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.
American Health care today is a corporate business. Medical care, mental health care and substance abuse treatment are all at the mercy of this system.
Mental health and medical solo practitioners are looking to gain support through joining groups versus staying in their solo practices. The Affordable Care Act is allowing for that shift through mandating mental health benefits and insurance coverage, along with the Mental Health Parity Law, requiring private and public insurers to cover mental health needs at the same level as medical conditions — charge, for example, similar co- pays.