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Foundations of the Billing and Collections Process

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NEW COURSE! | Be Compliant with the No Surprises Act

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Latest posts

Wait! You May Not Be Able to Charge Your Patient for That!

Hot Topics from the KMC University HelpDesk Our HelpDesk has received an increase in calls about when an office can charge a patient for a…

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Practice Finances

To Appeal or Not To Appeal?

Some practices deprioritize appealing claims as ‘grunt work,’  but nothing could be further from the truth when it comes to appeals.

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Practice Finances

Checks and Balances

Without checks and balances in place, a practice is at risk for mistakes, missing money, and out of balance accounts. Here are several procedures you can put into effect to protect your office:

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Practice Finances

The Importance of End-of-Day Balancing Procedures

A CAs job is never done. Offices need to have systems and procedures in place that will manage both outbound claims, inbound checks, and accounts receivable.

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Practice Finances

Managing and Storing Paid Explanations of Benefits

One of the more common questions we get at our Help Desk is what to do with Explanations of Benefits (EOBs) for paid claims once the payment has been posted. Regardless of the payer class, whether personal injury, worker’s compensation, or simple commercial insurance, you have many choices and can select one that is best for your practice.

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Practice Finances

Pitfalls and Concerns Over Roller Table Type Traction

More and more, third-party payers have written medical review policy deeming roller table type traction as experimental, investigational, and unproven. However, because it is usually billed as 97012, Traction, the payer wouldn’t know that the service performed was roller table and would likely pay it. It’s up to the provider to be aware of these kinds of rules. Billing with a deceiving code could be dangerous.

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Practice Finances

Is Your Chiropractic Office Being Paid Enough?

When it comes to reimbursement, most chiropractors and team members believe they are not being paid every dime they deserve. Third-party reimbursements have indeed been shrinking while documentation requirements have increased. As a result, it has become practically impossible to thrive in an insurance only practice.

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Practice Finances

Insurance Verification: A Thing of the Past?

Should you verify the patient’s insurance before the first visit? On the first visit? Before the Report of Findings (ROF)? Do you perform a Financial Report of Findings (FROF) first? Or do you submit the claim and wait for the Explanation of Benefits (EOB) to come. All of this uncertainty could be solved with a simple insurance verification.

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Practice Finances

Paper Claims: Not a Dinosaur Yet!

Electronic claims processing is still the fastest, most efficient way to file insurance claims, where possible. However, there are times when a paper billing process still applies for your practice.

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Practice Finances

The Talk

Every parent knows (and dreads) when it’s time to have “the talk” with their kids. Some of us do a better job than others—and the same is true for those of us tasked with having “the talk” with our new patients. In fact, for some of us, discussing the birds and the bees can seem like a walk in the park compared to actually having to talk to new patients about—gulp—money.

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Practice Finances