{"id":26706,"date":"2024-03-02T22:00:00","date_gmt":"2024-03-02T22:00:00","guid":{"rendered":"https:\/\/peregrinehealthcare.com\/?p=26706"},"modified":"2024-02-19T16:43:48","modified_gmt":"2024-02-19T16:43:48","slug":"maximizing-reimbursement-in-houston-3-key-strategies","status":"publish","type":"post","link":"https:\/\/peregrinehealthcare.com\/maximizing-reimbursement-in-houston-3-key-strategies\/","title":{"rendered":"Maximizing Reimbursement in Houston: 3 Key Strategies"},"content":{"rendered":"\n[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; min_height=&#8221;2845.1px&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||4px|||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<p><span style=\"font-weight: 400;\">Every healthcare professional is devoted to bringing the best medical care to their clients. In order to do so, though, multiple aspects of their practice must align: staffing, equipment, and RCM. Revenue Cycle Management, however, requires very specific expertise and strategies. In the pursuit of maximizing reimbursement to be able to offer patients top-of-the-line service, we are sharing <\/span><b>3 key strategies<\/b><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>[\/et_pb_text][et_pb_button button_url=&#8221;\/contact-us\/&#8221; button_text=&#8221;Contact Us&#8221; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;18px&#8221; button_text_color=&#8221;#A80000&#8243; button_font=&#8221;AvantGardeITCTT||||||||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; header_2_text_color=&#8221;#A80000&#8243; header_3_text_color=&#8221;#4C1211&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221; sticky_enabled=&#8221;0&#8243;]<h2><span style=\"font-weight: 400;\">3 Keys to Maximizing Reimbursement in Houston<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Accurate reimbursement is the backbone of a medical practice\u2019s revenue. As such, it is important to stay up to date in terms of how to maximize it. While the coding and healthcare industry landscape keeps evolving, we have compiled three key strategies to weather its complexities. Here are 3 strategies to maximize reimbursement:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u27a1 <\/span><b><i>Related insight: <\/i><\/b><a href=\"https:\/\/peregrinehealthcare.com\/best-revenue-cycle-management-tools\/\"><b><i>The Best RCM Tools<\/i><\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">1. Before Anything Else, Preparation Is the Key to Success<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The process of getting reimbursed for your medical services begins before your first patient comes in \u2014and with your patients in mind.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When your patients walk through your doors, they must do the least possible, so that they can focus on their health alone. Similarly, making their process easy and smooth also benefits you. You are setting your practice up for success. How exactly? Here is a comprehensive checklist of everything you need to cover to be able to reap the benefits at the end of the billing period.<\/span><\/p>\n<ul>\n<li aria-level=\"1\"><b>Streamlining patient registration and verification<\/b><span style=\"font-weight: 400;\">. It is a good idea to look into configuring a patient portal to collect patient information and verify their insurance coverage. Also, you might want to install automated insurance systems so as to check patient eligibility.<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>Training staff thoroughly<\/b><span style=\"font-weight: 400;\"> on accurate patient information and service. This point should not be overlooked. The right training can prevent claim denials and coding and billing errors.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">2. Maximizing Reimbursement through Coding<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">When billing patients and payers, diagnoses, procedures, and equipment translate into alphanumeric <\/span><a href=\"https:\/\/peregrinehealthcare.com\/coding\/\"><span style=\"font-weight: 400;\">codes<\/span><\/a><span style=\"font-weight: 400;\"> that help streamline the payment process (among other things).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here\u2019s an example:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A patient visits their doctor with flu symptoms. Therefore, the physician examines the patient and orders a test. In this scenario, coding and billing would look something like this:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diagnosis: The <\/span><a href=\"https:\/\/www.cdc.gov\/nchs\/icd\/icd10.htm#:~:text=The%20International%20Classification%20of%20Diseases,death%20on%20the%20death%20certificate.\"><span style=\"font-weight: 400;\">ICD<\/span><\/a><span style=\"font-weight: 400;\"> code for \u201cInfluenza due to other identified influenza virus with other respiratory manifestations\u201d is <\/span><a href=\"https:\/\/www.icd10data.com\/ICD10CM\/Codes\/J00-J99\/J09-J18\/J10-\/J10.1#:~:text=2024%20ICD%2D10%2DCM%20Diagnosis,virus%20with%20other%20respiratory%20manifestations\"><span style=\"font-weight: 400;\">J10.1<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Examination: The time that the doctor spent evaluating the patient could be coded as 99213, \u201cEstablished patient office or other outpatient visit, 20-29 minutes.\u201d\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lab tests: Likewise, the bill will include a test as code CPT 85027 (blood count, complete (CBC), automated).<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">As a consequence, the bill will reflect the services rendered through each code, which is reimbursed accordingly.