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Remittance Management: Why You’re Not Getting Paid and What You Can Do About It

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.

8 Revenue Cycle Management Trends to Watch in 2023

Mar 13th 23

Times are changing, and this new year has brought some changes to your RCM operations. Is your organization ready?

Healthcare Contract Management: Coming to Terms

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.

Impact of CMS Final Rule on Hospital Operating Payment Rates

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.

Revenue Cycle Audits: What You Need to Know

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.

Best Practices for Proactive Claims Denial Management

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.

Electronic Claims Management Can Help Reduce Claim Denials

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.

No Surprises Act: What Providers Need to Know

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.

Risk-Based Payments in Healthcare: Key Benefits and Strategies for Success

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.

Patient-First Billing: Key Challenges and Strategies

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.

Revenue Cycle Management in a Post-Pandemic Era

Dec 20th 22

COVID-19 may have caused an upheaval in your RCM operations — but sometimes upheaval is a good thing.

Is Your Data Secure? Addressing Cybersecurity in Healthcare Facilities

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.

Exploring Automation in Revenue Cycle Management

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.

Top Contributors to Claim Denials: Charging/Coding

Dec 2nd 22

How can charging and coding lead to potential claim denials? And what can healthcare teams do about it?

Top Contributors to Claim Denials: Back Office Billing

Dec 2nd 22

What are the most common challenges with back office billing? And what can healthcare teams do about them?

Billing and Coding: Benefits and Challenges of a Remote Workforce | TruBridge

Nov 4th 22

Offering your employees the opportunity to work remotely may be better for your bottom line.

Financial Engagement for Patient and Provider Well-Being | TruBridge

Nov 4th 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.

The Impact of Patient Satisfaction on a Healthcare Facility’s Revenue Cycle | TruBridge

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.

Dealing with Denials: Prevention and Management

Oct 26th 22

Do you know how much insurance claim denials are costing your medical practice in terms of money, time, and patient satisfaction?

Healthcare Data Breaches: A Growing Threat

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.

Telehealth and Remote Patient Monitoring: The Value of Remote Care Options

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?

Artificial Intelligence: The Good, the Bad, and Responsible Use in Healthcare

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.

Patient Financial Services: Effects on the Patient Experience

Sep 23rd 22

Your patients’ financial experience is a critical part of their overall experience.

Value-Based Care: The Impacts on Providers and RCM

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?

Your Healthcare Facility Needs a Medical Billing Audit

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.

Insurance Verification and Your Practice

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.

Accurate Patient Matching Is Critical for Healthcare Organizations

Aug 31st 22

Matching patients with the correct record and medical history is vital, but accurate patient matching remains a significant challenge.

AI Is Changing Healthcare for Providers and Payers

Aug 31st 22

Artificial Intelligence (AI) cannot offer a physician’s personal touch, but there are many tasks it performs better than any human can.

Benefits of Healthcare Data Hubs for Patients, Providers, and Payers

Aug 31st 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.

Delivering Healthcare Services to Rural Residents

Aug 31st 22

Healthcare facilities are often the foundation of rural communities, but they also face numerous and growing challenges that threaten their existence.

Healthcare Loss Mitigation Strategies

Aug 31st 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.

Held Hostage by Ransomware: Cybersecurity Risks to Healthcare

Aug 31st 22

Hospitals and other healthcare facilities are prime targets for cybercriminal activity. Is your organization vulnerable?

Healthcare Fraud and Its Consequences

Aug 31st 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.

Reducing Administrative Costs in Healthcare

Aug 31st 22

With so much of U.S. healthcare expense attributed to administrative tasks, admin is a good place to start checking skyrocketing healthcare costs.

Outsourcing Revenue Cycle Management

Aug 31st 22

Revenue cycle management is key to healthcare profitability. For accurate, efficient, and cost-effective RCM, consider outsourcing to an experienced third-party expert.

Disparities in Access to Health Care in the United States

Aug 30th 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.

Enhancing Patient Experience: What Can Providers Do?

Aug 30th 22

Patient experience is a fundamental part of their health care journey.

Holding Your Hospital Hostage: Ransomware and Other Cyberattacks on Your Health

Aug 30th 22

Every day we hear about another data breach or ransomware attack. Is your healthcare facility next?

Improve Patient Outcomes with AI and Predictive Analytics

Aug 30th 22

Technology is more integrated into healthcare every day. Is your facility making full use of the latest advances?

Improve your Patient Self-Pay Revenue

Aug 30th 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.

Streamlining the Medical Billing Process: What Can Payers and Providers Do?

Aug 30th 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.

Technology Is Changing Treatment Models to Preventive Care

Aug 30th 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.

Streamline Coding to Rev Up the Revenue Cycle

Aug 30th 22

Are your coding operations slowing down your revenue cycle? Streamline coding for better — and faster — results.

Telehealth’s Persistent Challenge: Provider Payment

Aug 30th 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.

The Payvider Model Is Taking Hold in Healthcare

Aug 30th 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.

Benefits of Positive Healthcare Payor Relationships

Aug 26th 22

Although the relationship between healthcare providers and payors is understandably a bit contentious, changing that dynamic can have positive effects for both sides.

Best Practices for Resolving Medical Billing Disputes: An Overview of the HFMA Report

Aug 26th 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.

Best Practices of a Coding and Documentation Audit

Aug 26th 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.

Humanizing Technology to Enhance Patient Engagement and Satisfaction

Aug 26th 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.

Is Artificial Intelligence (AI) the Solution to Revenue Cycle Management (RCM)?

Aug 26th 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.

Is It Time for a Health Check-Up of your Revenue Cycle?

Aug 26th 22

Like any system with numerous components, your revenue cycle needs a periodic check-up to ensure it’s running efficiently.

Prior Authorization Continues to Burden Providers

Aug 26th 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?

Revenue Cycle Management: Is Outsourcing the Answer?

Aug 26th 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.

Revenue Integrity: What It Means for Healthcare Facilities

Aug 26th 22

Optimize your revenue cycle by getting your clinical, coding, and business operations to work together instead of as separate, siloed entities.

The Role of Coding Compliance in Health Claims Reimbursement

Aug 26th 22

Coders are an often-overlooked member of the healthcare team. But without their expertise, both the patient and practice would suffer.

Building Patient Relationships Brings Long-Term Benefits for Payers

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.


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