MACRA? MIPS? QPP? APM? – Breaking Down What It All Means

The medical world is full of acronyms that all make perfect sense to those in the business. The world of medical billing is constantly being introduced to a whole new set of important and changing phrases that affect a physician’s ability to participate in Medicare reimbursements.

Some of these terms have been in use for a couple of years and other are new. We break it all down below. We hope you find information that will help your office gain the best benefit possible regarding Medicare reimbursements.

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Efficiency and Your Front Desk

FrontDesk_EfficiencyWe all know the first impression is a lasting one. Your clinic’s first impression starts at your front desk. From the first phone call to the office, your front desk is sending a message about how well your clinic will take care of all the important details. An efficient and friendly front desk is part of your patient’s overall experience with your clinic. This important role also directly affects how timely you get paid for services. The front desk sets in motion all the details the billing department will need to submit claims for insurance payments.

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Video 0168: How Long Does It Take for ORI to Implement Outsourced Medical Billing

Outsource Receivables Video Blog SeriesWe are often asked how long does it take to implement ORI as our full service medical billing agent. Typically, it takes 30 days from the time of the signed contract to be up and running. If a clinic is starting on a completely new system, it may take up to 90 days. During the implementation of the new system, ORI works with the clinic to ensure everything goes smoothly. Our full-service model is an excellent value for our clients.

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Central Procedural Terminology – 2019 Changes

Updated CPT CodesOne change of note affects Remote Patient Monitoring (RPM). This change has been in the works since January of 2018 when it was determined that CPT 99091 did not adequately describe how RPM services are being delivered in today’s world. Released in January, there are now three codes that better reflect technology driven patient monitoring.

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Rejected Claims

Rejected ClaimsAre you constantly dealing with rejected claims in your medical office? If so, you’re likely trying to find out where the breakdown is between your medical billing department and your providers, but at Outsource Receivables, we’re here to tell you that there’s another way. By outsourcing your entire medical billing operation to an outside firm that specializes in reducing rejected claims you’ll find that your office is much more profitable and you’re able to enjoy treating patients again as opposed to the constant busy work that’s unavoidable when it comes to medical billing…and the worst is rejected claims!

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