What’s the story with my exam denials?

The automatic appending of Modifier -25 on Evaluation & Management (E&M) services has been a concern of insurance payers for quite some time. In years past, we were able to simply append a -25 modifier to communicate that additional service beyond the usual pre-and post-service work associated with the primary service.In recent reports, the Office…

We live and breathe by this ONE metric. Does your practice?

If I had to pick one benchmark that matters the most for a practice, it would be collection ratios. And that’s not just a cop-out to get me the two-for-one special (net and gross collection ratios.)   At IPS, we live and breathe by these numbers! They are absolutely vital to the health of your…

How to take your staff meetings from ‘meh’ to meaningful

How are your monthly staff meetings going? If you’re like most of the providers we talk to, your answer is probably somewhere between “chaotic” and “okay-but-not-great.” The main challenge stems from one thing: lack of preparedness. Every member of your team is working hard on the day-to-day operations. I get it — you’re a busy…

How to decode confusing EOBs — the simple way

When you switch to electronic fund transfers and stop receiving paper checks, you can choose to receive an electronic Explanation of Benefits (EOB) instead of paper. And as I’m sure you have experienced with some carriers, we don’t even get the opportunity to choose. Those of us in the healthcare world would like to believe…

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