Billing & Collections

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Our 2010 Fee Schedule Survey indicates that with commercial payments narrowly keeping pace with Medicare, practices need to get paid more for the work already being done.

It may sound like a great idea, but there are lots of financial questions to consider first. Do your homework on cashing in before you cash out.

doctor lie

Honesty may be the best policy. But is complete truthfulness the compassionate course in every case? Here's what you need to know about the legal, ethical, and professional issues around withholding information from patients.

Although the primary purpose of our profession is to help heal and maintain the health of our patients, we are still business owners with salaries, taxes, and operating expenses to pay. This often means that we have to find ways to generate additional revenue, which raises the question, “Will offering ancillary services improve the profits in my practice?” They very well could.

Like most administrators, your education and experience have given you all the tools you need to help your practice succeed - Not that you’ll get the chance to prove it. When you find that your tasks are overwhelming your projects, that’s when it’s time to hire an assistant.

How good are your key accounts receivable processes? Do you even know what to measure? Find out how you are doing by entering key data from your practice and comparing your key measurements to industry benchmarks.

Here are the fourteen key measurements you need to make -- about once a quarter -- to measure your practice's financial health. We've made it easy for you. Just enter some information; we'll do the math.

Fee Schedule Setter

Base your fee schedule on the Relative Value Unit (RVU) scale. We'll show you how -- and help you with the math.

Abstracted with permission from Chapter 4 of The Toyota Way by Jeffrey Liker. This chapter summarizes the principles of lean manufacturing, now being used in medical practices. Order the book at www.amazon.com.

This simple work sheet will let you compare your payers' reimbursement for specific procedure with your costs for each procedure. If you're spending more to provide a service than you're making for it, then it's time to address the problem.

Use this easy calculator to find out which of your payers are worth your efforts. By comparing the percentage of revenue to the percentage of patient encounters for each of your payers, you can tell at a glance which plans are the poor performers.

Collections Letter 1

This is the first in a series of letters to use for patient collections.

Financial Policy

Let new patients know about your policies from the get go. Follow these guidelines.

Use this tool to see how Medicare's new fee schedule will impact your practice. This tool helps you translate Medicare's RVUs into dollars.