Wednesday, January 28, 2009

Your Medical Billing Can Be Better in 2009

By Carl Mays II

Most people's New Year resolutions have been abandoned by the end of January. If you find your self in this group then take heart. You can still snatch victory from the jaws of defeat. To do so, you must understand two basic principals of achieving your ambitions:

1. View your failures (i.e., I have not flossed in two days) as minor set backs and not as utter failure (i.e., I might as well start saving for dentures); and

2. Break your goal down into manageable pieces (i.e., I will lose 2 pounds in January; 2 lbs in February versus I will lose 25 pounds this year).

Although these concepts may seem simple, they are quite powerful - not only in your personal life but in your business as well. These two ideas can be leveraged to dramatically improve your medial billing this year. A great way to start this journey is with the goal of having 95% of your claims accepted on the first submission. This goal will have an extraordinary impact on your medial billing performance:

- You can only achieve it by having a laser focus on the front end elements of medical billing. This is where the medical billing "game" is won or lost;

- It allows you to focus on achievable, smaller goals (85% of claims go out clean in January, 87% go out clean in February, etc);

- This goal has many ways in which failure provides powerful learning opportunities. You can set aside time to analyze rejected claims to determine the source of the rejection and then focus on eliminating the problem area.

- Technology can be a powerful ally in achieving this goal. The use of coding tools, automated demographic verification tools and scrubbing claims will eliminate many sources of up-front errors that lead to claim rejections.

So, as we approach the end of January this is the time to double down:

- Understand where you are starting your journey (what portion of your claims are accepted on first submission);

- Decide upon a stretch target (I will increase my clean claim percentage by 15 points this year);

- Break them down into bite size pieces (I will improve clean claim submissions by 2% each month), and

- Adopt the mentality that you will learn from your mistakes.

With this approach you can make 2009 your best medical billing year ever.

Copyright 2009 by Carl Mays II - 15432

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