1. Best Practice Strategies to Optimize Revenue
Maria Mason
Medical Group Business Services
Manager, Client Services and Analysis
MGBS Billing Brown Bag, November 16, 2006

2. Review of Patient Registration
Accurate IMF Plan
Process for Obtaining Benefits and Authorizations
Communications Regarding Arrival Times, Records, Authorizations, Co-Pay and Co-Insurance

3. Review and Monitor Front Desk Processes
Well Defined Patient Flow Process
Check-In and Check-Out
Co-pay, Co-Insurance and Small Balance Collections
Ways to Secure Payment – Credit Cards, Pre-Payment, Holding of ID
Patient Histories Completed in the Waiting Room
Accuracy of Face Sheets, Copies of Insurance Cards, Updating in IDX of Changes / Revisions

4. Review of Encounter Forms
Update Regularly to Allow MDs to Capture all Charges
MDs to Complete the Encounter Form

5. Review and Monitor Charge Capture and Batching Processes
Implement goals to minimize charge lag
Identify Problem Areas
Reconcile Services to Charges
Monitor to Ensure Compliance

6. Regular Review of Monthly IDX Reports
AR Analysis
Rejections
Periodic Open A/R
Periodic Reimbursement Analysis on Top Procedures

7. Regular Review and Audits of Coding and Compliance
Department Compliance Plan
CPC Trained Staff
Review of MD Coding – PDS
Random Review of Charts
Feedback to MDs, Training
Development of Templates for Dictations

8. Network and Participate in Meetings w/Other Revenue Staff
Resources That You Might Otherwise Not Know Were Available
Pilots and Other Opportunities
Conferences Related to Your Specialty

9. Other Potential Areas to Optimize Revenue
Coding
Units
Prolonged Services and Time Based Coding Where Appropriate
New Codes