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Ask MGMA: Optimizing Accounts Receivable with an Effective Central Billing Office

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Manage episode 461013537 series 1260959
Contenu fourni par MGMA. Tout le contenu du podcast, y compris les épisodes, les graphiques et les descriptions de podcast, est téléchargé et fourni directement par MGMA ou son partenaire de plateforme de podcast. Si vous pensez que quelqu'un utilise votre œuvre protégée sans votre autorisation, vous pouvez suivre le processus décrit ici https://fr.player.fm/legal.

In this episode of the Ask MGMA podcast, hosts Daniel Williams and Cristy Good discuss strategies for sizing a central billing office (CBO) to ensure efficient accounts receivable (AR) management and claims processing. Christy, an MGMA expert, shares key insights and best practices to help medical practices determine the right staffing, technology, and processes to optimize their CBO operations.

Key Takeaways:

1. Assessing Current Volume and Complexity

  • Evaluate historical data on claim volume and billing procedures to determine appropriate staffing levels.

2. Leveraging Technology

  • Integrate billing and coding software with the practice's EHR system to streamline claims processing and reduce errors.

3. Training and Monitoring Staff

  • Provide ongoing training to billing and coding personnel to stay up-to-date on regulatory changes and ensure quality control.

4. Pre-Submission Claim Scrubbing

  • Implement a robust pre-submission claims review process to catch and correct errors before submission.

5. Regular Audits

  • Perform both internal and external audits to validate coding standards and payer requirements.

6. Effective Patient Communication

  • Develop clear financial policies and scripts to help patients understand their financial responsibilities.

7. Outsourcing Considerations

  • Evaluate the benefits of outsourcing billing and coding functions, especially for smaller practices.

8. Adjusting Strategies for Seasonal Changes

  • Adapt Central Business Office (CBO) staffing and processes to accommodate fluctuations in patient volume and claim complexity throughout the year.

Resources and Call to Action:
For more information and support in optimizing your practice's central billing office, visit MGMA.com and explore our wide range of resources, including:

If you have a specific question or challenge, use the "Ask MGMA" feature on MGMA.com to connect with our experts, like Cristy Good, who can provide personalized assistance.


MGMA BestPrice Official Podcast Sponsor
Inflation is squeezing medical practice budgets, but as the exclusive GPO of MGMA members, we can help your practice save up to 20% on medical and non-medical supplies without sacrificing quality. MGMA BestPrice is your secret weapon to combat rising costs, maintain margins and deliver exceptional patient care. It is a FREE member benefit leveraging HealthTrust’s contract portfolio to connect you with the most aggressive pricing in the industry for medical and surgical supplies, pharmaceuticals, vaccines and purchased services. Visit mgmabestprice.org today to learn how MGMA BestPrice can help your medical practice save money on supplies you already buy

  continue reading

659 episodes

Artwork
iconPartager
 
Manage episode 461013537 series 1260959
Contenu fourni par MGMA. Tout le contenu du podcast, y compris les épisodes, les graphiques et les descriptions de podcast, est téléchargé et fourni directement par MGMA ou son partenaire de plateforme de podcast. Si vous pensez que quelqu'un utilise votre œuvre protégée sans votre autorisation, vous pouvez suivre le processus décrit ici https://fr.player.fm/legal.

In this episode of the Ask MGMA podcast, hosts Daniel Williams and Cristy Good discuss strategies for sizing a central billing office (CBO) to ensure efficient accounts receivable (AR) management and claims processing. Christy, an MGMA expert, shares key insights and best practices to help medical practices determine the right staffing, technology, and processes to optimize their CBO operations.

Key Takeaways:

1. Assessing Current Volume and Complexity

  • Evaluate historical data on claim volume and billing procedures to determine appropriate staffing levels.

2. Leveraging Technology

  • Integrate billing and coding software with the practice's EHR system to streamline claims processing and reduce errors.

3. Training and Monitoring Staff

  • Provide ongoing training to billing and coding personnel to stay up-to-date on regulatory changes and ensure quality control.

4. Pre-Submission Claim Scrubbing

  • Implement a robust pre-submission claims review process to catch and correct errors before submission.

5. Regular Audits

  • Perform both internal and external audits to validate coding standards and payer requirements.

6. Effective Patient Communication

  • Develop clear financial policies and scripts to help patients understand their financial responsibilities.

7. Outsourcing Considerations

  • Evaluate the benefits of outsourcing billing and coding functions, especially for smaller practices.

8. Adjusting Strategies for Seasonal Changes

  • Adapt Central Business Office (CBO) staffing and processes to accommodate fluctuations in patient volume and claim complexity throughout the year.

Resources and Call to Action:
For more information and support in optimizing your practice's central billing office, visit MGMA.com and explore our wide range of resources, including:

If you have a specific question or challenge, use the "Ask MGMA" feature on MGMA.com to connect with our experts, like Cristy Good, who can provide personalized assistance.


MGMA BestPrice Official Podcast Sponsor
Inflation is squeezing medical practice budgets, but as the exclusive GPO of MGMA members, we can help your practice save up to 20% on medical and non-medical supplies without sacrificing quality. MGMA BestPrice is your secret weapon to combat rising costs, maintain margins and deliver exceptional patient care. It is a FREE member benefit leveraging HealthTrust’s contract portfolio to connect you with the most aggressive pricing in the industry for medical and surgical supplies, pharmaceuticals, vaccines and purchased services. Visit mgmabestprice.org today to learn how MGMA BestPrice can help your medical practice save money on supplies you already buy

  continue reading

659 episodes

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