The Key to Maximizing Reimbursement
Maximizing reimbursement starts with mastering what many practices overlook — what you charge for services (Gross Charge Schedule or Fee Schedules) and payors contracted reimbursements by code and the services you provide. It may seem like a back-office detail, but this can directly shape how much you get paid. When it’s outdated, underpriced, or out […]
Quickly Increase Revenue Through Strategic Fee Schedule Analysis
Feeling the squeeze from payors? You’re not alone. Ever feel like your practice is doing more but getting paid less? You’re not imagining it. Operating costs continue to rise while reimbursement rates stagnate or decline. It’s easy to attribute financial strain to external factors, but many practices miss one important factor that can make […]
Master Fee Schedule Analysis: How to Ensure Competitive and Compliant Pricing
Optimizing Your Fee Schedule for Compliance and Profitability Ever feel like your practice is charging too little—or maybe too much—but you’re not quite sure? Many healthcare leaders struggle to strike the right balance: charge too much, and you alienate patients and insurance providers; charge too little, and you devalue your services and revenue losses. So, […]
How will 2025 Medicare Physician Fee Schedule (PFS) changes affect you?
Effective January 1, 2025, CMS has made a budget neutrality adjustment, as required by law, to account for changes in RVUs (Relative Value Units), the final CY 2025 Physician Fee Schedule (PFS) conversion factor decreased ($0.94) from the CY 2025 PFS. The PFS conversion factor reflects the statutory update of partially expiring conversion factor relief […]
8 Proven Strategies to Streamline Revenue Cycle Management in Your Practice
Does managing the financial side of your healthcare practice feel like juggling too many balls at once? With billing complexities, insurance denials, and administrative bottlenecks, it’s easy to feel overwhelmed. The solution lies in a structured, data-driven approach to streamline your revenue cycle. At CHCBC, we’ve helped countless practices like yours simplify revenue cycle management […]
Tracking These 5 KPIs Will Transform Your Practice’s Financial Future
Running a healthcare practice means wearing many hats, but one of your most important roles is managing the financial side effectively. You must consistently track and optimize the right Key Performance Indicators (KPIs) to stay financially resilient. These indicators can tell you whether you’re getting paid on time, handling claims effectively or missing out on […]
Maximize Your Revenue: A Step-by-Step Guide to Payer Contract Negotiation
Payer contracts are the foundation of your practice’s revenue in most cases. As a healthcare leader, managing these contracts effectively prevents financial setbacks—ranging from low reimbursement, underpayments to outright claim denials. In this guide, we’ll outline six key steps to help you manage your payer contracts more effectively, maximize reimbursements, and eliminate the risk of […]
Managing Reimbursement Challenges for Financial Stability in Private Practices
Running a private healthcare practice is no small feat. From managing salaries and paying for supplies to keeping the lights on, the expenses pile up fast. One of the most pressing issues is the growing disparity between reimbursement rates and actual care costs. This gap represents a critical challenge that cannot be ignored. This article […]
Why Regular Compliance Assessments are Non-Negotiable for Healthcare Organization Success
Compliance in healthcare is essential for delivering quality care, protecting patients, and your organization. It touches every part of a healthcare organization, from ensuring patient privacy to maintaining accurate billing practices. However, achieving and maintaining compliance requires regular and thorough assessments of your compliance programs. These assessments are critical for identifying gaps, ensuring adherence to […]
Getting Results for Healthcare Businesses
One of the most rewarding aspects of being a consultant at Complete Healthcare Business Consulting (CHCBC) is witnessing the tangible results of our efforts. Every day presents new challenges, particularly when dealing with insurance companies. We consistently step up to the plate, going toe-to-toe with these entities to ensure our healthcare clients receive the compensation […]