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Corporations — Friend or Foe?

I recently read a post on Facebook about how horrible corporations are and that they are stealing from society. That corporations are only about profits and that it’s not right that they should be taking so much from society. Those who commented also went on about the evil of companies. No one mentioned where they get their paycheck to pay their house payment or suggested an alternative. It rubbed me the wrong way, but the more I have thought about it, the more untrue it seems to me. While it may be true that corporations are about profits, it must also be true that these profits only come…

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Credentialing 101

Insurance credentialing can be a confusing and lengthy process that will leave you frustrated. Unfortunately, you don't get paid by third-party payers unless you are credentialed and have a contract in place. It's important to understand what credentialing is and what it is not. Credentialing is the process third-party payers use to evaluate your qualifications and your clinical history. They want to determine that you are who you say you are, that you don't have any malpractice claims against you, that you are good providers with good references, that you are not a risk to them or to their…

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Save the Date! Medical Practice Success Summit 2020

Need a little extra boost to make your medical practice a success? Whether you’re having trouble with culture, leadership, financials, or marketing we’ve got you covered. Save the date for this one of a kind experience, this is not a conference – It is a learning summit! You will leave with a list of action items that you will be able to go back and execute so that you can take your organization to the next level. Date: March 17-19, 2020 … Location: Dallas, TX … Want to learn more? Check out the event at https://mpssummit.com/ .

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MPS Credentialing Allstars

Medical Practice Success understands the frustrating but necessary process of credentialing and health insurance enrollment required of healthcare providers when running a practice or setting up a new practice. While you could process your own paperwork or try to hire a staffer who is familiar with health insurance enrollment and credentialing, save yourself time, money, and headaches by partnering with our organization. Our Provider Enrollment specialists become part of your staff, your own in-house credentialing department, enabling you to focus on your patients rather than worrying about…

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Flu Season is Here - Are YOU Ready?

To have a successful flu season with the highest level of reimbursement, there are a few steps that you should take. The new flu injection CPT codes and payment allowable goes into effect each year on Aug. 1 for Medicare and most governmental payors. This allows vaccination efforts to begin as soon as the seasonal influenza vaccines are available. Just like any other injection, you will need to know the following NDC information to determine the correct CPT Vaccine Code to submit on your claim. • What brand will you be using for this season. • Whether the product was trivalent or…

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Is Your Front Desk Lending YOUR Money?

Patient payments are a vital part of revenue cycle management, however, when patients fail to take financial responsibility, many providers and their practices take a hard hit. Not only do statistics show that 81% of self-pay net revenues will go unrecovered but that the default rate for self-pay patients is at a rate of 30% or higher depending on the market area. This means that it can cost twice as much to collect from a patient than it does from a payer. One reason self-pay revenue goes unrecovered commonly is that the patient’s benefits and/or eligibility were not verified before the…

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Protecting Your Practice

You only have to go back about ten years to the “good old days” of being able to surf the internet without fear of your data being breached or corrupted in some manner as to make you take extra safeguards to protect it. Since 2010, when the first major ransomware threat was noted, we’ve steadily seen an increase of attacks on nearly every industry that regularly utilizes electronic data in their daily operations. In 2018, the rate of ransomware attacks totaled in excess of 850 million as reported by PhishMe, Inc and even more startling is the fact that 75% of the companies infected with…

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Left Without Being Seen in an Urgent Care – Is this a Culture issue?

Are you experiencing a productivity barrier? Perhaps you have an EHR adoption issue and/or a fundamental EHR workflow issue? Or possibly you have problems with getting timely results from the lab or the imaging department. If any of these things sound familiar, you may have a problem with “Left Without Being Seen (LWBS)” in your organization. Maybe patients are not feeling welcomed and like they are a priority. You may be surprised to know that some of these issues can be addressed by changing your organization’s Culture. If the issue is productivity related, there is a cure for that.

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Don’t Flush Those Expired Medications!

About 3% of all purchased medications expire before their use. Like most medical practices, at some point, you must manage these expired medications. Whether your practice offers sample medications, in-office prepackaged dispensing, or merely administers medication to patients as part of their treatment, it’s inevitable that some of your on-hand stock may get damaged or expire and become unsuitable for patient use. While this medication is certainly of no further value to your practice—and you don’t want to risk it remaining in inventory where it may be inadvertently administered to a…

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Are You Treating Your Patients or Your Software?

The use of technology has increased rapidly within the past decade, and the delivery of urgent care medicine has adapted along with it to keep up with demands. Though, often the desire to provide competent but quick care has come at the sacrifice of providing compassionate, patient-centric care. When a practice’s mantra is focused on meeting a “door-to-door” transit time, it’s not easy to develop a lasting or meaningful relationship with the ailing or injured patients at any point of the person’s interaction with your organization. While we surely emphasize friendly customer service, it’s not…

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