Understanding Revenue Cycle Management
Revenue cycle is defined by the Healthcare Financial Management Association as “All administrative and clinical functions that contribute to the capture, management, and collection of patient service...
View ArticleSimple Steps to Improve your Revenue Cycle
If you look at your patient’s problem holistically, why would you not do so with your revenue cycle problems too? Similar to the human body, where different organs work in tandem to keep the body...
View ArticleNew Year Resolutions for your Healthcare Business
As we come to the end of another year, it is good to look back and reflect on the highlights of the year – the good, bad and the ugly. Understanding what could have been avoided; done in a better way...
View ArticleExploring Revenue Cycle Management
Revenue Cycle Management is the process of managing your claims processing, payment and revenue generation. This includes everything from determining the patient’s eligibility, collecting their...
View ArticleWhere is your Medical Practice Losing Money?
Medical practices have been leaking money for some time now – increasing expenses, shrinking insurance reimbursements, and increased compliance parameters means more paperwork than ‘actual’ work....
View ArticleMedical Practice Management Challenges
The passion to cure people of ailments is what drives a person to become a physician. However, just medically treating people is no longer the only work that a physician needs to do – there are so...
View ArticleManaging Denied Claims at your Medical Practice
An ongoing challenge for all hospitals, revenue cycle management requires the use of technology to keep track of claims and address issues as and when they arise. It is fairly common for claims to be...
View ArticleMedical Practice Tips to Manage Revenue Cycle
The ever changing policies and reforms in today’s healthcare scenario are forcing medical practices to change the way they manage their revenue cycle. Revenue cycle management is all about generating...
View ArticlePatient Centered Care – Redesigning Medical Billing
The biggest problem in revenue cycle management for healthcare facilities is unpaid bills for medical services provided. The acquisition of medical debt leads to a detrimental impact on medical care...
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Tips On Reducing Medical Claim Denials
The ever-changing healthcare scenario is making it difficult for clinicians to manage their finances. On one hand, the number of patients are increasing every day, while on the other, reimbursement by...
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2017 Benefit and Payment Parameters – Part 1
Released on February 29, 2016, the final Health and Human Services (HHS) Notice of Benefit and Payment Parameters for 2017, sets standards for Health Insurance issuers and marketplaces which includes...
View Article2017 Benefit and Payment Parameters – Part 2
In continuation of our previous article on the Benefit and Payment Parameters for 2017, given below are further highlights of some of the policies in the final rule. Market Rules Student Health...
View Article2017 Benefit and Payment Parameters – Part 3
Our final article on the Benefit and Payment Parameters for 2017 brings you further highlights of some of the policies in the final rule. Network Adequacy (Transparency) HealthCare.gov plans to include...
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Medicare Revalidation in 5 Steps
As per Section 6401 (a) of the Affordable Care Act, all enrolled providers and suppliers are required to revalidate their Medicare enrollment information under the new enrollment screening criteria....
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Benefits of Outsourcing Provider Credentialing And Enrollment Services
Healthcare facilities address the health needs of people and are supposed to treat the sick under all circumstances. However, for any organization to remain viable and continue to provide services, it...
View ArticleDifference Between Provider Credentialing and Provider Enrollment
Hiring incompetent healthcare providers or allowing them to remain with your facility can lead to increased liabilities in malpractice suits. In order to ensure that your facility does not suffer from...
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5 Commonly Used Healthcare Revenue Cycle Management Terms
One of the key components for healthcare providers and facilities, healthcare revenue cycle management can be intimidating and confusing for a lot of people. Statutory requirements, coding and...
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Florida Hospital Gains $72.5 Million Courtesy its Clinical Documentation...
Once an informal process that received significant attention at just a few hospitals; Clinical Documentation Improvement (CDI) is now the backbone of an organizations financial viability. Essential...
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Stop Revenue Leaks in your Medical Practice
Managing your healthcare revenue cycle is never easy. Revenue leaks can create havoc with your organizations financial viability. The root cause of revenue leaks are generally internal, with someone...
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Ancillary Services to Increase Revenue for your Medical Practice
The addition of ancillary services to your existing medical practice can help maximize profitability and serve your patients better. Patients prefer to have the convenience of getting medications at...
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