Revenue cycle management for primary care
Where primary care claims leak
A primary care claim often carries a preventive visit, a problem visit and a care-management code together. Each has its own frequency limit, time threshold or modifier rule, and Medicare applies all of them to the same claim.
Sound familiar?
Where primary care practices lose money
Turn a note over to see what changes.
The five stages
In a primary care practice
At bookingCoverage agentCoverage confirmed before the visit
Before the visitApprovals agentApprovals in place before the visit
At the visitNotes agentNotes that back every claim
At billingClaims agentClaims go out clean
After the payer answersPayments agentDenials worked until they’re resolved
Questions
Primary care questions
Bring one recent denial. We'll show you the rule behind it.
Your specialty, your payers, your claim. No slides.
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