Practicing medicine has increasingly gained reporting burden amid the competitive push to value-based care. Pointing to electronic health records (EHRs) as the greatest source of frustration, clinicians spend
almost one-fourth of their time on data entry and nonclinical
documentation, according to the Physicians Foundation. 1 Over-
whelmed by reimbursement reporting requirements, around
half of surveyed clinicians have compensation tied to quality
and value-based care measurement, yet only 18% know how
to maximize revenue to improve care or reduce cost. 2
With Medicare Access and CHIP Reauthorization Act of 2015
(MACRA) policies evolving, many practices are unsure how to
optimize revenue without hindering workflow or performance
scores. To combat the financial struggle, practices can apply
the following seven tips to both enhance revenue and operations while remaining mindful of MACRA.
the Day Seven tips to optimize revenue cycle and MACRA processes
By Joncé Smith
Many practices are bogged down
by high claim denials. To combat
this, your registration or appointment staff must collect accurate
insurance or Medicare data during
F At least one week before patient
appointments, ensure that staff
verify this information for all
scheduled encounters, especially
if multiple providers within your
group are seeing the same patient.
F Later, during face-to-face registration, have staff check for
expired patient identification and
insurance or managed care plan
cards following a basic registration checklist.
F Host annual staff re-education,
emphasizing the importance of
proper registration data collection.
F Make sure new staff are properly
trained on the practice’s registra-
F Keep staff motivated with the
motto that just 10 more minutes
from front-end staff can eliminate
several hours wasted on follow-up
work for preventable denials and
unnecessary claim resubmission.
Jumpstart a Proper Registration