Management

7 Strategies to Prevent Claims Denials

We operate in an already complicated reimbursements environment, so anything we can do to minimize the constant threat of denials is going to help the entire revenue cycle. Becker’s Hospital Review produced a helpful webinar discussing strategies to prevent claims denials that can be accessed here. In an article summing up the presentation, Becker’s distills…

Read More

Selling a Latte For $5; Collecting Only 50¢ at Time of Purchase …

Sometimes it’s instructive to remind ourselves just how “different” the world of health care payments can be. Consider Dr. Andrew L. Pecora’s Starbucks metaphor in an article entitled The Quirky Way Physicians Are Paid: Imagine a hypothetical board meeting at Starbucks Corporation where a newly hired CEO tells the board how he intends to increase same-store…

Read More

Becker “Power Panel” Makes 5 Key Observations on Managing RCM

Attendees at the Becker’s Hospital Review 3rd Annual Health IT + Revenue Cycle Conference in Chicago were treated to a panel of healthcare heavyweights discussing revenue cycle performance. The distinguished group included Vice President of Revenue Cycle Management at San Diego-based Sharp HealthCare Gerilynn Sevenikar; Vice President of Product Management and Revenue Cycle Analytics at…

Read More

Payers Pressuring Providers for Robotic Process Automation (RPA)

A deep dive into revenue cycle issues in an article by Healthcare Informatics reveals a need for scale and cost reduction through process automation. “Commercial payers want more automation. The biggest movement we’ve seen in the past 12 months is a willingness to move ahead with electronic processing for pre-authorization for service. More recently, we’re seeing…

Read More

EDI 835’s Close the Loop for Healthcare Fraud and Compliance

A comprehensive article at RevCycleIntelligence entitled “How Providers Can Detect, Prevent Healthcare Fraud and Abuse” offers insight into ways to “tighten the ship” regarding practices that cost the industry billions of dollars a year. Complying with the myriad of regulations can be difficult for providers who already focus on a range of priorities, including care delivery,…

Read More

Hospitals Leaving $22M On the Table Says Advisory Board

Fierce Healthcare reviewed a report by The Advisory Board and lists four challenges in the area of Revenue Cycle Management. Most significantly, they point out that hospitals concentrating on costs are leaving big dollars on the table: The Advisory Board found that because of the focus on cost reductions over RCM revenues, the average 350-bed hospital…

Read More

Small Practices: Time to Jump on the Tech Bandwagon

An article in RevCycleIntelligence points out that an astounding 95 percent of practices with less than five physicians identified their facilities as “not tech savvy,” according to a Black Book survey. Small practices tend to avoid or delay health IT adoption because of the costs associated with implementation and upkeep. A 2016 Medical Group Management Association…

Read More

How to Simplify Concurrent, Revenue Cycle Improvements

On the heels of the HFMA ANI expo and show, where thousands of vendors presented new and invigorating concepts for finance and the revenue cycle, an article in RevCycleIntelligence.com, spearheaded by Nalin Jain, Delivery Director of Advisory Services for CTG Health Solutions, provides insight on how to simplify many ongoing RCM improvements. “Whether you call it…

Read More

Revenue Cycle Management – Attention to Detail is Vital

The June Coker Connection newsletter takes a deep dive into the importance and intricacies of Revenue Cycle Management, a topic we at OrboGraph hold near and dear. Jeff Gorke, Senior Vice President at Coker Group, opens with an irrefutable statement of fact: “Revenue is the lifeblood of any business. Businesses cannot thrive nor survive, regardless of their market…

Read More

9 Healthcare Takeaways in Trump’s Proposed Budget

Becker’s Healthcare outlines in succinct form what they feel are the nine main takeaways in President Trump’s proposed budget. 1. Medicaid cuts. 2. Repeal and replace the ACA. 3. Medicare unscathed. 4. Reduction in CHIP funding. 5. NIH funding cut. 6. Cuts to CDC funding. 7. Veterans Choice Program extended.  8. Medical malpractice limits. 9. Funds…

Read More