Month: October 2018

Prevent Physician Burnout with Vetters Enterprises

The Real Cost of Physician Fatigue

Posted on by VettersEnt

According to a number of recent studies, physician fatigue is no longer a marginal problem, but instead an epidemic sweeping through hospitals and medical practices. Physician burnout has a far-reaching impact on physicians themselves, patients and the finances of every healthcare facility.

Physician Fatigue 101

Physician fatigue is used to refer to doctors experiencing emotional exhaustion, a decreased feeling of success and pride at work, cynicism, exhaustion, depersonalization of patients and a lack of empathy. Burnout can be subtle and affect any healthcare practitioner.

There are four core factors that increase stress levels and the likelihood of physicians specifically experiencing burnout and fatigue.

  1. Time: Doctors are under a great deal of pressure to do a lot of tasks in a short amount of time and document the entire process.
  2. Chaos: Physicians experience disorder on a regular basis, even in organized offices that sometimes lack resources or a streamlined workflow.
  3. Lack of Control: Feeling a persistent lack of control over the tasks performed, work conditions and environment can increase fatigue.
  4. Competing Demands: When doctors are constantly pulled in two different directions, like needing to increase the number of patients but also spend more valuable time with each patient, it can also contribute to burnout.

It has been directly linked to:

  • Physician alcohol and drug abuse
  • Decreased patient satisfaction and care quality
  • Higher malpractice risk
  • Higher turnover
  • Physician suicide

With physician fatigue being a potentially fatal disorder, it’s vital that your practice takes it seriously.

On Patients

Burnout can compromise patient care and patient experience. When anyone experiences high levels of stress for long periods of time, their memory, attention and decision-making will be affected. In a career where skilled, competent and timely decision-making is so important, the consequences of physician fatigue can be deadly for patients.

On Practices

To demonstrate the devastating impact of physician fatigue can be demonstrated in one study by the American Medical Association. This found that in a healthcare system with 500 doctors and the average national rate of burnout (54%), a whopping $12 million a year would need to be spent only to replace the physicians that were lost. That figure does not factor in decreased productivity, financial ramifications of mistakes and more.

Reduce Physician Fatigue with Vetters Enterprises

Let us help you eliminate the chaos in your office and reduce stress levels with our services in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Give us a call at (443) 352-0088.

Claims Are Bouncing? Trust Vetters Enterprises

The 4 Most Common Reasons Your Practice’s Claims Are Bouncing

Posted on by VettersEnt

Billing can be time-consuming, tedious and frustrating to say the least. It can be even more frustrating when the medical claims that you worked so hard to submit are bounced right back. What are the most common reasons that a medical practice’s claims are bouncing back after submission?

Minor Errors

Just like it’s easy to miss a comma in an email or mistype a word, it’s also very easy to make minor errors in medical claims. Reimbursements are often denied or delayed due to seemingly-small mistakes, like forgetting to include a plan ID number or mixing up a letter. Because front desks are already so busy and overwhelmed, mistakes can fall through the cracks. One winning solution to this is using a professional outsourced claims processing service that will review claims before submission and look just for errors. The time saved from going through a resubmission is much less than time spent reviewing claims.

Missing Information

Another common reason that claims are bouncing is insufficient information. You always need to submit documentation to back up claims, and you should always supply each insurance provider the information that is requested to process payment in an expedient manner. Again, it is much easier to put the effort into properly gathering everything beforehand instead of needing to go back in the future to find the right documentation.

Skipping Authorization

If you needed authorization before a procedure was performed and it was not secured, you shouldn’t be too surprised that a claim bounced back your way. You should verify whether or not prior authorization is needed before you schedule the procedure. When it is time to bill, ensure that you also include the prior authorization number on the submitted claim. While prior authorizations can seem like an annoying extra step, they are vital to ensuring that claims receive approval in a prompt manner.

Changes on the Patient End

One of the most common reasons for claim denial isn’t necessarily your practice’s fault at all. Claims are often denied because a patient’s coverage has changed, the plan or payer has been changed or coverage has been terminated altogether. Even if you think everything is the same as the last time you spoke with a patient, you should always ask to confirm insurance information and see an insurance card at each appointment.

Trust the Experts at Vetters Enterprises for your Billing Needs

Vetters Enterprises specializes in practice management, private practice business support and revenue cycle optimization. We can perform in-depth assessments of your practice or facility and identify potential issues. Let us keep your business as healthy as you keep your patients! Give us a call at (443) 352-0088.