Aug 31st 23
Self-auditing practices can empower healthcare providers to navigate the complex landscape of clinical documentation, improving patient care and safeguarding financial stability. Discover the best ways to enhance documentation processes and achieve comprehensive, reliable clinical records that stand up to the most stringent scrutiny.
Aug 28th 23
Struggling to manage remittances as part of your revenue cycle? Success is often the product of well-defined processes. Discover three strategies for better remittance management and the ways healthcare providers can bring more visibility, efficiency, and accuracy to the process.
Aug 24th 23
Claims submission requires meticulous attention to detail — and even then, denials can still emerge. Minimizing the number of denials and the problems associated with them starts by auditing denied claims and addressing their catalysts. Here are some best practices for auditing and reducing your denied claims.
Aug 17th 23
The medical billing and reimbursement process involves a complex interplay of patient care documentation, provider information, coding accuracy, and insurance adjudication. A clean claim signifies a well-structured and complete submission that meets the requirements for swift processing and reimbursement. Discover how you can achieve a clean claim and which benefits come with it.
Aug 10th 23
As medical providers strive to deliver quality patient care, understanding the cost of denied claims and their far-reaching effects on the bottom line is paramount. Denied claims don’t just cost a practice money. They’re evidence something is amiss in the revenue cycle. Discover the true cost of denial write-offs.
Aug 9th 23
In a time of rapid technological advancement, healthcare practices are constantly seeking innovative solutions to enhance their day-to-day operations.
Jul 29th 23
Unlock the secrets to precise medical coding with documentation clarity. Discover how to overcome common challenges, implement effective strategies, and foster collaborative practices to revolutionize coding accuracy and elevate healthcare outcomes — as well as improve revenue cycle management.
Jul 22nd 23
Discover the hidden impact of undercoding and overcoding in medical billing. From reduced reimbursement and compromised data analytics to billing fraud and patient harm, understanding the far-reaching implications is essential for ensuring accurate and ethical coding practices.
Jul 15th 23
Automating eligibility verification can transform revenue cycle management, streamlining workflows and boosting cash flow. Say goodbye to manual processes and hello to real-time verification, increased accuracy, and reduced denials. Unlock the power of automation and improve your practice’s financial health from the earliest stages of the revenue cycle.
Jul 8th 23
Patient liability estimates are revolutionizing the healthcare landscape, empowering patients with financial transparency and streamlining revenue cycle management for providers. From enhanced patient engagement to reduced bad debt, discover the key benefits that make patient liability estimates an essential tool for patients and healthcare organizations.
Jul 1st 23
Simplifying contract management can boost revenue cycle management (RCM) efficiency, reduce errors, and enhance financial outcomes. From centralizing contracts and standardizing templates to integrating systems and ensuring regulatory compliance, discover actionable strategies for streamlining your contract management practices to support bottom-line results.
Jun 22nd 23
Establishing benchmarks in your accounts receivable management can help optimize your revenue cycle. From 30- to 90-day intervals, discover the best practices to enhance collection strategies, boost cash flow, and propel your practice to financial success.
Jun 15th 23
Are you leaving money on the table? Discover the importance of identifying Medicaid-eligible patients for proper billing and reimbursement. Learn strategies to streamline the identification process and maximize financial stability while ensuring access to essential healthcare services.
Jun 8th 23
Clinical documentation integrity (CDI) is essential to improving revenue cycle management and patient care. Discover how prioritizing CDI can reduce claim denials and how CDI initiatives can optimize the reimbursement process.
Jun 1st 23
High-deductible health plans can have a significant impact on patients’ wallets. Explore the challenges of estimating financial responsibilities, the implications for providers and insurers, and the crucial strategies to enhance transparency in pricing.
May 30th 23
Aligning value-based care with revenue cycle management (RCM) can improve patient outcomes and reduce costs in the healthcare industry. Discover the challenges and benefits of this approach and the best practices for successfully navigating the transition.
