Author Archives: James Muir

What Success Really Looks Like

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CMS Offers Hospitals List of Potentially Eligible Claims

Note: Effective 10/15/2014, if a hospital is unable to produce a list of all eligible claims in a timely manner, the hospital may submit a request for a “Potentials List.”  CMS will respond within 2 business days with a list of POTENTIALLY eligible claims at Level 2 and above.  This list will not include any…

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Stay on Course

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Improved revenue outcomes start with the patient

Improved revenue outcomes start with the patient

Improved revenue outcomes start with the patient Click here to view original web page at www.healthcarefinancenews.com As reimbursements shrink and value-based payment models take shape, healthcare providers are realizing they must create and sustain a more effective revenue cycle to ensure long-term viability. After being pushed to the back burner due to electronic health record…

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AMA Meaningful Use Guidance CMS

AMA Gives CMS a Roadmap to Save MU

Joseph Goedert The American Medical Association in a 31-page letter to CMS Administrator Marilyn Tavenner lays out a litany of recommendations to save Stage 2 and ensure success of Stage 3 of the electronic health records meaningful use program. “After three-and-a-half-years of provider participation, we are at a critical crossroad where we believe it is…

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Make Things Happen

Make Things Happen

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Revenue Cycle Tips

10 Quick Revenue Cycle Tips

Patient Related: Make sure patient demographics are clean. Verify patient eligibility before every encounter and determine the patient’s financial responsibility. Collect all patient responsibility at the time of visit (copays, deductibles, and balances). Define your financial policy regarding patient payments. Your office policy is critical to ensuring that all patients under-stand their responsibility and that…

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Stay Focused

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Practice Money Leaks

4 Areas Practices Lose Money

#1 At the front-desk The front-desk staff at medical practices have to be constantly on their toes.  They have to collect patient payments, verify insurance coverage and handle the dynamic challenges of doctor’s schedules. #2 Managing Denials The cost of following up on claims is $25-$40 per claim. Working denials as close to real time…

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MGMA14 session explains how legislative issues affect your practice

MGMA14 session explains how legislative issues affect your practice

The educational sessions are always outstanding as is the networking.  I look forward to seeing you all in Vegas at the National MGMA Conference. MGMA14 session explains how legislative issues affect your practice Receive critical information about legislative proposals under consideration and timely regulatory issues that affect medical practices during the Washington Update at the MGMA…

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