Consulting Services

Securing Patient Data in the Aftermath of a Cyber Attack

Experts call it the most significant cyberattack in American history! In February, a ransomware breach on Change Healthcare, a subsidiary of UnitedHealth, brought medical billing to a standstill nationwide. The attack, allegedly orchestrated by Russian cybercriminals, severely crippled payment processing for doctors and hospitals, putting some practices at the edge of bankruptcy. The repercussions of […]

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Value-Based Care to Soar in 2024

Value-based healthcare is beginning its anticipated acceleration in 2024. This model is all about making sure patients get the best care possible while keeping costs in check in a tough healthcare environment. Instead of just paying for every service a patient receives, regardless of how effective it is, value-based care focuses on the outcomes of

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The Vital Role of Credentialing and Provider Enrollment Services

Are you facing significant hurdles with provider enrollment and credentialing? Is this negatively impacting your cash collections?   We understand and we hear it every day.   With streamlined and efficient provider enrollment processes, physicians can focus on healing and saving lives, while patients receive quality care. Keep reading to learn how Legacy Consulting Services brings significant

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Turning Revenue into Cash: The Importance of AR Follow-up and Timely Filing

In the intricate landscape of healthcare, managing the revenue cycle and reimbursement is a constant challenge for practices. Timely filing of claims and timely AR follow-up is a pivotal aspect that directly impacts cash flow. Failure to adhere to timely filing limits and appeal deadlines set by different payors can lead to significant financial losses

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One Size Doesn’t Fit All: Customizing a Financial Plan for Your Healthcare Practice

In the dynamic landscape of healthcare, managing the financial health of your medical practice is paramount for sustainable growth and effective patient care. Legacy Consulting Services has the proven expertise to provide customized solutions to navigate revenue cycle management.  The Challenge for Revenue Cycle Management Healthcare practices face many challenges in maintaining robust financial health.

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Navigating the Maze: The Impact of Changing Coding, Billing, and Reimbursement Guidelines

In the dynamic landscape of healthcare, where coding, billing, and reimbursement guidelines are in a constant state of evolution, healthcare administrators, medical billing specialists, and practice managers find themselves facing a wide array of challenges. Staying ahead of these changes is not just a necessity but a strategic imperative. Challenges Faced by Healthcare Professionals 1.

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Credentialing

Are the Complexities and Challenges of Provider Credentialing Getting any Easier?

As unfortunate as it is, the answer to this question is “Not really.”  While many payors have moved to electronic applications and email follow-ups, there are still numerous complexities. In addition, it is still a very time-consuming process.  Most practices and providers underestimate the criticality of onboarding and credentialing providers as quickly as possible for

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Lean Strategies

What is LEAN and how does it apply to a healthcare practice?

Implementing Lean principles in healthcare practices can lead to increased efficiency, reduced waste, improved patient satisfaction, and better healthcare outcomes. Lean principles are derived from the manufacturing sector, and are highly adaptable to healthcare settings. At Legacy Consulting, we thrive on assisting healthcare groups with being more effective and efficient utilizing improved work processes, technology

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Medical Billing Trends and How to Resolve Medical Billing Challenges

2023 Billing Trends – Resolution to Common Medical Billing Challenges

Medical Billing Trends in 2023 and How to Resolve Common Medical Billing Challenges There is a continued shift to value-based care models – There will likely be an ongoing move away from traditional fee-for-service models and towards value-based arrangements like accountable care organizations (ACOs) that prioritize quality and outcomes. This impacts how providers are reimbursed.

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Billing Integrity AUdit

Why a Billing Integrity Audit is Critical for your Practice?

A medical billing integrity audit is a comprehensive examination and evaluation of a healthcare provider’s billing practices to ensure compliance with relevant regulations, guidelines, and industry standards. The purpose of such an audit is to verify the accuracy, appropriateness, and completeness of medical billing and coding procedures. This type of audit is crucial for healthcare

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