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The example illustrates the importance of proper coding. However, coding is equally important and confusing. There are more than 10,000 codes, which virtually no healthcare provider can remember. To help with this task, we recommend hiring professional coders or outsource the coding to a knowledgeable healthcare consultant like Peregrine Healthcare.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u27a1 <\/span><b><i>Related insight: <\/i><\/b><a href=\"https:\/\/peregrinehealthcare.com\/maximizing-reimbursement-through-coding\/\"><b><i>Maximizing Reimbursement through Coding<\/i><\/b><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">3. Maintenance is Essential: Schedule Regular Audits<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Establishing periodical audits enables organizations to optimize their RCM processes and foster continuous QI (quality improvement). Furthermore, during audits professionals can identify strengths and where there is room for improvement. As a result, they can prevent multiple issues and also course correct where necessary. Ultimately, by maintaining an optimized practice and preventing issues, alongside with the financial aspect of the audits, healthcare providers save enormous amounts of time and money.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u27a1 <\/span><b><i>Related insight: <\/i><\/b><a href=\"https:\/\/peregrinehealthcare.com\/5-ways-in-which-a-healthcare-audit-benefits-your-practice\/\"><b><i>5 Ways in Which a Healthcare Audit Benefits Your Practice<\/i><\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Why Choose Peregrine Healthcare to Help You Maximize Reimbursement<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Peregrine Healthcare offers comprehensive services to healthcare providers. As the professional extension of our client\u2019s practices, we work together to maximize reimbursement and continuously improve their Revenue Cycle Management.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some of the benefits of our services include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>A<\/b> <b>state-of-the-art revenue collection system<\/b><span style=\"font-weight: 400;\">. Our credit scoring system lets you predict which customers are more likely to repay and those that need additional help. This helps set up your practice correctly and avoid future mistakes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Our systems support different payment options<\/b><span style=\"font-weight: 400;\">. By giving patients flexibility, you can have the peace of mind that they can always cover the fees.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Patient pay policies<\/b><span style=\"font-weight: 400;\"> designed to improve reimbursement.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Get full access to our online portal <\/b><span style=\"font-weight: 400;\">to view real-time metrics. This way, you can compare your performance against industry standards.<\/span><\/li>\n<\/ul>\n<p><b>Do not hesitate to <\/b><a href=\"https:\/\/peregrinehealthcare.com\/contact-us\/\"><span style=\"font-weight: 400;\">contact us<\/span><\/a><span style=\"font-weight: 400;\"> for more information and to learn about how we can tailor our reimbursement solutions to your needs.<\/span><\/p>[\/et_pb_text][et_pb_button button_url=&#8221;\/contact-us\/&#8221; button_text=&#8221;Contact Us&#8221; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;18px&#8221; button_text_color=&#8221;#A80000&#8243; button_font=&#8221;AvantGardeITCTT||||||||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"<p>Every healthcare professional is devoted to bringing the best medical care to their clients. In order to do so, though, multiple aspects of their practice must align: staffing, equipment, and RCM. Revenue Cycle Management, however, requires very specific expertise and strategies. In the pursuit of maximizing reimbursement to be able to offer patients top-of-the-line service, we are sharing 3 key strategies.\u00a03 Keys to Maximizing Reimbursement in Houston Accurate reimbursement is the backbone of a medical practice\u2019s revenue. As such, it is important to stay up to date in terms of how to maximize it. While the coding and healthcare industry landscape keeps evolving, we have compiled three key strategies to weather its complexities. Here are 3 strategies to maximize reimbursement: \u27a1 Related insight: The Best RCM Tools\u00a0 1. Before Anything Else, Preparation Is the Key to Success The process of getting reimbursed for your medical services begins before your first patient comes in \u2014and with your patients in mind. When your patients walk through your doors, they must do the least possible, so that they can focus on their health alone. Similarly, making their process easy and smooth also benefits you. You are setting your practice up for success. How [&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":26707,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"2880","footnotes":""},"categories":[1],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Maximizing Reimbursement in Houston: 3 Key Strategies - Peregrine Healthcare<\/title>\n<meta name=\"description\" content=\"Peregrine Healthcare offers medical practices services to ensure that they are maximizing reimbursement at every level.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/peregrinehealthcare.com\/maximizing-reimbursement-in-houston-3-key-strategies\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Maximizing Reimbursement in Houston: 3 Key Strategies - 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