$14 million reasons to be a CMA member The California Medical Association (CMA) Center for Economic Services (CES) has recouped $14 million from payors on behalf of CMA member physicians over the past eight years. These monies represent actual physician reimbursements that would have likely gone unpaid without the intervention of the CES team. Founded in 1999, CES provides CMA members with one-on-one assistance for billing, contracting and payment problems. With more than 125 years of combined medical practice operations experience, CES staff helps members with issues ranging from underpayment or denials by payors to assisting with contract ... April 18, 2017 General CES, Center for Econimic Services, Reimbursement 0 0 Comment Read More »
Tip: Don't lose revenue by not working denials It’s no secret that claim rejections and denials can result in a significant amount of lost revenue. Consider this – a practice submitting 80 claims a day at an average reimbursement rate of $100 per claim should expect to receive $8,000 in daily revenue. If 10 percent of those claims were rejected or denied (eight claims per day at $100 per claim equals $800 per day), and the practice only appealed one out of every 10 rejections or denials ($720 per day loss), the practice could expect to lose ... December 13, 2016 General, Managed Care, Medi-Cal, Medicare Denials, Reimbursement, Tip of the Month 0 0 Comment Read More »
$10 million reasons to be a CMA member The California Medical Association’s (CMA) Center for Economic Services (CES) has now recouped $10 million from payors on behalf of CMA member physicians. These monies, recovered over the last five years, represent actual physician reimbursements that would have likely gone unpaid without the intervention of the CES team. Founded in 1999, CES provides CMA members with one-on-one assistance for billing, contracting and payment problems that may arise. With more than 125 years of combined medical practice operations experience, CES staff helps members with issues ranging from underpayment or denials ... February 5, 2015 General Payors, Reimbursement, Value of Membership, Advocacy 0 0 Comment Read More »