A State of Denial: How to Lessen the Impact of Denials on Collections and Speed Up the Process As the number of payer denials continues to increase, it is crucial for physician practices and ASCs to stay informed about increasingly complex payer requirements, especially concerning coding, prior authorization, timely filing, and appeals processes. However, keeping …
Patients are facing increasing out-of-pocket costs, such as high premiums, deductibles, and copays. A recent consumer experience study revealed that 53% of patients find it stressful to understand their healthcare coverage and the amount they owe.1 To avoid confusion, ensure clarity in payment obligations, and provide a patient-friendly experience, it is crucial to compassionately educate …
A Provider’s Guide to the Patient Financial Experience Read More »
The Public Health Emergency (PHE) officially ended on May 11, 2023. This has an impact on Telemedicine Policies, so we have created guidance and reference documents to help you navigate the changes. Please note, many of the telehealth flexibilities were initially extended by the 2022 Consolidated Appropriations Act for an additional 151 days after the …
What the End of the PHE Means for Telemedicine Policies Read More »
Orthopedic and aligned musculoskeletal practices and ASCs face unique revenue cycle challenges that can have a significant impact on their financial health. These challenges include non-clinical staffing shortages, prior authorization issues, complex coding requirements, increasing denials, and changing payer mixes with rising patient financial responsibility. With financial pressures mounting, practices look for ways to help …
It all began with identifying a need, having the solution, and taking a leap of faith. In 1983, Koha Health (formerly Physicians Resources LTD) founder Terry Cates was a practice manager for an orthopedic surgeon in Lowell, Massachusetts. She heard anecdotally that many medical practices were struggling with billing and collections. Terry had always wanted …
The 7th Annual Orthopedic Value Based Care & The Future of the Musculoskeletal Space Conference (OVBC 2023) took place in January. The conference focused on teaching financial, operational, and clinical aspects of orthopedic value-based care (VBC) equipping every attendee with actionable skills and ideas they could bring back to their practices. Koha Health was represented …
3 Takeaways From Orthopedic Value Based Care Conference Read More »
Amazing client relationships should be a priority for all businesses. At Koha Health, we LOVE our clients and believe that how we work collaboratively to accomplish goals, and value each other through open communication and mutual respect, are vital indicators of success. Those factors affect client loyalty and serve as building blocks for relationships. “ …
4 Essential Elements that Support Amazing Client Relationships Read More »
Success can be measured in many ways. For me, the ultimate measure is whether I am passionate about the path in front of me. In my professional life, I believe if you focus on what you love, work becomes a gift. At the beginning of 2022, I found myself standing at the helm of a …
Building and maintaining a successful orthopedic practice has never been more challenging. The cost of operating a provider practice has increased by 39% and practice overhead is now estimated to be around 60% of gross income. This could be why mergers and acquisitions in the provider group space has risen so dramatically in recent years. …
Building an Integrated Orthopedic Practice with Service Line Expansion Read More »
Do you know the current lifetime value of your patients? If you’re like most, the answer is no. It can be a difficult metric to capture because it’s dependent on numerous data points, including patient payments, payer reimbursements, and much more. Is it necessary to know the lifetime value of your patients to be a …
Four Opportunities to Protect the Lifetime Value of Your Patients Read More »