Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Medicare Advantage Now Covers a Majority: Preparing Your Practice for January
Medicare open enrollment runs October 15 to December 7, 2023. KFF reports that 30.8 million people, 51% of eligible beneficiaries, are in Medicare Advantage this year. Here is what plan switching does to a practice in January, what the CMS-4201-F prior authorization rules change on January 1, and how to prepare now.
Billing Staffing Shortages in 2023: Running the Revenue Cycle With Fewer People
MGMA polling this spring found coders and billers are the hardest revenue cycle roles to fill, and turnover in business operations staff topped 33% last year. Here is how the practices coping best are cutting rework, automating the repetitive checks, cross-training, and deciding what to send out.
Enrolling a Provider Who Starts July 1: Working Backward From the Start Date
Residency ends June 30 and new physicians start July 1, which leaves about ten weeks from now to get them enrolled. Here is the dependency chain from license to payer effective date, what each payer does about retroactive billing, and how to schedule the first weeks so the gap costs as little as possible.
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The same people who write these articles run billing, coding, denial management and credentialing for practices nationwide.