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Outpatient Therapy

Grow Your Rehab Therapy Practice Using Paid Ads and Search Engine Marketing

When done right, paid advertising and search engine marketing are amazing tools to reach new patients and grow your business. By applying several basic tactics, you can start using powerful digital advertising platforms like Google and Facebook to target specific audiences and help ensure a steady flow of business for your practice. Click to View […]

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Five Key Stressors Hospice Professionals Face, with Guidance for Support

Hospice professionals help others face death and loss, while juggling interdisciplinary communications, quality compliance regulations and ever-evolving technologies. You are continually there for families and their dear ones who are passing away. But what about you? Get the eBook In caregiving professions, it is easy to get swept up in the needs of others and forget […]

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Net Health’s CIO discusses diversity and how it can build a stronger organization

Diversity in the workplace is an on-going issue but it’s an issue with solutions. To build diversity, it takes forward-thinking initiatives, a reexamination of the hiring philosophy, and the support of the company’s decision-makers.  One such supporter of diversity in the workplace is Net Health’s CIO, Jason “JJ” James.  Recent social movements like Black Lives […]

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Tough Questions | Real Answers: Net Health’s Fireside Chat about Race

Net Health did something different recently. Nearly two hundred employees and their families gathered around their computer screens to take part in a landmark event in our company’s history – we called it a “Fireside Chat about Race”.  The purpose of this event was to have a truly open conversation about the controversial but relevant […]

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Uncategorized Four Signs It’s Time to Revisit Outpatient Therapy Billing

Four Signs It’s Time to Revisit Outpatient Therapy Billing

May 6, 2019 by Net Health

In the perfect world, outpatient therapy billing is a seamless process that ensures all parties are appropriately billed, compensated or reimbursed for services rendered. After all, it’s a daily routine in your practice, so it should run smoothly 99% of the time, right?

Right! Except we all know that’s often not the case. The Government Accountability Office (GAO) found that up to 25% of healthcare claims are denied. That adds up to a lot of lost revenue!

When it comes to outpatient billing, traditional approaches and legacy systems routinely fall short. And it’s a shortfall that outpatient practices can’t afford to ignore.

What are a few signs that your billing process may be costing you time and money unnecessarily?

Here are four key indicators to look out for:

-High claims denial rate—If you don’t know your denial rate, then check this metric. The total dollar amount of denied claims divided by the total dollar amount of claims submitted will give you your denial rate. If it’s above 5%, then you’ll want to investigate the issue. You may be having problems with certain payers or your billing process. If you don’t know, you can’t fix it.

-Constant staff turnover—If you’re practice experiences a lot of turnover, then your billing process may be taking a hit. Outpatient billing requires precision, attention to detail and expertise. There’s little room for error. Unfortunately, as staff members leave, they take their knowledge with them. Unless you have a good transition process in place, new staff may have to learn your process on the fly, increasing the likelihood that a piece of critical information will be overlooked or entered incorrectly.

-Growth of your practice—Is your practice growing? If so, then you have to make sure your billing process and therapy billing software are likewise scaling to support your needs. All too often, outpatient practices become victims of their own success. The strategies and billing tools they used in earlier days no longer work as they see a spike in the number of patients and staff and/or additional practice locations.

-Lack of control or visibility—Maybe your billing process worked just fine for years…but lately things are getting a little unwieldy. It could be due rapid practice growth, changing regulations or all the manual back and forth about claims errors or denials. Whatever the reason, this lack of visibility or control can quickly lead to reimbursement issues and frustrated staff.

If any of these scenarios sound familiar, then it’s time to take a closer look at your billing process. The question is…how do you remedy the situation? Do you invest in more staff and resources, or perhaps upgrade your EMR billing software? Or maybe you should offload some of the burden to a third-party billing provider who is well-versed in outpatient therapy billing?

Each method has its advantages and disadvantages—and it depends on the specific needs of your practice. Find out how which billing approach may work for you in our new tip sheet – “Should You Outsource Your Therapy Billing? Get the Pros and Cons.”

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