Revenue Cycle Matters

Denials Management

How do Denials Impact my Reimbursement?

Denials management is a critical, yet challenging part of the revenue cycle management process.  Knowing how many denials are occurring and the denial reasons is an important step towards improving the denials process.  It is also important to monitor denials and their causes through denial reporting to make improvements in the revenue cycle. Understaffed or …

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Surprise Medical Bills

Improving the Patient Payment Experience

Securing patient payment has always been a challenge for healthcare providers. However, higher deductible plans with more patient responsibility have made the patient payment experience of the Revenue Cycle a whole new level of challenging. The key for providers to remember is eligibility. Ensure your staff is trained in two key areas. One, how to …

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Increased Spending

Service Spotlight: Payment Posting and Denials Management

Getting your reimbursement from payors is key to any successful practice. However, ensuring those payments are posted accurately and denials are worked promptly, can not only make a huge difference in your cash flow, but your practice’s overall financial health. Why is timely payment posting so important? When payments are posted within 24-48 hours of …

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RCM

The Future of RCM: Artificial Intelligence

No doubt the pandemic has shifted the revenue cycle model. However, that model had already started to change with payor contracts and fee schedules, higher patient responsibility and deductibles, and a move towards value-based payments. The Revenue Cycle needs an update to deal with the increase in healthcare technology. We see more A.I. being used …

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Potential Changes to Telehealth Visits

The global COVID-19 pandemic has brought an emerging healthcare technology to every-day practice nearly overnight. Two years ago, telehealth was something new that many practices were shying away from. Once the pandemic took over, they became a literal virtual necessity. Before the pandemic, legislation required many telehealth visits to still occur in a medical facility …

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site neutral payments

Site-Neutral Payments Supported by Federal Court

In a ruling last week, a Federal appeals Court ruled that the Department of Health & Human Services (HHS) is authorized to implement site-neutral payments. This is a long-awaited and huge win for independent physician practices. Historically, off-campus clinics attached to a hospital were reimbursed at a higher rate than independent physician practices. This left …

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