Pediatric Practice revenue cycle management results can be attributed to multiple stakeholders in the revenue cycle. While the Physician Xpress Account Managers and medical billing team have a significant role on managing claims, follow-up and reporting, the actions of the front desk team and the pediatric providers have an impact on the revenue cycle…
DetailsThe Pfizer COVID-19 vaccine was approved by the FDA for use in children 5-11 years. Since about 1 out of 4 new COVID-19 cases are for children under the age of 18 and the previous age indication was 12 years and older, this is a very important event in the next stage of preventing…
DetailsIt has been about one and a half years since the COVID-19 pandemic started within the United States. The COVID-19 pandemic consequentially altered how pediatric practices engage with patients. While the changes were significant, pediatric practice leaders and owners learned how to optimize the situation. The wearing of masks and practice of social distancing throughout…
DetailsMost independent pediatric practices receive the majority of the practice revenue from patients with either commercial or managed Medicaid insurance. The payments to the practice are based on the fee schedule established between the insurance company and the Pediatric practice. Due to their depth of training and experiences, pediatricians have strong clinical knowledge, knowledge…
DetailsClinically Integrated Networks or the acronym, CINs, are quality focused organizations that negotiate with payers to provide potential additional payments to providers based on established criteria. This criteria is usually a shared savings based criteria or a HEDIS-based quality improvement metric. A CIN can be one Health System or a Health System and independent practices…
Details
Login
