Your worst nightmare: an insurer wants a giant refund that could threaten the future of your facility. Here's what to do.
Is your outsourced billing provider really delivering the best value for your money? Use these 5 questions to find out.
How to let go of the need to control
Does controlling behavioral health billing activities in-house hurt or help your operations? We bust the myths around medical billing process outsourcing.
You are not alone if you are wondering whether or not it makes sense to control the insurance management process of your billing activities in-house. Let’s face it. You really don't want to be part of the process; you just want to be part of the outcome. Understanding the process and the pros and cons is where you figure out who's worth being a part of the billing solutions outcome.
Revenue and cash flow considerations of accepting in-network vs. out of network patients
Do you know how McDonald’s considered all-day breakfast? When McDonald’s was considering a multitude of consumer requests for all day breakfast, a study was done to see about how the company could accomplish such a feat from an operational standpoint and the impact on overall revenue for millions of stores worldwide. It was found that because the stores were already covering overhead for lunch and dinner even if they charge less for breakfast items all day, the increase in revenue would be substantial. There were many operational considerations, but ultimately, they found ways to overcome those challenges and the stores realized substantial revenue gains.
Topics: behavioral health coding, medical billing, Uncategorized, behavioral health, behavioral health billing services, behavioral health business services, billing codes, Claims Management, elevated billing solutions, ethical billing, humana, icd 10 coding tips, industry news, medical billing help, Medical Billing Insurance, verification of benefits
[vc_row][vc_column][vc_column_text]We all know that drug abuse is a terrifying threat to communities all over our country, as well as the entire planet. However, when you begin to break down the numbers, the true mortality rates that our country is enduring, due to addiction, begins to paint a bleak and disheartening picture of how extreme this epidemic is becoming. Drug addiction is decreasing. Far from it, actually. As far as mortality rates go, in America, drug abuse is one of the top causes of injury death. It's important to note that when we talk about injury deaths, we are not talking about all of the natural ways people die in this country. Instead, injury deaths refer to when someone is killed by a factor that is human-caused. This may be intentional or unintentional, and can include murder or self harm. In terms of drug abuse, it falls under the category of self-poisoning. Here is some more information about this picture of mortality in our country...
[vc_row][vc_column][vc_column_text]ICD -10, the 10th Revision-Clinical Modification of The International Classification of diseases, was created by the World Health Organization to have a system designed for classification and reporting diseases. If you're not familiar with it, it's basically a medical coding index that helps relate medical expenses to the actual item a patient is being billed for (i.e. "A34.W4" corresponds to "Alcohol withdrawal delirium"). Version 10 will soon replace ICD-9 and if medical billing is a part of your company's responsibilities, you'll need to transition to using the new version. The good news is, there's time to prepare -- the compliance date for ICD-10 implementation has been delayed to October 1, 2015.
As a culture we are entertained by stories about real people. No matter if it's about the unsung hero or the stereotypical drug addict recluse, the movie industry doesn’t play favorites. In fact, it remains to be seen if the film industry is even trying to help you distinguish the difference between the two. In one study conducted by The Royal Society of Medicine, the facts show the existence of sex and drugs are most often shown in a positive light across the top 200 movies in the past 20 years. So what does this mean and how does it affect behavioral health across the board?