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Payments

The Role of a Revenue Cycle Management Specialist Has Evolved

October 11, 2018

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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Artificial Intelligence (AI) Steps Up in Healthcare

September 27, 2018

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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Rural Hospital RCM Challenges Require Straight-Through Processing

September 25, 2018

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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check fraud

Millennials Become Targets…for Check Fraud

September 12, 2018

There are many reasons for the resilience of checks (including the small- and mid-sized businesses that rely on the paper check’s “float” for accounting purposes), but one important factor has been fear of fraud and security risks in newer digital transactions. Digital transactions are indeed growing at a rapid rate — particularly among millennials, many…

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CPT codes

AMA Adds Connected Health CPT Codes; Will It Yield More Revenues?

September 7, 2018

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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value-based payments

Value-Based Payments See Momentum – Electronic Payments Not So Much

August 30, 2018

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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EHR

Direct Patient Benefits via EHR

August 23, 2018

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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Blockchain – Overhyped or Colossal Potential?

August 21, 2018

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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Riding the (Paper) Storm Out

August 14, 2018

I wonder how many people reading this are old enough to start bobbing their head to the vintage FM radio reference in the title? Classic rock preferences aside (give it up for REO Speedwagon!), all of us can certainly appreciate a well-expressed exploration of remittance electronification. That’s why we recommend that you run, don’t walk…

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Blockchain: Turbocharging Healthcare?

August 3, 2018

A new article in Healthcare IT Insights takes a deep dive into blockchain technology and its impact on healthcare components including health payments and record keeping: Because blockchain enables both data security and data transparency, it has been presented as a solution to many of healthcare’s most vexing problems – data-interoperability, medication adherence, physician satisfaction,…

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