May 29th 23
Prior authorization can be a frustrating step in revenue cycle management (RCM). Payers often aren’t forthcoming with critical information about coverage eligibility, which can obfuscate financial responsibility on the part of the patient. Thankfully, a new rule could change this. Discover how prior authorization may be changing for the better.
May 28th 23
The COVID-19 pandemic created new and unprecedented RCM challenges for healthcare organizations. Now, after the public health emergency, healthcare leaders must navigate a complex landscape to ensure their long-term sustainability. Discover the top post-COVID RCM challenges and the best ways to address and overcome them.
May 27th 23
When it comes to healthcare costs, patients deserve transparency and confidence. Discover what transparency means to patients and how providers can go above and beyond in giving it to them.
May 26th 23
Are outdated revenue cycle management (RCM) processes leading to waste and inefficiencies in your healthcare organization? Automation could be the solution you’ve been seeking. Discover the five RCM wastes automation can solve and the impact it can have on practices struggling with the burden of inefficient RCM.
May 25th 23
Direct billing can be a minefield for healthcare providers as they try to get paid while maintaining a positive patient experience. Discover the strategies providers can use to improve their direct billing practices and help ease the financial burden for patients.
May 23rd 23
Medicare fraud audits have major ramifications, and inefficient revenue cycle management (RCM) practices only increase the risk. Discover how better RCM can help reduce the chances of an audit.
May 22nd 23
Telehealth services have become a valuable tool for healthcare providers looking to expand their scope of billable services, increase revenue streams, and improve patient access to care. Discover how providers can leverage technology to reach patients remotely and offer more flexible appointment options.
May 19th 23
Don’t just treat the symptoms of claim rejections — tackle the underlying issues. Discover how healthcare providers can identify the root cause of claim rejections and implement effective solutions to improve their revenue cycle management.
May 17th 23
Unpaid medical bills can lead to bad debt for healthcare providers. To reduce the potential for default and the subsequent lost revenue, providers must consider offering payment plans. Discover how to structure and present payment plans so they empower patients to take advantage of incremental payment opportunities.
May 15th 23
Following up with insurance companies regarding denied claims is almost an inevitability, but it can also be an opportunity. Learn some practical tips for making the most of insurance follow-ups and using them to your practice’s advantage.
May 11th 23
The more you know about your revenue cycle management (RCM) process, the more you can improve it. Learn five of the most telling RCM key performance indicators (KPIs) and the best ways to use these metrics to optimize your RCM processes for everything from better cash flow to an optimal patient experience.
May 9th 23
Outsourcing is often the best decision a healthcare provider can make when it comes to revenue cycle management (RCM). From improved revenue capture to reduced claim denials, outsourced RCM can pay for itself — and provide a positive financial impact. Discover how an experienced RCM partner can turn this cumbersome responsibility into a lucrative process.
May 7th 23
Many healthcare providers struggle with cash flow as the result of bad debt — unpaid or long-overdue invoices unlikely to ever see fulfillment. The key to avoiding bad debt is to catch it before an account becomes delinquent. Discover how early-out practices can reduce bad debt and how you can best implement them.
May 6th 23
Inaccurate revenue cycle management (RCM) practices can lead to Medicare fraud suspicions, which can have severe consequences for healthcare providers. Discover the connection between RCM mistakes and Medicare fraud suspicions, and learn the best ways to prevent RCM errors and avoid the potential for an audit.
May 5th 23
Price transparency is a crucial aspect of patient experience in healthcare, but it’s often neglected. Learn why price transparency is so important and how it can benefit both patients and providers.
May 4th 23
Do you know what revenue leakage is and how it impacts your practice’s revenue cycle management (RCM)? Many healthcare providers don’t realize how much money they’re losing as a result of gaps in their administrative, claims, billing, and collection practices. Discover where common gaps exist and how providers can prevent critical revenue from slipping through the cracks as loss, bad debt, or incorrect reimbursements.
