Healthcare Industry
As this Hospital CFO Report post illustrates, RCM Management job openings are available all over the country. But what are the new challenges that a Revenue Cycle Management Specialist face in the evolving world of medical billing? One emerging area of focus is a firm grasp of The Medicare National Correct Coding Initiative (NCCI; also known…
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A new article about AI on the Which 50 website cites a recent report from McKinsey Global Institute that makes two vital points about Artificial Intelligence as a tool: The AI revolution is no longer in its infancy The main economic impact of artificial intelligence hasn’t yet arrived That’s what many industry pundits like to call…
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Becker’s Hospital Review offers these hot-off-the-presses Revenue Cycle Management Tips: 1. Lyman Sornberger, president and CEO of consulting firm Lyman Health Care Solutions, said there are various best practices hospitals can use to maximize insurance collections. He recommended that hospitals “capture insurance coverage at the benefit level” and “invest in pre-service validation with the patient…
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An article produced by Intel outlines the ways Artificial Intelligence — AI — solutions can be deployed while using an organization’s existing technological infrastructure. The result is maximum gain with minimum expense and downtime. Watch this video for an interesting perspective on AI utilization. Intel’s article outlines three key areas where enterprises are experimenting with AI…
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In an environment where value-based reimbursement performance presents challenges to even the most “metropolitan” of hospitals and healthcare facilities, rural hospitals find themselves facing challenges heightened by their specific set of circumstances. As RevCycleIntelligence reports: Despite serving as a critical healthcare safety net for millions of patients, many rural hospitals are constantly on the brink…
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The Centers for Medicare and Medicaid Services released its 2019 Medicare Outpatient Prospective Payment System proposed rule on July 25th, which calls for site-neutral payments and would make changes to the 340B program. For the adventurous, a 760-page explanation is here. For the rest of us, Becker’s Hospital CFP Report offers 10 things to know about the…
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The American Medical Association (AMA) updated the Current Procedural Terminology code set (CPT codes) in 2019 to include new codes for connected health services in an effort to encourage the Centers for Medicare and Medicaid Services (CMS) to pay for the services. According to RevCycleIntelligence.com: The 2019 CPT code set contains 335 changes that will…
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We’ve made note of the shrinking usage of fee-for-service models in healthcare billing ecosystems, and now it looks as though the emergent model, value-based payments, is not only growing in deployment but actually delivering benefits to both sides of the transactional equation. As explained by RevCycleIntelligence.com: Value-based care is a form of reimbursement that ties payments…
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One of the positive repercussions of wider adoption of Revenue Cycle Management (RCM) platforms is the accelerated implementation of sophisticated Electronic Health Record (EHR) technology (back in 2013 we noted that the HITECH Act had stimulated the adoption of EHR and Health Information Exchange (HIE) solutions). EHR Intelligence reports that the wider adoption of electronic health…
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Various applications of blockchain technologies have been hyped and praised, and nearly everywhere you look, there is a company or start-up touting the benefits of the tech. Auditing and tax-services firm Deloitte conducted a survey called Breaking Blockchain Open wherein several aspects of blockchain were covered. In their analysis, Ambcrypto.com points out that, while 84% of…
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