Physician practice and hospital revenue cycle drivers: what's the difference?

There are two key differences between hospitals and physician practices in revenue cycle management: unit of work and its value, and per unit cost to collect. Reducing a physician practice's cost to collect requires, first and foremost, the right technology and functionality and the right staff. Three advanced collections techniques-denials management, contract compliance, and fee schedule management and maintenance-should be examined for their potential value in ensuring that an owned practice is paid correctly for every service.

Using denial management techniques to maximize practice reimbursements.

In today's world of continually decreasing reimbursements and widely anticipated technology expenses, it is imperative that practices maximize their existing reimbursement rates. This article explains the basic concepts of denial management and offers suggestions to ensure that denial management practices are successfully implemented in the practice setting using either an internal or external billing model.