You do not have to be a marine captain to know that there are countless potential dangers navigating waters.
With a little imagination you know there are many risks. Some hidden, like currents, while others are painfully apparent (i.e. howling winds, waves and torrential storms).
We know there isn’t anything the captain can do to eliminate weather conditions or enforce her will on ocean currents.
However, we can all agree the captain has control over the vessel. We can also agree that the captain has the responsibility to equip the ship and its crew member to its maximum potential if they have any intention of overcoming environmental threats.
Running a “profitable” practice is indeed becoming more of a challenge. For many, it is uncharted territory. And while there are many extrinsic reasons – like decreasing insurance payments, high deductible plans, and the increased cost of providing care – that are contributing towards the “remaining profitable” challenge, the truth is, there is little – if anything – we can do to eliminate those threats.
It is our responsibility as captains of our ships, however, to equip our practices and our staff members with the necessary tools and information if we want to have any chance of overcoming these real threats.
Below are 11 STRAIGHTFORWARD and practical tips you can implement immediately to help you navigate these rough waters.
- Review fee schedules regularly to ensure your fees reflect market conditions in your region.
- Adjust fee schedules for certain procedures to improve providers’ competitiveness.
- Review all E&M charges by a certified coder before submitting claims.
- Hire coding consultants for annual chart reviews to ensure accurate coding.
- Monitor and report payments of your top insurance-payers.
- Run reports to understand payments by different networks or other contract types.
- Renegotiating (or consider dropping) contracts with payers who have low payments.
- Monitor how long it takes for charges to be entered and claims to be submitted to make sure claims are being filed timely.
- Consider provider training or implement random audits to ensure billing slips are completed clearly and accurately.
- Review your practice’s policies for routing super-bills to ensure claim submissions are sent as soon as possible.
- Implement processes so your billing staff works missing super-bills, claims, denials, consistently.
Imagine for a moment navigating open waters without navigation tools. Now, imagine what would happen if conditions were less than excellent?
If your boat ran off course or worse, capsized, would you blame the environmental conditions? Or would you take responsibility because you didn’t have the proper equipment and tools to navigate in challenging conditions?