Is Billing an Engineering or a Management Question?

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.”