What Is A Medical Billing Fee Schedule?

Fee schedules play an important role in the realm of medical billing practices. Inefficient or ineffective fee schedule practices can lead to claim rejections, claim denials, and other delays that might interrupt an otherwise consistent revenue stream. The Centers for Medicare and Medicaid Services (CMS) sponsors a comprehensive list of charges for health care services on a fee-for-service basis. These fee schedules play a critical role in making sure that practitioners providing care are reimbursed for the treatments they [...]

By |August 22nd, 2021|Categories: Tips|Tags: , |0 Comments

What’s The Difference Between PIRP vs. GIRP vs. BIRP Notes

Behavioral health therapists frequently need to take notes both during and after a session. Tracking behaviors big and small play an important role in helping improve a patient’s treatment trajectory and meet therapeutic outcomes. In many ways, accurate notes play an important purpose. First and foremost they help catch behaviors on various scales. This also serves as an initial platform for tracking progress in efficient ways. Though there are different types of notes that an ABA therapist might choose [...]

By |August 20th, 2021|Categories: Tips|Tags: , , , , |0 Comments

How To Launch A Teletherapy Practice Online

Teletherapy has been a concept on the rise in psychology and behavioral therapy for years now. Like a lot of remote care options, it has been propelled in popularity during the COVID-19 pandemic. This has many therapists interested in starting an online teletherapy practice or taking their existing teletherapy practice to the next level. Today, therapists around the world are adopting teletherapy solutions to try and continue meeting the needs of the patients who rely on them. Though optimizing [...]

By |August 19th, 2021|Categories: Tips|Tags: , |0 Comments

What Are Offset Payments In Accounts Receivable?

Accounts Receivable play a critical role in measuring a practice’s incoming revenue. This might be from an insurance company, private payers, public health institutions, or a patient copay. Sometimes referred to as “AR” it effectively refers to the invoices that either patients or insurance companies owe to you as a healthcare provider for the services delivered. It’s especially important for larger medical facilities and clinics, though it is critically important for small medical practices and solo practitioners who rely [...]

By |August 18th, 2021|Categories: Tips|Tags: , , |0 Comments

Why & How To Choose A Clearinghouse For Your Business

A clearinghouse plays an important role in the medical industry and the medical billing clearinghouse you choose can have a major impact on your business. The overall efficiency of how a clearinghouse processes and returns your information will be a guiding factor in the consistency and robustness of your practice’s revenue stream. Many of the best medical billing clearinghouses work diligently to get you paid promptly, without unnecessary delays in your revenue stream. Finding the best medical billing clearinghouse [...]

By |June 16th, 2021|Categories: Tips|Tags: |0 Comments

Top Medical Coding & Billing Documentation Errors To Avoid

Even seemingly small documentation errors can lead to big problems in the medical billing process. This includes things like accidentally adding a digit to a recommended dosage to forgetting to input all of the patient’s pertinent contact information. Not only can these things cause delays in your practice’s revenue stream, but they can also turn into a liability issue. Recurrent documentation errors can even get your practice red-flagged for an audit by insurance providers and medical industry oversight organizations. [...]

By |June 16th, 2021|Categories: Tips|Tags: , |0 Comments

What are DAP Notes & Why You Should Use Them For Mental Health Practice

DAP notes have become an increasingly popular annotation method for mental health care and behavioral health care practitioner. Therapists of every discipline use DAP notes to record and manage each patient’s case. They are especially helpful for keeping track of how a patient’s case evolves while ensuring that unexplored paths do not go unexplored in future sessions. In this way, DAP notes effectively help to track the details of each therapy session while helping to inform the direction of [...]

By |June 16th, 2021|Categories: Tips|Tags: |0 Comments

DSM-5 codes vs ICD-10. What’s The Difference?

Diagnostic codes can sometimes seem a little arcane, even to those therapists and physicians who are experienced with using them. Two of the more scrutinized diagnostic codes come into play when choosing to use the ICD-10 or the DSM-5 code. In truth, there are some differences and similarities between the two sets, which can make it confusing to know which one to use. In some cases, applying the wrong diagnostic code can draw questions and cause delays in the [...]

By |June 16th, 2021|Categories: Tips|Tags: , |0 Comments

What Are Non-Covered Services In Medical Billing?

Health insurance providers, public health institutions, and other payer entities typically cover most medical services and treatments administered by physicians, clinics, and hospitals. This also includes things like most prescription drugs, wellness care, and even patient-use medical devices. Yet a lot of medical billing companies recognize that private payers and institutions like Medicare do not always cover certain treatments, items, medications, and services. Essentially a non-covered service in medical billing isn’t being covered by a government institution or private [...]

By |May 23rd, 2021|Categories: Tips|Tags: , |0 Comments

How Real-Time Eligibility Verification Can Maximize Your Revenue

A consistent and vigorous revenue stream is the veritable lifeblood of any medical practice. Maximizing a revenue stream’s potential is especially important for small medical practices, ABA therapists, and solo practitioners. Fortunately, 21st Century communication technology offers medical practices of all scales and disciplines a spectrum of innovative solutions to streamline as well as maximize revenue streams. One of the places where it pays the most dividends is the ability to receive real-time eligibility verification. There are even a [...]

By |May 23rd, 2021|Categories: Tips|Tags: |0 Comments