Webinar Recap: Achieving Billing Performance Success in 2025
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Key Topics
- Preparing for 2025 Changes
- Getting Your Claims Paid the First Time
- Setting Your Course for 2025
- Your Key Numbers to Watch
- Making Technology Work for Your Practice
- When to Consider Outside Help
- Watch the Webinar—Get the Bonus Content!
- Get Your Free Billing Analysis
As healthcare practices prepare for 2025, optimizing revenue cycle management has never been more critical. In a recent RevolutionEHR webinar, “Achieving Billing Performance Success in 2025,” RevolutionEHR billing expert Kelly Trentacosti shared valuable insights on maximizing billing efficiency and preparing for upcoming changes.
From new CPT codes to proven strategies for reducing denials, the session offered practical guidance for practices of all sizes. Let's explore the key takeaways that can help your practice thrive in the year ahead.
Preparing for 2025 Changes
Your practice needs to be ready for several important updates coming January 1. For example, you'll need to implement modifications to the 92137 code and adapt to new telemedicine requirements. If you attend the webinar, links to all 2025 changes will be sent to you, including information taken directly from the AAPC for vision and optometry updates.
RevolutionEHR users will receive specific instructions showing where to find these new codes in the system and how to access them starting January 1, 2025. All the preliminary work has been completed within the software to ensure these codes are ready for your use when the new year begins.
Getting Your Claims Paid the First Time
You know how frustrating it is when claims get rejected. The most common issues you might encounter include coding errors, outdated insurance information, and missing modifiers. But here's the good news: Many of these rejections are completely preventable.
For instance, when you implement the ”Only Handle It Once” (OHIO) method, you'll find yourself fixing problems at their source instead of dealing with the same issues repeatedly.
Example: If you're seeing rejections due to provider credential mismatches, take the time to update your provider information properly rather than correcting claims one by one.
Setting Your Course for 2025
Before diving into daily operations, take time to establish clear direction for your practice's financial performance. The new year presents an ideal opportunity to assess where you are and chart your course forward.
Your preparation should include:
- Getting ready for patient visits by verifying insurance and benefits in advance
- Establishing a comprehensive financial policy that clearly communicates expectations to patients
- Creating a proactive monitoring system rather than reacting to problems as they arise
- Ensuring you have the right team members in the right positions
- Understanding upcoming payer changes that could impact your practice
The key is moving from reactive to proactive management. When practices only respond to problems after they occur, revenue typically suffers. Set clear goals and establish monitoring systems now—you'll be better positioned to prevent issues before they impact your bottom line.
Your Key Numbers to Watch
To ensure your billing is performing optimally, keep your eye on these critical metrics:
- Your clean claim submission rate should hit 99% or higher.
- Keep your over-60-day receivables to less than 15% of your total.
- Your net collection ratio should be at least 95%, but aim for 99%.
Beyond tracking these core metrics, establish a comprehensive system of key performance indicators in your office. Maintain a robust billing schedule, post payments promptly to patient ledgers, and monitor clearinghouse performance daily. Make sure you're reviewing denial trends and implementing root cause solutions when issues arise.
Just as importantly, stay prepared for each day by setting alerts for patient discussions and meeting regularly with your team to review analytics. This structured approach to performance monitoring will help ensure successful outcomes for your practice's revenue cycle.
Making Technology Work for Your Practice
Your EHR system is probably more powerful than you realize—especially if you're using RevolutionEHR. Take advantage of reports showing your aged receivables, unassigned invoices, and other key metrics.
Don't wait for problems to arise—check these regularly to stay ahead of potential issues.
Set aside time each week to review your performance indicators. Look at your insurance verification processes, payment posting timeliness, and clearinghouse rejections. When you spot trends, address them promptly before they impact your revenue.
Building Long-Term Success
To maintain strong financial performance throughout 2025, you'll need to:
- Stay current with payer guidelines and industry changes
- Address problems systematically rather than applying quick fixes
- Monitor your key metrics consistently
- Ensure your team receives proper training
- Know when to seek additional support
Success in medical billing requires a commitment to continuous improvement and being open to change. While this might mean investing additional resources, the payoff can be two to three times your investment.
Implement these strategies consistently, and take advantage of available resources—whether through educational webinars, industry updates, or billing analysis services. You'll be well-positioned to maximize your revenue potential in 2025 and beyond.
When to Consider Outside Help
If you're losing key billing staff or finding your team overwhelmed, it might be time to consider a billing service. Modern billing partners like RevBilling can often handle your claims more efficiently and sometimes at a lower cost than maintaining in-house staff.
Before making this decision, however, make sure you understand your current performance metrics so you can evaluate any changes effectively.
Your Action Plan for 2025
Start preparing now by:
- Reviewing the new coding requirements coming in January
- Setting up regular checks of your key performance indicators
- Evaluating your current billing performance
- Assessing your staffing and resource needs
- Establishing specific goals for the year ahead
Extended payment delays and high rejection rates aren't inevitable. With the right approach to your billing processes, consistent monitoring, and proactive problem-solving, you can optimize your revenue cycle and achieve better financial results in the year ahead.
The key isn't working harder—it's implementing smarter processes and staying ahead of changes. When you put these systems in place and maintain them consistently, you'll see the difference in your bottom line throughout 2025.
Watch the Webinar—Get the Bonus Content!
Want to learn more about these strategies for billing success? We've just touched the surface here, but the complete webinar ”Achieving Billing Performance Success in 2025” is available on demand.
You'll get detailed insights into each topic we've covered, a helpful Q&A session, plus access to the CPT code reference guide and other valuable resources to help you prepare for the new year.
Watch the full presentation and take the first step toward optimizing your practice's revenue cycle for 2025.
Get Your Free Billing Analysis
To get where you want to go, you first need to know where you are. Simply scan a QR code below to schedule a complimentary billing analysis, and we'll help you evaluate your current billing performance, establish your baseline metrics, and identify opportunities for improvement. Together, we can make 2025 your practice's most successful year yet.
Backed by deep expertise in optometry and a commitment to the success of eye care practices, RevolutionEHR offers insights and perspectives designed to help providers streamline operations, enhance patient care, and thrive in a changing healthcare landscape.