by Stephen Reed | Accounting News, Healthcare, Industry - Healthcare, News
Medical practices face the dual challenge of providing quality patient care while ensuring financial sustainability. Optimizing revenue cycle management – the series of processes that manage patient billing, insurance claims, and revenue collection – is a key component of achieving this balance and ultimately improving your bottom line. In this article, we’ll explore key strategies to enhance your revenue cycle management in order to drive both financial success and patient satisfaction.
Streamline Patient Scheduling and Registration
Efficiency starts at the very beginning of the patient encounter, so it’s important to streamline scheduling and registration. Ideally, you want a system where patients have the capability to schedule their own appointments, receive reminders of upcoming appointments, and pay online. When you provide a simple and accessible payment process, your patients are more likely to respond in a timely manner.
Invest in Patient Eligibility Verification
Automating patient eligibility verification is crucial for avoiding insurance claim denials. Invest in technology that verifies a patient’s insurance coverage before their appointment. If there is any incorrect or expired insurance information, this will allow your staff to address those discrepancies ahead of time and reduce claim rejections.
Offer a Transparent and Convenient Payment Process
Clear communication about patient financial responsibility is essential. Before appointments, provide patients with estimates of their out-of-pocket costs, including copayments and deductibles. This transparency prepares patients for their financial obligation and minimizes the risk of unpaid bills. In addition, consider offering flexible payment plans to help patients manage their healthcare expenses. And as mentioned above, offer a convenient online payment option would encourage timely payments.
Optimize Revenue with Claims Scrubbing Software
If you want to optimize revenue flow, you need to modernize your claims processing system. Claims scrubbing – the process of checking claims before submitting them to insurers to ensure that they’re accurate, complete, and have the correct codes – increases the chances the insurer pays each claim quickly. Claims scrubbing used to be a time-consuming manual undertaking, but modern software with claim-scrubbing technology can execute the process almost immediately.
Partner with Professional Billing Services
Outsourcing medical billing can improve your revenue cycle management while freeing up your staff’s time to focus on patient care. Professional billing services specialize in navigating the complexities of billing and coding, leading to reduced claim denials and faster reimbursements. A revenue manager will look for ways to improve your process efficiency and expedite payment.
Invest in Claim Denials Management
Claim denials, though inevitable, can be major obstacles to healthy revenue flow, but they can be minimized. Establish a systematic approach to manage denials by identifying common reasons for denials and addressing them at their root. You need to invest in staff training and software to improve coding, accuracy, claim documentation, and claim resubmittal. Regularly review denied claims, appeal when appropriate, and continually refine your processes to minimize future denials. You can also outsource your claim denial management to experts, which typically sees a 99% first-pass acceptance rate.
Offer Flexibility for Collecting Payment
Have a plan for collecting delinquent payments from patients. Anything from providing staff with a prepared script to follow when contacting patients to offering a payment plan will help keep communication open and maximize revenue.
by Stephen Reed | Accounting News, Business Growth, News, Uncategorized
The Small Business Administration (SBA) recently changed the rules that apply to both the 7(a) and 504 loan programs. The goal is to streamline the loan application process, broaden the amount and variety of lenders, and relax regulations in order to reach more small businesses, particularly those in underserved communities. Below we’ll go over the recent changes to SBA loan programs.
SBA Loan Programs
The SBA is a lender of two small business loans. The most popular loan is the 7(a) loan, which can be used for real estate, equipment, acquisitions, and other working capital. It has a maximum borrowing limit of $5 million. The 504 loan is the other loan program offered by the SBA, and it is generally used for real estate or land loans, with fixed interest rates and maturity up to 25 years. It has a maximum borrowing limit of $5.5 million.
Expanding Approved Lenders
Prior to the Covid-era Paycheck Protection Program (PPP), the SBA had limited the number of approved SBA lenders to a select handful. This limit was lifted considerably with the PPP program, and the new rules do away with a cap on the number of approved lenders altogether. The goal is to increase the number of loans distributed and reduce the timeline of loan applications.
New Criteria
The SBA is simplifying the evaluation process for borrowers by removing some criteria. Previously, multiple factors were considered when assessing potential borrowers, including the character and reputation of the applicant, experience and depth of management, projected cash flow and future prospects, invested equity, and value of collateral. However, the new rules look at only the applicant’s credit report, cash flow, and equity or collateral. Removing “character and reputation” from the list of criteria helps to eliminate any individual bias in the loan process.
The new rules also allow borrowers to use 7(a) loan proceeds to fund partial changes in the ownership of the business. In the past, a 7(a) loan could only be used to fund a full change in ownership. This move grants borrowers more flexibility to restructure the business.
Finally, the SBA is implementing new technology to figure borrower eligibility. This should help curtail the burden on SBA lenders and simplify the process in order to boost lending.
New Determining Authority
When a small business 7(a) and 504 loan application or modification request is denied, either the Director of the Office of Financial Assistance or the Director’s designee(s) are authorized to make the final decision on reconsideration. Previously, only the Director of the Office of Financial Assistance had this authority. This change is to help enact fair and timely loan reconsiderations.
No More “Credit Elsewhere” Test
Finally, the “credit elsewhere analysis” that was a required component of the SBA loan process is reduced to a “check the box” with no need for corresponding paperwork. This was a step in the process that proved all other possible sources of funding had been exhausted, justifying the need to obtain SBA financing.
by Stephen Reed | Accounting News, Industry - Retail & Distribution, News, Retail & Distribution
Small retailers often find it challenging to compete and thrive in markets driven by big stores and retail chains. However, with the right strategies and a focused effort, small retailers can carve out a niche and strongly compete with larger stores. Here are some key strategies that can help small retailers compete successfully in a crowded marketplace.
