice types. It’s easy for small errors in coding to become habitual, and the resulting inaccuracy can be costly for your practice. Under-coding can mean lost revenue — multiplied by hundreds or even thousands of visits per year. Accidental over-coding can lead to revenue clawbacks […]
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A provocative headline got my attention recently. It proclaimed that patient portals are “largely unused.” It caught my eye partly because it didn’t sound all that plausible — and because taking such a headline at face value could be unhealthy for your businesses, dear clients and friends of Capko & Morgan.  I decided to dig […]
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Credentialing can be a frustrating, mysterious, time-consuming process. It can seem like a black box: you throw your (copious) data in (with no idea what will happen to it), then hope you’ll get what you want out of the other side (eventually — you have no control over when). Worse, unlike most other administrative tasks […]
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When we work with physicians and managers who’ve found their financial results have inexplicably declined, they often wonder why the profit numbers changed when the practice is still managed in the same careful way as before. It’s a puzzle and a disappointment and a huge source of frustration! But therein lies the rub: As managers, […]
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“Fix the problem, not the blame” is a well-known Japanese proverb. It sounds like common sense – isn’t fixing problems what we all ultimately want? But when mistakes happen, the search for culprits instinctively begins – and with it often comes demoralization and tension. Worse, the search for a scapegoat usually won’t keep problems from […]
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No-shows can be a huge drain on medical practice finances. Time that is booked but ultimately generates no revenue is a loss that comes right out of your bottom line. It’s similar to what airlines experience when they have an unsold seat – which is why airlines so often resort to overbooking, and some practices […]
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Did you happen to catch this New York Times Magazine article last month? It begins with a moving story of an uninsured patient who suffers a terrible brain hemorrhage. Thankfully, she gets timely, effective treatment — but her condition requires many expensive services, including an air ambulance. Her bills totaled about $500,000. Although the patient […]
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Office visits represent a huge proportion of revenue for many practice types. Consistently accurate coding of office visits is important to avoid costly under-coding or inadvertently coding above the level that applies, which could lead to revenue take-backs. Since the E/M range constitutes such a huge piece of the overall reimbursement pie, payers are very […]
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When we work worth practices in adult primary care, OB/GYN, and pediatrics, we often recommend they consider proactively recalling patients for preventive visits. Because preventive visits are usually reimbursed entirely by insurance with no patient cost-sharing, helping patients stay current with preventive care can be a win-win for patients and the practice. A preventive visit […]
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It’s a fact of medical practice management life that unilateral decisions by other organizations can show up out of the blue and negatively affect the practice business, such as when a payer changes reimbursement terms or stops paying for a code that was previously reimbursed. In situations like these, practices have no obvious short-term option […]
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Q4 is here! For many practices, it’s the busiest time of the year, as patients who’ve been timing their care to maximize the value of their insurance coverage or their tax deductions are now ready to schedule. During this period, a greater proportion of reimbursement will usually be collected from health plans, rather than patients. […]
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Considering outsourcing your medical billing? Not sure you know all you need to know to choose wisely? This upcoming free webinar will help you refine your screening strategy as you look for the perfect billing partner, and prepare to set a productive relationship. Some of the topics we’ll hit on: why technology matters; what’s the […]
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I stumbled upon this quote by Facebook CEO Mark Zuckerberg recently: I think a simple rule of business is, if you do the things that are easier first, then you can actually make a lot of progress. This makes so much sense for any enterprise. If you’re stuck, try chipping away at the easiest part […]
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Capko & Morgan has had the honor of collaborating with the MedData Group on several recent MedData Point surveys. This month, we worked together on one of our favorite subjects: billing and collections. The results may reflect some subtle but interesting changes to recent trends. For the past few years, it has seemed that the […]
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A recent Peterson-Kaiser Health System Tracker study revealed an interesting finding: average copayments are declining. Their study, which analyzed claims data from Truven MarketScan, found that average copay amounts paid by patients decreased by 26% from 2004 to 2014. Seems like a positive trend for patients and practices … except that it’s not. It’s part […]
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Ahhh, January. We’re already six days in, and it’s still hard to believe we’re a week into a brand new year.  Perhaps especially so if low volume has you moving through your days more slowly — and worrying about what your revenue numbers will be at month- and quarter-end. The January effect on medical practices […]
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It’s almost that time again: deductibles re-set in less than a month. Got your game face on? For many practices, the end of the year is so busy, it’s hard to think about planning for slow business in January, February and March.  Ironically, the cause of the busyness in Q4 is related to the cause […]
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Anyone who encourages me knows they’ll get an earful about front office technology tools — they’ve become a passion of mine.  I’m referring to things like: Patient responsibility payment estimators (e.g., Wellero, Navicure, Zirmed) Check-in tablets and kiosks (e.g., Phreesia) Online patient payment tools like portals and pre-payment sites (e.g., SpendWell) Patient payment apps (e.g., […]
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Outsourcing your medical billing to a billing service has the power to make your practice much easier to manage.  It can also increase your profitability. But as the world of reimbursement continues to evolve, it’s important to stay involved with the process.  If you’ve adopted a “that’s off my plate now” approach to using a […]
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Choosing a new medical billing service is stressful. Few activities have more of an impact on practice profitability, after all.  But with the risks of choosing comes upside, too — and not just in the opportunity to have your billing handled by dedicated professionals. Switching to a third party billing service (or a new service) […]
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I’ll be presenting a free webinar on Thursday, July 16, with tips and strategies for managing your medical billing service. If you’re thinking of outsourcing your billing, or if you already outsource it and aren’t sure you’re getting everything you hoped for from the relationship, this webinar is for you. This is part two of […]
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If you’ve been thinking about outsourcing your medical billing — or switching medical billing services — my upcoming 30-minute webinar can help. “Eight Questions to Ask When Evaluating Medical Billing Services” will be presented on June 25 at 10AM Pacific/1PM Eastern. If you’ve been wondering how to quiz your billing service options — or just […]
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What’s the worst thing that can happen when you staff aren’t trained to manage patient deductibles and collect up front?  It’s not that you won’t ultimately get paid.  There is something worse that can happen, and it’s not that uncommon: your practice can end up losing the revenue for the service and losing the patient. […]
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If you’ve been thinking about outsourcing your medical billing — or switching medical billing services — my upcoming mini-webinar can help. “Eight Questions to Ask When Evaluating Medical Billing Services” will be presented on June 25 at 10AM Pacific/1PM Eastern, and will last about 30 minutes — a quick hit of knowledge and you’ll be […]
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There’s still time to sign up for my webinar “Patient Financial Responsibility: Tackling Your Practice’s Biggest Profitability Problem.”  It’s Tuesday, 6/9, at 10AM Pacific/1PM Eastern — and it’s free, thanks to our sponsors at Spendwell Health and Wellero. There will be time for questions, and the webinar will also be recorded, so you’ll have the […]
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