Healthcare Revenue Cycle Management
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Read MoreThe HITECH Act has stimulated the adoption of Electronic Health Records (EHR) and Health Information Exchange (HIE) solutions. Additionally, the delays in the ICD-10 compliance deadline has opened a window for healthcare providers to assess their existing Revenue Cycle Management (RCM) platforms.
Read MoreThird-party medical billing companies employ nearly 20,000 people nationwide and process more than 17 million claims per month, representing more than $18 billion per year, according to statistics provided by the Healthcare Billing & Management Association (HBMA), a trade association representing third-party medical billers.
Read MoreRunning a successful practice relies on getting reimbursed for services in a timely manner. After all, the best physician and staff can only operate while the bills are being paid. Coding and billing can be a time consuming function in any practice, but proper coding and timely submission are necessary. Often, healthcare practices find themselves inundated with claims denials that must be made up by either resubmitting the claim, passing the payment off to the patient or writing the charge off.
Read MoreOne of the most significant changes to the American healthcare system since Medicare and Medicaid was proposed is the change from ICD-9 coding to ICD-10 coding. The World Health Organization (WHO) detailed ICD-9 standards over thirty years ago, but that coding system has run its course and is unable to accommodate advances in medicine that require additional coding numbers.
Read MoreThe healthcare industry is certainly a unique blend of profit driven organizations intermingled with government services and controls. With the current political environment, state of the economy and major changes in the medical system in process, it is important for both profit-driven and non-profit medical organizations to streamline operations to control costs and minimize denials while participating in coordination of care. The ultimate goal is to achieve a “targeted bottom line”.
Read MoreHealthcare providers have one of the most complex payment cycles. One would think that most would simply outsource the lockbox function to a service provider or financial institution (FI). Unfortunately, FI’s struggle in many ways to sell medical lockbox processing. But why? Many of the FI’s officers are not hunter sales people. They are account managers who farm a territory. Convincing a provider to outsource their entire operation, or switch from another is a major decision which involves a strong business case as well as long-term strategy. Account managers (AM) are used to visiting accounts, chatting about customer service and managing a relationship. They don’t have highly compensated sales programs which motivates the AM to have a strong, sometimes uncomfortable sales closing process.
Read MoreWorking with a financial institution for healthcare payment processing via a medical lockbox is an excellent method to eliminate inefficient in-house manual processes for healthcare providers. Providers can typically reduce overhead, improve collections in receivables, decrease bad debt/write-offs, reduce fraud and eliminate paper in the office. While the benefits can be impressive, selecting the right vendor can often be a confusing task.
Read MoreExceptional leadership and innovative solutions have improved patient care and risk management. Case management and interdepartmental IT integration have improved efficiency. Streamlining patient assessment and incorporating bedside admission technological are reducing patient stress levels. However, even with all of the positive adjustments in recent years, hospitals struggle to provide high-quality continuity of care without exhausting the operating budget.
Read MoreMedical lockbox environments have been around for many years now, but addressing the needs of Healthcare Providers (HCPs) is not always an easy task given the current landscape of payments combined with the uncertainty of governmental healthcare programs.
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