PractiSynergy

A payer's fee schedule lists the maximum allowed amount for each CPT code. By loading these schedules into your PM system, you can automatically detect underpayments and ensure you are being reimbursed according to your contract.

Don't miss revenue and contact us at https://practisynergy.com/contact/.

The most effective time to collect a patient's responsibility is at the time of service. Train your front desk staff to ask for co-pays and past due balances at check-in. This significantly reduces the need for costly back-end collections. Improve point-of-service collections and contact us at https://practisynergy.com/contact/

When expanding your practice, remember to update your credentialing files with all payers to include the new service address. Failure to do so can result in claim denials for services performed at the new location. Ensure a smooth expansion and contact us at https://practisynergy.com/contact/

The provider credentialing process with a new payer can take anywhere from 90 to 120 days. Do not see patients until you receive the final confirmation letter, as any services rendered before the effective date may not be paid. Plan ahead and contact us at https://practisynergy.com/contact/

On Memorial Day, we pause to remember and honor the brave individuals who made the ultimate sacrifice in service to our country.

To appeal a "not medically necessary" denial, your appeal letter must include specific details from the patient's clinical record that support the service. Quoting directly from the physician's notes is much more effective than a generic appeal. Write stronger appeals and contact us at https://practisynergy.com/contact/

Instead of checking insurance for each patient individually, batch eligibility verification allows you to check all scheduled patients for the next day at once. This saves significant administrative time and identifies issues in advance. Increase efficiency and contact us at https://practisynergy.com/contact/

In simple terms: a co-pay is a fixed fee per visit. A deductible is the amount a patient pays before insurance starts paying. Coinsurance is the percentage of the bill the patient pays after the deductible is met. For staff training, contact us at https://practisynergy.com/contact/

A superbill, given to patients for out-of-network claims, must include the provider's NPI number, the patient's diagnosis code (ICD-10), and the service codes (CPT). Missing any of these elements will cause the patient's claim to be rejected. Create effective superbills and contact us at https://practisynergy.com/contact/