RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.

Do medical billing systems have good reporting? What do user reviews indicate? We look at the average rating (positive or negative) of reviews that comment specifically about the capability of reports and analytics.

Can you rely on the information in a medical billing remittance (EOB / ERA) from health insurers that tell you what to do to modify, resubmit, or appeal claims in order to get paid?

We dive in more deeply here to look at how this is calculated and what went wrong. Is the medical billing company trying to pull a fast one on its client? Listen in to find out.

Caveat emptor when it comes to getting analysis done for you. Listen here to find out all the problems we see in what should be a simple analysis of average reimbursement from a medical billing company. And we'll tell you what to do.

Office Ally is free medical billing software (clearinghouse, practice management system PMS / EMR). We briefly review be reporting capability.

Not going to give this one away in the description. You'll have to listen to find out this tip on how to improve your medical billing denials management process using an analytical trick.

A fun little episode about the difference between correlation and causation and some spurious correlations for entertainment.

There are other metrics on which you can evaluate whether a payor is bad, other than just denials. We'll take you through a couple and suggest what to do.

Who are the worst payers? How do you identify your "worst" list? And what do you do about it once you have this naughty list?

What is gross collections in medical billing, how do you calculate it, is it valuable, and what are the pros and cons of this metric? We'll break it down for you.

How do you know if your billing or billing company is performing well? Do you just ask them?

I'll going to go off again on one of my favorite targets Kareo. They have a metric that is called Payment Velocity and it is complete and utter garbage. Listen to find out why.

Eligibility verification problems in medical billing can really destroy the financial success of a provider. This is the story of a catastrophe because of eligibility problems, finger pointing, confusing data, very complex problem solving, and ultimate success.

What counts as a denial? How can you actually calculate, what fields are you going to use, what unique key will allow you to figure out what counts and what doesn't and are your denials getting better or worse? This is much more complicated than you might think. And it's necessary to improve your medical billing.

What's wrong with flat rate pricing from a medical billing company? Everything. Incentives drive behavior and we'll discuss how this undermines performance.

Notice we didn't say collected. Why are they not even worked frequently or at the level they should be to maximize revenue for a provider? We show you the answers and you may be surprised.

Where can we be more data driven? How can we make decisions that are better informed? This year we should be making a commitment to improving our business and profitability through data. And that includes Apache.

We'll be off for a week for the holidays.

We provide you some simple solutions on how to measure the productivity of medical billing team members for various different parts of the revenue cycle including patient registration, charge entry, accounts receivable, collectors, etc. We even offer a few higher level answers to more nuanced and complex issues you encounter.

Congress looks set to pass a bill that will eliminate surprise medical bills for patients.

What should you measure to figure out productivity in medical billing? What do you do to make sure the people don't be in the system or do you want to create incentives that actually result in good outcomes?

Is the trend towards practice management / medical billing software companies offering outsourced medical billing service a good one? And for who exactly?

How do you know if you're getting underpaid and are insurance companies doing it intentionally? Is there a way to know conclusively? (We use "doctors" as a symbol of all providers, whether it is hospitals, laboratories, physicians, ASC's, imaging centers, or other providers.)

When finger pointing happens in medical billing, whether it is with an external billing company or in-house department, what do you do? How do you know who is responsible for claims not getting paid? We have a suggestion.

What do you do with the inherent problems of the blame game? Who is responsible when claims don't get paid or there is a problem? Billing blames insurance, insurance blames billing. Now what?