Embrace Personalized Customer Service
A significant advantage that small retailers have over larger stores is their ability to provide consistent personalized customer service. By fostering a welcoming atmosphere, small retailers can build strong relationships with their customers and tailor their offerings to meet customers’ unique needs and preferences. Independent retailers should strive to greet customers by name, remember their previous purchases, and offer product recommendations. To help with this, consider implementing point-of-sale software with built-in customer management tools. Additionally, retailers can also consider offering multiple services to address client needs, such as free gift wrapping, personal shopping assistance, and customization options. By going the extra mile to meet customer needs, small retailers can differentiate themselves and create a loyal customer base.
Curate Unique and Niche Product Selections
Larger stores may be able to offer a wider range of products, but small retailers can compete by curating unique and niche products that might be challenging to find in large retailers. By carefully selecting products that align with their target market’s interest and preferences, small retailers can offer something different and exclusive, establishing themselves as a go-to destination for customers seeking these harder-to-find items. To be successful at this, small retailers should continuously have conversations with customers about the lates trends, and update their product offerings in order to stay ahead of the competition.
Focus on Local Community and Connections
Small retailers can build a strong local community presence. They are in a unique position to build connection with their communities by partnering with local organizations, sponsoring community events such as sports leagues and charity events, and collaborating with other small businesses to promote each other and create a sense of unity. Actively engaging in the local community allows small retailers to enhance their brand visibility and create a positive reputation as a trusted and credible local retailer.
Embrace Technology
Small retailers don’t typically have the same financial resources as larger stores, but they should still consider reaching a broader audience with a strong online presence. Setting up an online store and promoting products through social media platforms can help small retailers attract customers who prefer the convenience of online shopping. Additionally, small retailers should utilize customer relationship management (CRM) software to help analyze customer data, personalize marketing efforts, and establish long-term customer loyalty.
by Stephen Reed | Accounting News, News, Retirement, Retirement Savings, Tax
The passage of the Secure Act 2.0 in December of 2022 pushed back Required Minimum Distribution (RMDs) from age 72 to age 73 in 2023 (and age 75 in 2033). While proponents of this move argue that it provides advantages, such as allowing individuals more time to accumulate wealth in their retirement accounts, others warn that it could be a tax trap. Below we explore the potential pitfalls and drawbacks of this delay.
More Income Tax and Higher Medicare Premiums
While proponents argue that individuals will have more time to accumulate wealth in their retirement accounts without being required to withdraw a specific amount each year, it’s important to remember that RMDs are subject to income tax. By delaying the distributions, you risk ending up with significantly larger distributions in the future, resulting in higher tax liabilities when you eventually begin taking withdrawals. This could potentially push you into a higher tax bracket, increasing your overall tax burden and possibly negatively impacting what you pay for your Medicare premium as this is always based on your taxable income from two years prior.
Higher Tax on Social Security Benefits
If you have taxable income as well as Social Security benefits, such as your RMD, that can affect how much your Social Security benefit is taxed. If your adjusted gross income is more than $25,000 for single filers ($32,000 for joint filers), your Social Security payments can be taxable. If an eventual RMD will trigger that tax, an earlier withdrawal from your account may be the better move.
Consequences for Beneficiaries
Delaying RMDs could have unintended consequences for beneficiaries of inherited retirement accounts. Under current rules, non-spouse beneficiaries must withdraw the funds within ten years of the account owner’s death. This means that heirs who inherit the deceased owner’s account must distribute the entire account in 10 years. If those heirs are in their prime working years, they could likely pay a federal tax rate of 24% to 37%, plus another 3% to 12% in state income taxes. And the distributions could push their “other income” above the income thresholds ($200,000 for single filers and $250,000 for joint filers). By delaying RMDs, you could be dumping a hefty tax bill on your heirs.
by Stephen Reed | Accounting News, News
Last year the Federal Reserve began raising interest rates at a pace not seen since inflation soared this high 40 years ago. By raising interest rates, borrowing becomes more expensive for individuals and businesses, which can lead to reduced spending and investment. This, in turn, can help slow down inflationary pressures. The Fed recently approved its 10th interest rate increase in the effort to curb inflation, but are these hikes working? We discuss below.
A Subtle Hint
Will this be the Fed’s last rate hike for a while, or will the central bankers raise rates yet again at their June meeting? The Fed issued a recent statement in which they dropped a line that was previously used about the likely need for additional rate increases, which has caused some to speculate that the Fed may be pausing rate hikes. Given signs of a softening job market and slower economic growth, as well as brewing turmoil in the banking sector, an assessment to pause rate increases isn’t far-fetched.
Have the Rate Increases Been Successful?
The Fed raised rates at ten consecutive meetings, pushing its benchmark rate to between 5 and 5.25%, and the increases have shown some markers of success. Inflation showed signs of easing at the end of 2022 and the beginning of 2023. And after a strong January, consumer spending slowed sharply in February and March. However, it’s still more than twice as high as the central bank’s target of 2%. After the May 2023 meeting, Fed Chair Jerome Powell told reporters, “We remain strongly committed to bringing inflation back down to our 2% goal.” He added that this will take time, and the Fed is prepared for the possibility of additional rate hikes if such a move is warranted. However, some experts warn that attempting to hammer away at inflation by further increasing rates could put more jobs in jeopardy, without necessarily having a great impact on inflation.
