If you manage billing in a retina practice, you know the frustration when claims get denied, rejected, or delayed. Every denied claim means lost revenue, additional work, and delayed payments, which strains the practice’s financial health and your team’s efficiency.
Cash flow in the medical industry is unique. Each service rendered must go through insurance claims processes. How can you maximize revenue at your retina practice? Enter revenue cycle management for medical billing.
After the exam is done and any diagnostic tests or injections have been completed, a moment of truth arrives: “Was it all medically necessary?”
Putting your house in order is one of the best things you can do to position your retina practice for growth.
When pushback is encountered, acknowledging shared fears can encourage open-mindedness and acceptance of innovation.
Your retina clinic could be an expressway for staff and patients that rivals some of the best feats of civil engineering—or it could be a logistical nightmare where backtracking is a regular occurrence.
There are a few reasons why a negative accounts receivable balance may occur—including one that does not involve overpayment.
Retina specialists can reduce reimbursement risk by exercising prudence when changing drugs and documenting appropriately.
If your retina practice is being denied drug claims after prior authorization, you’re not alone.
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Patient workup and testing provide ample opportunities to improve your retina practice efficiency.
Perhaps you’ve heard the term “chart audit” before, or your retina practice has recently been selected for one. If you don’t know what a chart audit is or need a refresher—it’s a payer review of one or more medical charts at some point before or after the claim has been paid.
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These four KPIs can tell you a lot about what is happening with the revenue cycle of your retina practice.
The front desk is a significant site for potential inefficiencies at any practice. It’s the starting point for every patient interaction, setting the encounter's pace (and tone). If your front desk is slow or has a habit of running behind schedule, your practice flow will also suffer. Front desk inefficiencies can result in stressed staff, frustrated patients, and fewer appointments—meaning less revenue at the end of the day.
Improving patient flow is vital to unlocking revenue efficiency at your retina clinic.
Beating the bad decision trap can improve the efficiency of your retina practice.
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