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User Profile @promd

author: Pro MD Practice Management

website: www.promd.us/

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promd's Posts

Tips to Avoid Bottlenecks and Manage Your Patient Flow

Running an efficient medical practice is very important to your ability to treat all of your patients in a timely fashion. Unfortunately, bottlenecks can occur during any day that can put you massively behind schedule. When this happens, you can end up dealing with a lot of annoyed patients who are waiting around well past their appointment times while your staff struggles to keep up with their work - and when you and your staff are running around trying to get things done frantically, there's more risk for potential error, which can compromise your ability to effectively treat your patients.  Read more...

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Submitting Incident to Billing Claims

To many physicians and medical practice staff members incident to billing can be a somewhat confusing concept. When billed "incident to" for services provided by a non-physician practitioner (NNP), like a nurse practitioners, physician assistants or clinical nurse specialists, the Medicare claim is submitted under the physician's National Provider Identifier (NPI) number, and not the NNP's. This results in reimbursement at 100 percent of the fee schedule instead of the 85 percent that is paid when billed under the NNP's NPI.  Read more...

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3 Steps to Save Money When You Outsource

If you run a medical practice of some kind, then outsourcing your medical billing and collections services might be something that you will want to look into. There are many benefits to outsourcing your medical billing and collections services, one of the most convincing being the ability to make more money. The following are three steps that you should take in order to determine how much money you can actually end up making or saving by outsourcing your medical billing and collections services.  Read more...

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6 Signs to Fire a Staffer

Running a medical practice of some sort is no easy task. It's also something that must be taken extremely seriously since your patients will depend on you for their health and safety. Because of this, you can't take any errors that happen in your practice lightly - and you may have no choice but to let go of a staffer if they make a serious mistake. You're not going to have as much wiggle room when dealing with your staffers as you would at an ordinary business.  Read more...

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Best Practices to Increase Financial Health of Your Operation

Most physicians who open their own private practice do it out of a desire to provide service to their patients and to build on their relations with those patients. In short, to practice medicine. More often than not, the running of a business is secondary, or worse, an afterthought.  Read more...

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Difficult Patient Interactions

Physicians and their staff members want to be optimistic about each new patient that walks into their practice, but it is not realistic to expect every patient relationship to be a positive one. Some patients might bring a bad attitude and negative energy to your office.  Read more...

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Federal Judge Stops Aetna/Humana Merger

In a decision applauded by doctor and patient advocacy groups, U.S. District Judge John D. Bates has temporarily blocked what was being called a mega-merger between health insurance giants Aetna and Humana. Judge Block wrote in his 158 page opinion that the $37 billion merger would hurt competition in the insurance industry and end up raising prices for health care consumers.  Read more...

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Difficult Workplace Conversations

We all wish things (and people) simply worked the way they are supposed to, but sometimes there are issues that arise and must be dealt with. Sometimes those issues involve uncomfortable topics that must be addressed directly with a co-worker or employee.  Read more...

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Aetna/Coventry Pulls Out of Affordable Care Act Marketplace

Aetna/Coventry has announced that it will remove most of its offerings from the Affordable Care Act’s marketplace on January 1, 2017. Additionally, the company will stop selling insurance plans altogether in eleven states. Last month the giant insurance provider revealed that it has lost $430,000,000 as a direct result from its participation in Obamacare since 2014.  Read more...

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New Collections Workflows

Collections were not as big of a deal back in the day as they are now. Patients generally only had to pay a small co-pay for their insurance, something that many medical practices didn't even bother collecting the day of the appointment - instead, billing the patient or allowing them to pay it the next time they came in.  Read more...

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