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Serum versus Plasma

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Staff Feedback Pays Dividends

Boost Cash Flow by Tracking DSO

Pharmacy Quality Standards

Billing Specialists Get The Job Done

Should you Part D

The Right Team Makes A Great Company

The Importance of Proper Aseptic Technique

The Answers Are in Your Data

Synercid

Inside the 835 - Part 1 - CR Codes

Treating an Unhealthy Accounts Receivable

Are You Compounding or Manufacturing?

Prepare For Bad Debt Reserves

Maximizing Your Value in Mergers and Acquisitions

Is Outsourcing Right For You?

Team Talent is Essential

What's the Value of Your Business

Inside the 835: Part 2--Medicare Codes

Pharmacists Recognized As A Provider:

Part D Success Story: $24K Denied, Then Reversed

Maximize Revenue On Rental Equipment

Leverage Points: Mission and Vision

The Value of Therapeutic Drug Monitoring

Listserv Lessons: Post-dose Vancomycin peak draws

Take Control of Your Patient Receivables

Acquisition Strategy – Securing Management

Pedigree Provisions: A New Responsibility

Cash is still King

Listserv Lessons: Patient Financial Responsibility

HEMOLYSIS - CAUSE AND EFFECT

Who's tracking YOUR sales?

Five Approaches to Training a Sales Person

CASH FLOW: Shows Your Company’s True Health

NPI Deadline is May 23 - Are you ready?

Listserv Lessons: Billing Per Diems on Non-Infused

Microalbumin

Credit Balances, an overlooked problem

Managing Open Invoices

Listserv Lessons: Insurance Company defining AWP

Revenue Recognition: Are You Collecting 95%?

BitLeap's online, offsite data backup system

Is NHIC getting The Job Done?

Drug of the Month - Infliximab

Sed.Rate and C-Reative Protein Assay

A Systemic Approach to Purchasing Negotiations

A Systemic Approach to Purchasing Negotiations 2

Practical Approach to Physician Credentialing

Is Noridian Getting The Job Done?

The Pharmacist’s Awareness of “Drug Induced Diseas

Listserv Lessons: Medicare Billing Split between M

Glycosylated Hemoglobin

Drug of the Month – Daptomycin (Cubicin®)

Using Denial Tracking to Improve Cash Flow and Sta

Dealing with Denial Code 204 (Replacment for PR 96

The Medicare Program: A Brief Overview

ListServ Lessons: Power PICC Flushing Protocols

Can a blood test predict a heart attack?

Software Implementations - do it perfect the first

Drug of the Month – Lynezolid (Zyvox®)

Add a second monitor to your laptop / desktop

Software implementations – it’s a great time to be

Extreme Drug-Resistant Tuberculosis

Listserv Lessons: Home Infusion Pharmacy vs Specia

Patient Satisfaction Scores

Managing your payer pricing files

Leadership: An Analysis

Listserv Lessons: Enteral Practice Standards

MRSA on the Rise

Using Clinicians to Improve Reimbursement

Software Implementations: Multi-site conversions

System Management: Managing Serialized Inventory

So, you have a payer contract…or do you?

Questions and Answers about Lyme Disease

Listserv Lessons: Timely Filing and Patient Debt O

System Implementation: 5 Phases of Information Sy

Managing your Windows Desktop

Insurance Companies Play to Win ... you should too

Blood Culture Contamination

KVO’s on Intermittent Pump Infusions

So, the nice lady at Medicare told you that it wou

Listserv Lessons: Huber Needle Changes

ListServ Lessons: Compounding Question

How many billers necessary to change a light bulb?

Listserv Lessons: Monitoring Shipping

Use of Routine ABNs

Investigating Reimbursement Issues

Repackaging your managed care strategy

Managing your Shared Contract Files

Stale A/R on Legacy Systems – Is It Really Worth I

ListServ Lessons - Infusion of Specialty Meds

Know Who Your Patients Are and Where They Are Comi

Know who your patients are and where they are comi

Patient Pay Accounts - If you can't measure it, yo

Those Pesky Rascals

The Care and Feeding of Your Item Master File

Billing Staff Measurement and Feedback

This Call May be Monitored for Quality Assurance

The Price is Right…Or Maybe Not

Using Time & Motion Studies to Improve Pharmacy Pr

Cash is still King

By Linda Payne
Tuesday, December 19, 2006

Problem : Meeting or even exceeding your monthly cash goals is great but if you don’t understand where you cash is coming from (and more importantly – where it’s not coming from) is just as important! An important part of a successful business is recognizing revenue and receiving payments consistently every month. How are you able to determine when a payer releases 80% of previously billed charges vs. 20% of billed charges? And how can you investigate what may have caused the drop if you don’t know it happened?

Cause: Detailed cash aging reports are not available in most standard software packages and manually calculating this information is too time consuming.

Impact: Understanding who is paying you timely is important in accurate cash forecasting. Understanding who is not paying you is important in identifying where your account aging problems are going to occur.

Solution: Rock-Pond Payment Aging Report

Benefit: An understanding of which payers are paying you and how long it is taking them to release payment one of the biggest. An understanding of which payers are paying minimal payments on outstanding AR is another big benefit. Once you look at this type of report, you will be surprised at how long some of your payers are taking to pay the majority of your outstanding claims with them. This type of information is also beneficial for your contracting staff to take to a payer in order to negotiate better payment turn around times.



Linda Payne


Linda Payne is the founder of Reimbursement Concepts, LLC and is an expert in the field of infusion and DME reimbursement, coding analysis, audits and medical billing and collections. Linda has over 18 years professional experience. Prior to starting Reimbursement Concepts, LLC, Linda was employed as VP of Reimbursement for Accredo Health Services. Prior to Accredo, Linda held varying positions and levels of responsibility at Gentiva Health Services and McKesson MedManagment as well as other regional organizations. Linda's experience includes senior level, multi-site responsibility for Reimbursement Operations, A/R Management, Denial Analysis, Internal and External Auditing, Reimbursement Training, Best Practices, Policy and Procedure development, Corporate Compliance, and Due Diligence. Her extensive experience in reimbursement and operations has afforded her the confidence, knowledge and professionalism required to handle all aspects of reimbursement operations.

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Reimbursement Concepts


Reimbursement Concepts' principal and president, Linda Payne, has over 18 years reimbursement experience in the healthcare industry. Management experience includes a variety of reimbursement organization structures with extensive knowledge in A/R operations and billing systems. Reimbursement Concepts' staff have multiple years experience in medical collections with diverse backgrounds including patient qualification, information systems application, and accounts receivable management. Reimbursement Concepts staff has been clinically educated to maximize reimbursement of medical claims and have specialized training in infusion therapy. Reimbursement Concepts staff have a thorough understanding of Medicare, Medicaid and third party guidelines, resulting in quicker collections.

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