Medical Billing

Years ago I read a news story titled “The Check Is Not In The Mail”. It was a fascinating story about a health care organization called Athenahealth that did a brief study on how the nation’s seven biggest health insurers pay their bills. What they found wasn’t shocking to anyone who’s ever had to try […]

Just like almost all businesses large enough to have employees pay someone to audit their businesses, hospitals sometimes need to, or should have, someone come in to audit their receivables process. It can involve looking at the charge master or how charges are captured, or a host of other things. This article is specifically going […]

Every person who works with hospital bills know something about revenue codes. Some folks have at least a basic concept of what revenue codes are supposed to be, that’s about as far as it goes. Scarier yet, some people have only heard the term. It would seem that it’s time someone addressed revenue codes in […]

How many of us put ourselves in the place of patients when we send them itemized bills that may be in error? Most of us rationalize it by saying insurance won’t be paying all those charges anyway, but what about self pay patients? Though we’re used to seeing some of the amounts as they pertain […]

A couple of my consulting assignments have involved setting up processes for increased upfront collections. Although physicians offices have been doing this for years, it’s still surprising just how many hospitals have yet to truly broach this subject within their own facilities. Pictures of Money via Compfight A major part of upfront collections, and direct […]