Medical Billing Audit - Why Should Providers Audit Payers?
[Insurance:Medical-Billing] Providers need new and effective approaches to mobilize both legal and organizational talent to reverse their revenue decline. Legal methods battle market conditions like oligopsony while large-scale medical billing networks aggregate claim volumes and create resulting economies of scale to enable analytical discovery of under-payments.

Rehab Billing Service Outsourcing - Zero-Sum Argument and Cost-Benefit Analysis
[Insurance:Medical-Billing] Over 17 percent of accounts receivable for an average physical therapy practice are beyond 120 days since the date of service. Although this may not seem to be a problem, as it would be expected that the money will come eventually, in fact an unpaid claim that is 180 days overdue has less than 1% chance of ever being paid. In other words, the average rehab practice delivers almost one fifth of its services for free. Would billing outsourcing be an appropriate solution for this problem?

Physical Therapy Billing - ROI and Price-Performance Calculation for Solving Outsourcing Dilemma
[Business:Outsourcing] Internet-based technology has been applied effectively to reduce physical therapy and rehab practice billing costs, especially at the stages of claims validity tests (scrubbing) and electronic submission. The decision about the scope of automation depends on the total cost of ownership, which is often difficult to compute. Quantification of billing quality and its inclusion into price-performance equation of billing service yields more comprehensive financial picture and better decisions about billing service outsourcing and its management. It is effective, however, only subject to controlled billing performance levels and process transparency.

The Outsourced Medical Billing Network Effect And The CNS For The Chiropractic Office
[Insurance:Medical-Billing] The application of chiropractic methodology to office management yields dramatic improvements in practice performance. The CNS for the chiropractic office integrates billing and practice management netware. Its main features are self improvement and intelligence achieved through Metcalfe's network effect, when the benefit for network members grows in step with the addition of each new member.

Medical Billing Network Effect - A Winning Internet Strategy for Practice Profitability and Control
[Insurance:Medical-Billing] Insurance companies adopted an adversarial approach to providers. Instead of catching up with payer's changes and depending on favors for mission-critical payment information, providers need an accountable mechanism for getting their claims paid.

Medical Billing Outsourcing - E-Myth Lesson in Cultural Gap Discovery
[Insurance:Medical-Billing] The risk-benefit analysis of medical billing outsourcing typically invokes five kinds of argument: balance sheet, performance, control, focus, and zero-sum game. The debate then boils down to a checklist of a dozen steps for vendor selection. Nevertheless, it is often the case that even the most accommodating service, which passed the most stringent scrutiny, fails to meet the simple billing needs of a small and seemingly easy to serve practice. The question then becomes two-fold: first, when to outsource medical billing, and second, what defines a reliable set of criteria for selecting a good medical billing service?