May 3rd 23
Revenue cycle management (RCM) is critical to the success of any healthcare organization, but it can be complex and overwhelming. Learn the 12 essential steps of RCM, from patient scheduling to billing and payments to claim denials and beyond, with tips for reducing denials and improving cash flow.
May 2nd 23
While revenue cycle management (RCM) usually refers to billing for services rendered and collecting associated revenue, it’s far more intertwined in total practice operations than many providers realize. Discover how much of a practice’s success depends on a well-managed RCM framework.
May 1st 23
Claim denials can be a costly issue for healthcare providers, impacting their revenue, administrative expenses, patient satisfaction, and reputation. Discover the reasons behind claim denials, the costs for healthcare providers, and strategies for reducing the frequency of denials.
Apr 26th 23
Is your healthcare facility struggling with revenue cycle management? Consider the tactics many organizations are using to reduce the burden on their staff and restore consistency to their revenue stream.
Apr 24th 23
Creating health equity means accounting for social determinants of health and making healthcare delivery inclusive of them. Learn how these social determinants of health can affect health equity and what healthcare providers can do to address the problem.
Apr 22nd 23
The rise of telehealth has led to new codes and billing practices, along with new rules and regulations. Keeping up with all the changes can be challenging, which is why more healthcare providers are outsourcing coding to an experienced RCM company.
Apr 21st 23
Revenue cycle management can have a dramatic impact on a medical practice’s cash flow. To help streamline your cash flow operations, consider these five tips.
Apr 19th 23
Prior authorization is an important part of delivering safe and superior patient care. Unfortunately, it’s often seen as a tedious and prohibitive step in revenue cycle management. Learn how to make the process more efficient to benefit both patients and healthcare professionals.
Apr 18th 23
How can healthcare providers improve patient satisfaction with financial and billing processes? Learn the key touchpoints for financial engagement during the patient journey and ways to ensure they positively impact the patient’s experience.
Apr 17th 23
With the rise of telehealth, healthcare providers must be proactive in addressing how they utilize telehealth services and whether those uses meet HIPAA standards. Learn how to identify potential gaps in a HIPAA-compliant telehealth system.
Apr 14th 23
Provider credentialing is critical for patient health and safety, but it can be a lengthy process with many challenges along the way. Learn the necessary steps for credentialing and the best ways to make the process more efficient.
Apr 12th 23
In healthcare, a data breach has severe consequences, including reputational damage, loss of trust, monetary losses, and legal liabilities. Learn how healthcare organizations can better protect themselves from cyberthreats and their legal ramifications.
Apr 11th 23
Healthcare providers are discovering revenue cycle management is easier with help from the right partner. Learn the many benefits of partnering with a reliable RCM company.
Mar 14th 23
If reimbursement payments are taking a long time to show up in your bank account, you might need to improve your remittance management.
Mar 13th 23
Times are changing, and this new year has brought some changes to your RCM operations. Is your organization ready?
Mar 12th 23
Payer contracts are confusing but vitally important to getting paid for your services. To avoid costly and frustrating challenges associated with contracts, you must first understand the purpose of the contract and the pitfalls to watch out for. To that end, we’ve outlined some of the most common challenges as well as proven tips to help you avoid them.
Mar 11th 23
Are you feeling confident about the new CMS Medicare Physician Fee Schedule? This lengthy document highlights several key provisions your healthcare revenue cycle team should be aware of to remain in compliance. Here are some key points you’ll want to keep in mind.
Mar 10th 23
Recent studies report that 86% of claim denials are avoidable. Are you seeing a high number of claim denials or billing and coding errors? If so, it may be time for an audit of your revenue cycle.
Jan 29th 23
Claim denials are frustrating and costly for providers, patients, and payers. Learn how to recognize the most common causes so you can reduce their occurrence.
