Medical Practice Revenue Cycle Analysis
How long has it been since you analyzed your practice's revenue cycle? Today's BIG Ideas podcast describes several steps I use when analyzing a practice's revenue cycle. Listen for the data I gather and for a general approach to get started. The graphic on my web...
Follow Patients Through Your Practice
Recent podcasts have discussed tracking how patients come to your practice and how patients leave your practice. Today's podcast is from one of my sessions at the recent MGMA Leaders Conference in Nashville about following patients through your practice. Which...
Mine Clinical Data
I apologize for being a bit behind in podcasts lately. Three weeks ago I spoke at the ASCENT conference in Chicago. Two weeks ago was MGMA's Leaders Conference in Nashville. Last week was Connecticut MGMA in Mystic. I am back in the saddle and today's podcast is an...
Medical Treatment Rate
Want a sneak peak of one of my presentations at next week's MGMA Leaders Conference? One of the top things savvy practice managers are focusing on now is looking beyond charges, payments, and adjustments to follow the paths patients take through the practice. Today's...
Waterfall Reports for Medical Practices
Need a new way to see your practice's revenue cycle? Waterfall reports for medical practices are a helpful way to trend payments. Today's BIG idea describes how to track payments by date of service and get a true collection ratio by month. As that collection ratio...
Track Patients Leaving Your Practice
Several podcasts have discussed tracking patients coming to a practice. Have you tracked how patients leave your practice? Today's BIG Idea is from a physical therapy group where we track the average number of patient visits by provider over time. Listen to today's...
Watch Reason and Group Codes
Looking for more medical practice revenue? How long has it been since you have reviewed your reason and group codes? Reason and group codes are the way insurance companies communicate how and why your charges have been adjusted and not paid. Today's BIG Ideas podcast...
Track New Patients
How are your new patients volumes? What is driving those changes? Today's BIG Idea is to gather as much data as you can around your new patients to understand by age, insurance, location, referral source, diagnosis and more why patients are coming to your practice. ...
Track Urgent Care Referrals
Are your efforts to market your practice working? Today's BIG Idea is to track urgent care referrals in your practice. The example comes from a Midwest orthopaedic group that offers urgent care. The question is how often the advanced practitioners who staff urgent...
E&M Coding Levels
Are your E&M codes billed consistently across providers? Do you have an easy way to tell? Today's BIG Ideas podcast shows a Pivot Table, slicers, timeline, and Pivot Chart I built for a practice to track their E&M coding levels. Listen for ideas on how to...
Marketing Opportunities with Prevalence Rates
Looking for a new marketing idea? Today's BIG Idea is from a pediatric orthopaedic practice that found prevalence rates for a variety of conditions in one of their provider's textbooks. Prevalence rates give them a sense for how many of a specific diagnosis they...
Medicare Provider Utilization Data
How do you compare to similar practices? Would you like to know more? Today's BIG Idea is an example I'm building for a group of dermatologists in Florida. We are using Medicare Provider Utilization Data to compare Evaluation and Management coding levels, market...
Track Workflow Changes
Have you changed practice management workflows recently? Are things getting better? Today's BIG Ideas podcast is from a practice that dramatically changed workflows around obtain prior authorizations. Listen to see what they are tracking to see if changing the...
Adjustments From Billed Charges
Costs up? Revenue flat or down? And your providers are working harder than ever? A recent MGMA Stat survey showed 89% of medical groups' operating costs increased in 2023. You are not alone. A proactive approach to this problem is to run a custom report that shows...
Power Automate
Looking for ways to improve productivity in your medical practice? Today's BIG Ideas podcast comes from a practice in the southeast that is trying to qualify for MIPS measures but has a very manual, labor intensive process to gather the required data. Listen to hear...
Patient AR and Reputation Management
How hard are you working on managing your practice's reputation? How hard are you working on your patient A/R balances? Today's BIG Ideas podcast describes a recent New York Times article about a health system that was criticized for denying care to patients who had...
Track Copay Assistance Programs
Looking for a way to reduce patient accounts receivable and increase patient satisfaction at the same time? How well do you track copay assistance programs? Today's BIG Ideas podcast describes ways to track copay assistance programs in your practice management system...
Watch Contractual Allowances
Are you absolutely certain that payers are taking appropriate contractual adjustments from your charges? Watch contractual allowances carefully in your practice. Today's BIG Ideas podcast is from an onsite visit to a practice in the Midwest last week. The Revenue...
Even More Ways to Look for Missing Revenue
I really am going to stop talking about finding missing revenue for your practice. Just not today. Today's BIG Idea is actually two ideas to find missing practice revenue. The first example is for practices who get revenue information from an outside source. Listen...
More Ways to Look for Missing Charges
Have you found all of your unbilled charges? Today's BIG Idea follows up on last week's podcast about looking for missing charges. The example is from a practice that uses Greenway's Intergy product, but the principles apply no matter which practice management system...