Wednesday, June 24, 2009

Goal Setting 101 For Medical Billing

By Carl Mays II

According to many polls, by January 31, 2009 the majority of New Year resolutions will have already been abandoned. This does not mean that it should be a day of mourning, but rather it is the time to take stock of what needs to be done to reach the goals that were set at the end of 2008. It is critical to keep in mind two of the corner stones for achieving any goal:

1. View your failures (i.e., I have not flossed in two days) as minor set backs and not as utter failure (i.e., I might as well start saving for dentures); and

2. Focus on a sequence of short term goals that make your larger goal seem more manageable (i.e., instead of "I will weigh 120 pounds by December 31st" set a series of goals such as "I will weigh 152 pounds by the end of February. I will weigh 148 pounds by the end of March." etc).

So, this is interesting, but how does it apply to medical billing? Well, if you keep these ideas in mind you can use them to achieve lofty improvements in medical billing performance. How? Start with a powerful and straight forward goal: Make sure your claims are clean before you submit them. This will help your medical billing in several ways:

- You can only achieve it by having a laser focus on the front end elements of medical billing. This is where the medical billing "game" is won or lost;

- The goal is easily turned into a sequence of smaller more manageable goals such as training the staff on the top 10 date entry errors by the ed of February or achieving a 3% improvement in your acceptance rate by the beginning of April;

- Individual failures (rejected claims), provide fertile learning opportunities for improving your medical billing process. As long as you look at rejected claims with an eye towards how you can stop the rejections in the future and not just with a mind set of how do I fix this individual claim.

- It lends itself to technology aids. Invest in a scrubber that will help you find coding problems before you submit the claims. Invest in insurance verification tools that will make it easier to have clean demographics. Invest in coding tools that will help improve your data entry performance.

What does all of this mean? It means this is the time for a renewed focus on your medical billing business goals. It is time to:

- Measure your current performance level;

- Set your medical billing goals high (96% of all claims will be paid on first submission);

- Break them down into bite size pieces (I will improve clean claim submissions by 2% each month), and

- Adopt the mentality that you will learn from your mistakes.

This approach and focus can allow your medical billing efforts to reach new standards of excellence in 2009.

Copyright 2009 by Carl Mays II

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1 comment:

Anonymous said...

Does this refer to companies like cearner or ECAOS ?