Jan 22nd 23
Claims management is complex. But with the right electronic processing system, teams can manage claims much easier and even reduce the prevalence of claim denials.
Jan 15th 23
The No Surprises Act provides patient protection against surprise billing. And while that may sound simple enough, the legislation creates increased complexities and challenges for providers.
Jan 8th 23
Many healthcare providers are reluctant to abandon their fee-for-service model for a risk-based model. Understanding the benefits can help ease the fears and ensure better cash flow.
Jan 1st 23
Patient-first billing is becoming increasingly prevalent as more patients find themselves responsible for higher payments, due to either a lack of insurance or high-deductible plans. There are steps healthcare teams can take to simultaneously ease the burden on patients and collect more payments.
Dec 20th 22
COVID-19 may have caused an upheaval in your RCM operations — but sometimes upheaval is a good thing.
Dec 13th 22
Healthcare facilities are a goldmine of data — and a tempting target for cyberattacks. As cybercrime continues to increase in sophistication and prevalence, it’s more important than ever for medical facilities and health systems to boost their security and review their processes.
Dec 6th 22
Automating your revenue cycle management processes can improve not only your healthcare facility’s financial performance, but also the patient and staff experience.
Dec 3rd 22
What are the most common challenges with back office billing? And what can healthcare teams do about them?
Dec 2nd 22
How can charging and coding lead to potential claim denials? And what can healthcare teams do about it?
Nov 16th 22
Offering your employees the opportunity to work remotely may be better for your bottom line.
Nov 8th 22
Today’s patients want to be more involved in their care choices. Financial engagement gives them a measure of control and results in more positive outcomes and a better patient experience.
Nov 4th 22
Investing time and effort in patient satisfaction can have long-term benefits for your healthcare facility’s revenue cycle, reputation, and patient well-being.
Oct 26th 22
Do you know how much insurance claim denials are costing your medical practice in terms of money, time, and patient satisfaction?
Oct 14th 22
Is your facility at risk of a data breach? Learn what to look out for and how you can protect your facility, patients, and staff from malicious attacks.
Oct 7th 22
Telehealth and remote patient monitoring have risen in popularity and value over the last several years to become a must-have solution for patients and providers. Why are these approaches so valuable, and how can healthcare teams effectively manage them from a financial perspective?
Sep 30th 22
Artificial intelligence is proving itself as a powerful tool in the healthcare industry. From supporting patient screening and monitoring to diagnosis and research functionality, AI has risen to support resource-constrained healthcare professionals. But it’s not just used in clinical activities. AI has shown tremendous value for healthcare financial services as well.
Sep 23rd 22
Your patients’ financial experience is a critical part of their overall experience.
Sep 16th 22
Value-based care is important not only for patients, but for providers, too. What is it, and how does it compare to the traditional fee-for-service pricing model?
Sep 9th 22
When was the last time you conducted a medical billing audit? Many healthcare facilities conduct these audits infrequently, making it difficult to accurately assess, identify, and correct inefficiencies, compliance risks, and cash flow issues. Learn about the benefits of medical billing audits and ways to get the most out of them.
Sep 2nd 22
Medical billing and insurance eligibility can be difficult to understand, which means many patients and providers may feel lost while navigating patient needs and payment options. Insurance verification can provide important information and peace of mind for patients, providers, and payers.
Aug 31st 22
Matching patients with the correct record and medical history is vital, but accurate patient matching remains a significant challenge.
Aug 30th 22
Artificial Intelligence (AI) cannot offer a physician’s personal touch, but there are many tasks it performs better than any human can.
Aug 29th 22
Every day we hear about another data breach or ransomware attack. Is your healthcare facility next?
Aug 28th 22
Healthcare data is everywhere, and therein lies the problem. Healthcare facilities and providers need a centralized data hub to store and access patient information.
Aug 27th 22
Healthcare facilities are often the foundation of rural communities, but they also face numerous and growing challenges that threaten their existence.
