In today’s O&P practices, understanding the billing and reimbursement environment cannot be limited to administrative employees. Every employee must grasp the financial and compliance implications of their work. “Balancing O&P Care and Compliance: Thriving in the Reimbursement Maze” in the March issue discusses strategies to ensure documentation is complete and patient-focused, team members are up to date on new regulations, and technology tools are used appropriately to ensure complete, compliant claims—without losing critical information for the individual patient narrative. You can read it on our website through the end of the month.
In the Medical Economics article, the writer addresses “the fallacy of the ‘human catch,’” or how to prevent rather than correct claim denials without overwhelming existing billing staff: “Manual review does not fail because billing teams lack expertise; t fails because scale breaks human attention.”
The writer then addresses some benefits of time management and resource allocation that AI can bring, having a “pre-flight” check as pilots do before takeoff, and suggests that future automation will prevent work, rather than simply managing existing work.
“If an organization is still treating denials as a management issue, it is solving the wrong problem,” the Medical Economics article says.
To read “Why the future of the revenue cycle is predictive, not reactive,” visit Medical Economics.
To read “Balancing O&P care and compliance: Thriving in the reimbursement maze,” visit The O&P EDGE.
