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You are here > Home > Reading Lists > Finance & Accounting > The Physician Billing Process

The Physician Billing Process: 12 Potholes to Avoid in the Road to Getting Paid, 2nd Edition
Deborah Walker Keegan, PhD, FACMPE; Elizabeth W. Woodcock, MBA, FACMPE, CPC; Sara M. Larch, MSHA, FACMPE

Softbound: 248 pages 
ISBN: 1568293399
978-1-56829-339-4
MGMA
April 2009
(click below for the best currently available price for this important resource)

This book helps medical group managers and physicians enhance financial performance by optimizing key billing and collection processes for professional fee billing: 

  • Collect money due to your practice. 

  • Improve your revenue cycle by maximizing key processes for professional fee billing.

Physicians deserve a dependable revenue cycle that works relentlessly to ensure every cent due the medical practice is collected — timely, efficiently, and accurately!

 

The depth and magnitude of change in health care reimbursement means that your medical practice cannot rely on the same old billing methods. Anything less than optimal performance from your billing office reduces cash flow and costs you money. The authors present cutting edge strategies to meet today’s reimbursement challenges and improve the profitability of your medical practice.

 

Authors Deborah Walker Keegan, Elizabeth W. Woodcock, and Sara M. Larch have followed up their best-selling first edition with a book that shares more offensive strategies to optimize your revenue cycle. The text is packed full of new, innovative tools, techniques, policies and procedures, and advanced practices that allow you to diagnose and treat your revenue cycle and ensure a financially healthy bottom line. The authors lay out “real life” business practices that can be adopted tomorrow in your medical practice, including how to:

  • Decipher consumer-directed health plans

  • Conduct patient financial clearance

  • Segment patients in terms of financial risk

  • Staff to effectively conduct front-end and back-end billing

  • Capture increased revenue at the point of care

  • Understand real-time claims adjudication

  • Shrink your collections cycle

  • Position your practice for pay-for-performance

  • Work — and prevent — costly claim denials and rework

  • Code appropriately to ensure your fair share of differential payer reimbursement

  • Leverage multiple technologies; and

  • Perform a cost/benefit analysis of your revenue cycle

Move forward on the road to getting paid! Your physicians are working harder than ever. They deserve a dependable revenue cycle that works relentlessly to ensure every cent due the medical practice is collected timely, efficiently, and accurately!

 

This best-selling book features a step-by-step examination of the billing and collection processes, expected performance outcomes and advanced billing practices to maximize the performance of each step in the end-to-end billing process. Written by practice management experts, this book includes resources to help you diagnose problems and develop action plans to attain optimal financial performance, including:

  • tools,

  • checklists,

  • policies,

  • procedures, and,

  • case studies.

Medical Group Management Association (MGMA), founded in 1926, is the nation’s principal voice for medical group practice. MGMA’s 19,000 members manage and lead more than 11,500 organizations in which more than 237,000 physicians practice. MGMA’s core purpose is to improve the effectiveness of medical group practices and the knowledge and skills of the individuals who manage and lead them. MGMA headquarters are in Englewood, Colorado. MGMA, the leader in medical practice management data for more than 50 years.

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