We have the data! Converting Machine Readable Files to Human Readable Files!
The Trump era Transparency in Coverage (TiC) rule released in 2020 focused on insurance companies and require that insurers make machine readable files (MRFs) of negotiated in-network rates and out-of-network allowables publicly available on their websites by July 1st, 2022. Going one step further, by January 1st, 2023, plans must make cost-sharing information available for […]
When scripts provide great customer service… and when they don’t
Scripts are the prepared responses the front office staff use to answer callers’ recurrent questions in consistent, reproducible ways, providing the greatest amount of information in the most succinct way possible. These scripts can make the front office staff’s job easier, while providing callers with the information they’re seeking. A couple examples: Script scenario […]
Surge (Dynamic) Pricing is Here
Inflation is a hot topic these days. The causes are myriad, including: 1) an influx of cash from the Federal government, 2) supply chain issues resulting in less inventory and higher demand, 3) more job openings than available applicants, leading to higher wages. At the end of the day, it affects you and your […]
Does the No Surprises Act apply to aesthetic services?
In a chat thread with colleagues on our mutual trade organizations’ message board, there was a question about providing Good Faith Estimates (GFE) for aesthetic procedures under the No Surprises Act. I stated that I didn’t think GFEs were required for aesthetic procedures but a representative from the American Society of Plastic Surgeons (ASPS) commented […]
How accurate are online estimates?
Whether you’re generating leads through social media or your website, the goal is to nurture those leads from initial contact into a paying customer or patient. Over the years, we have studied how price transparency1 – the idea that using a Price Estimator on your website2 that provides automated quotes in exchange for the consumer’s […]
Financing your medical or cosmetic procedure
Greg: Hey, this is Greg from Big Bay Mornings on 99.7 NOW, and I am back with my friend, board certified plastic surgeon, Dr. Bae. Dr. Bae: Hey Greg, how you doing? Greg: I am amazing Dr. Bae. Hey, I wanted to talk to you about this, you are very transparent with your […]
Beware of Medical Tourism [video]
Greg: Hey, this is Greg from Big Bay Mornings on 99.7 NOW. And I’m back here with board certified plastic surgeon, Dr. Bae. Hey, Dr. Bae. Dr. Bae: Hey, Greg. Greg: What’s going on? Dr. Bae: Things are good. We are seeing patients regularly, busy. Everybody’s like kind of getting their COVID […]
An easy way to create a Good Faith Estimate and comply with the No Surprises Act
The No Surprises Act is officially here. It went into effect on January 1st, 2022. Yes, it’s another layer of regulatory legislation that you, the provider, are required to follow. Yes, it outlaws out-of-network balance billing in all emergency situations and many non-emergency situations. But that may not be the biggest issue for most providers. […]
Don’t settle for less. What we should be striving for in healthcare price transparency
In March of 2020, during the first wave of the pandemic, it seemed unlikely that the Center for Medicare and Medicaid Services (CMS) would implement the new hospital price transparency rules as scheduled on January 1st, 2021. Considering the focus on COVID and legal attempts by the American Hospital Association to block the new rules, […]
Introducing Status QUOTE!
We’re excited to tell you about our newest feature on the BuildMyHealth platform: Status QUOTE! Just like you, we’re in the trenches, always trying to improve upon our processes to address pain points in managing a busy office. Here are two pain points we’ve noticed when patients come in for their consultation: 1. Before going […]