Cyber Security Considerations when Operating a Pediatric Practice

Operating a pediatric practice involves more than just providing medical care to children. In today’s digital age, it also means managing sensitive patient data and protecting it from cyber threats. Unfortunately, the healthcare industry is a prime target for cybercriminals due to the valuable information it holds. In this article, we’ll discuss the highest cyber…

What is a Managed Medicaid Plan?

A managed Medicaid plan is a type of health insurance plan that is designed for individuals who are enrolled in the Medicaid program. These plans are managed by private insurance companies, known as Managed Care Organizations (MCOs), that have contracts with state Medicaid agencies to provide health coverage and other services to eligible individuals. Managed…

Monitor and Measure Accounts Receivable Days to Identify Changes in Patient and Payor Payments

As discussed on a previous blog article a few years ago, Accounts Receivable Days is a key performance indicator to monitor.    Today, there was an interesting article in the Wall Street Journal that discusses the importance of monitoring the amount of Accounts Receivable in a business and that large businesses use a metric known…

Pediatric Provider Coding Review: ADHD Coding Example

In previous articles, we have provided a summary related to the selection of appropriate Evaluation and Management (E&M) codes (99202-99215) for a sick visit, or as an additional service provided during a well visit. The selection of said E&M code is a key component of pediatric office visits. While previous articles have described how to…

Managing Payer Edits to Achieve Optimal Reimbursements of Claims

Revenue Cycle Management of a pediatric practice is a team effort. Influences on pediatric revenue cycle performance include the front desk team members, medical assistants, providers, and the medical billing team. Previous blog articles include articles on the importance of each of these roles, and the potential impact they pose on practice revenue. The medical…

Phone Consultations vs. Secure Messaging Engagement with Patients

Are documenting/submitting phone consultations and/or secure message exchanges worth the time and effort needed to appropriately do so? Many consultants may come up with ideas on how to enhance practice revenue without taking into consideration if the work required of the pediatric providers is worth the results, whereas a pediatric practice owner/administrator is more prone…