Becker’s Hospital CFO Report recently gathered and posted 4 revenue cycle management tips that — no surprise — emphasize many of the themes we concentrate on the most: Investment in a robust claim denials program. Machine learning to scrub claims. Great emphasis on security. Addressing the new consumerism in healthcare by making sure persons “shopping” for healthcare…
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Becker’s ASC Review offers a concise guide to some of the most common patient collections mistakes made by Healthcare providers. In a healthcare environment that is becoming more and more “retail” and dependent upon the patient’s financial responsibility, it’s critical to lock down the basics of patient billing and collections, from beginning to end. Patients…
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Healthcare IT News reports communicates an AI and analytics path for healthcare organizations, but as you read, there is a bit of a paradox at work… Expect next-generation revenue cycle management systems to boast quite advanced analytics, said Kellye Sherbet, president of RCM services at Aprima Medical Software, which markets EHR, practice management and revenue…
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Accuracy Levels Exceed 99.9% for Healthcare Payments and Remittances Las Vegas, NV, HFMA ANI Conference, June 25, 2018 – OrboGraph, a premier developer and supplier of intelligent electronic/paper automation solutions in healthcare revenue cycle management (RCM), as well as recognition solutions, image validation and check fraud detection for the U.S. check processing market, announces that the…
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THE TECHNOLOGY HEADLINES features an article examining OrboGraph’s utilization of AI technologies and the effect it’s had the check and healthcare lines of the business. With OrboGraph’s main focus on automating payments, the company looks at AI as a means to improve efficiencies into the entire payment mix and to facilitate electronification of payments, which ultimately…
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Of course, the best way to handle claim denials is to prevent them in the first place. That’s why this recent list of denial prevention strategies from Becker’s is something no denial manager should miss. We believe though that it has a problem. Boiling down denials to a list like this obscures the fact that…
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You might have heard of some of these “far-out” denials from an HME NewsPoll, but they really are worth a review… …a Medicare prescription denied because it was “written by a girl.” …an agency had a beneficiary “listed as dead, then alive, then dead again.” …multiple providers receiving denials for wheelchairs intended for amputees and…
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Becker’s announcement on CMS’ DME prior authorization rule came a while back, but CMS’ stance on prior authorization is likely still causing denial issues for your facility today. The Backstory Just as 2016 was about to round the corner, CMS issued a rule requiring prior authorization before Medicare would reimburse DME that had been found…
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A recent report from Grand View Research reveals a potentially hidden threat to telemedicine programs. We’re all aware that chronic disease is a growing problem around the world, but did you know that the diabetic foot ulcer treatment market alone is valued at over $3.15 billion? Statistics like that mean the results of a report…
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Earlier this year, The Huffington Post reported on the largely negative impact Medicare regulations are having on CPAP users and providers. On the provider side specifically, CPAP denials have been known to top denials lists for HME and DME suppliers, meaning that understanding the layers of Medicare’s logic is the first step in understanding how…
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