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Claims Software Can Reduce Denials, Maximize Revenue

A recent MGMA Stat poll showed that two-thirds of medical practices say that Medicare payments for 2019 won’t cover their costs for delivering care. That’s sobering news, not only for physicians, but also for people who are on Medicare and want their doctors to continue to accept the federal insurance.

Alternative payment models in Medicare come with the promise of increased pay, but participation requires that practices spend more up-front with the hope that heightened reimbursement arrives at some future date.

Medical practices are leaving money on the table by not producing clean medical claims. Incremental improvement can improve cash flow and reduce accounts receivable days, important metrics to determine the health of a medical practice.

Patients are important revenue source

To read the full article, visit American Journal of Managed Care.