Bill Sample / December 9, 2018 / Mary Anthony
Followup may take the form of a phone call to payer to discover a lost claim or to receive interpretation of denial message correction of earlier submitted data resubmission of the original claim consultation with the provider and medical notes or denial appeal. Both FPP and Denial rates are very important metrics often used for billing process improvement. The upside of FPP/Denial metric is that it is charge-invariant but its downside is that it hides the differences between process imperfections on the claim submission and claim payment sides. To identify patterns of problem CPT codes or payers FPP/Denial metric needs to be computed and compared across all pairs of payer-CPT code which is a standard feature for modern billing technologies.
Billing performance measurement is an integral part of medical practice billing process and a prerequisite to effective practice management. Systematic measurement becomes mission-critical with growth of billing complexity or outsourcing of the billing function. Traditional billing metrics are limited in scope and focus on claim submission process ignoring process imperfections on the insurance (payer) side. Modern computer technologies allow both productive measurement and effective action by the disciplined billing office to improve claim submission and payment processes. Using appropriate metrics helps improve policies and procedures shorten revenue cycle reduce patient complaints improve financial performance and compliance increase cash flow reduce bad debt identify areas of potential growth improve employee morale increase productivity and reduce costs.
Have you ever taken your car to the shop and said "Gee I dont have money to pay for that new transmission. Can I float you a loan?" or gone to the supermarket and said "Sorry I dont have enough money for this cart full of food. Can I pay you later?" It sounds harsh but veterinarians have businesses to run just like everybody else. And too many with good intentions and big hearts have gotten burned by offering "credit" or "payment plans" to non-paying clients. The result? Its virtually impossible to find a veterinarian willing to offer services today with payment tomorrow. Lets face it quality vet care isnt cheap. Think about it though--would you want it to be? Because if it was cheap--Id be worried. Because it would be your pets health that had to suffer! So how can pet owners save money on their veterinary bills? Pet insurance is one answer but there are many other tips that pet owners simply dont know about it.