Aug 26th 22
Healthcare fraud is increasingly common. According to Mastercard Healthcare Solutions, “Up to 10 percent of U.S. healthcare claims are fraudulent.” And it costs payers billions of dollars a year.
Aug 25th 22
The pandemic has disrupted revenue cycles for providers and hospital systems across the country. Recouping those losses will take time, concerted effort, new operating strategies — and close collaboration with payers.
Aug 24th 22
Hospitals and other healthcare facilities are prime targets for cybercriminal activity. Is your organization vulnerable?
Aug 22nd 22
Revenue cycle management is key to healthcare profitability. For accurate, efficient, and cost-effective RCM, consider outsourcing to an experienced third-party expert.
Aug 21st 22
With so much of U.S. healthcare expense attributed to administrative tasks, admin is a good place to start checking skyrocketing healthcare costs.
Aug 20th 22
Adequate healthcare can be hard to come by in the United States. We all deserve access, but there are significant challenges to overcome before universal access becomes a reality.
Aug 19th 22
Patient experience is a fundamental part of their health care journey.
Aug 17th 22
Technology is more integrated into healthcare every day. Is your facility making full use of the latest advances?
Aug 16th 22
As more patients are paying their medical bills themselves — or paying a higher share — healthcare providers must alter their approach to revenue collection. Collection processes are notoriously cold and impersonal. A humanized, patient centric approach is already proving beneficial to providers’ financial health — and patient loyalty.
Aug 15th 22
Are your coding operations slowing down your revenue cycle? Streamline coding for better — and faster — results.
Aug 14th 22
Everyone knows medical billing is a complex process, but with a few proactive strategies, both providers and payers can help make it run more efficiently.
Aug 13th 22
Technology has streamlined many aspects of healthcare and its revenue cycle, but it’s also making its mark on preventive care. Artificial intelligence (AI) and big data enable providers to focus on preventive care.
Aug 12th 22
Telemedicine overcomes accessibility obstacles and makes health care services available to more patients. Understand the rules and regulations for providing and receiving payment for telehealth services.
Aug 10th 22
What do you get when you combine two opposing forces into a single entity? The payvider model is gaining traction in the healthcare industry, and it may be the right solution for many healthcare organizations — and payers.
Aug 9th 22
Although the relationship between healthcare providers and payors is understandably a bit contentious, changing that dynamic can have positive effects for both sides.
Aug 8th 22
Billing disputes are never fun, but by adopting a fair and consistent approach, medical providers can resolve them in a way that is satisfactory for all parties.
Aug 7th 22
Although the term “audit” often elicits dread in a company, for medical coding operations, auditing can ensure that your coding process is accurate and efficient — which is good news for revenue cycle management.
Aug 2nd 22
Plan members who have a satisfactory patient experience are more likely to pay their bills. Patient engagement is traditionally left up to providers, but there are steps payers can take to enhance the patient experience and increase their willingness to pay.
Jul 31st 22
Technology is often frustrating, and we sometimes yearn for the good old days — before technology became a constant part of our lives. But technology’s benefits in healthcare and improving patient outcomes are a tremendous boon to patients, providers, and even payers.
Jul 30th 22
AI is fast becoming a common tool in most industries. Health care was an early adopter of AI for patient care purposes, and now it’s going to transform RCM.
Jul 29th 22
Like any system with numerous components, your revenue cycle needs a periodic check-up to ensure it’s running efficiently.
Jul 28th 22
Providers and payers differ on the need for prior authorization. Payers call it a necessity. Providers say it’s a burden. Is there room for compromise?
Jul 27th 22
Health care facilities don’t always have the resources to cover their priority — patient care — and all their internal operating costs. Outsourcing offers one way to manage the business of health care.
Jul 26th 22
Optimize your revenue cycle by getting your clinical, coding, and business operations to work together instead of as separate, siloed entities.