Strategy

Although each practice is unique and each specialty requires its own procedure and diagnosis codes, an accurate and effective billing process is basically the same for any practice. The goal is to create a successful billing flow through the initial set up, operations review, correct coding, policies & procedures, training and ultimately the dedication to improving the cash flow.

Practices need to focus on the “front end” of the process, i.e., patient care, scheduling, front desk procedures, and other day to day operations related to patient care.

A Billing Service will focus on the “back end” of the process i.e., entering charges, payments and collecting insurance and patient payments.

Consulting Services will help provide the tools necessary to improve the practice operations and cash flow.

Practices usually try and integrate the front end duties with the back end which does not produce good results because the resources of the practice are not utilized to their fullest potential.

Practices will sometimes use existing front desk clerical staff to perform billing services as well as their own duties in order to keep the overhead expenses of a billing department and staff at its minimum. This has proven to be ineffective. Without a properly staffed front desk and a well functioning billing department, neither duties will be performed to the best of their ability. In the end, this will result in unnecessary uncollectible claims.