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Billing
Blog Post
Physician Services
Quality Programs

Lynn Guerrant BSN, MSFebruary 28, 2020

Survival Strategies for Independent Practices in a Value-Based Environment

With the advent of MACRA, CMS has begun to shift healthcare reimbursement from fee-for-service to one based on achievement of value-based metrics.  The goals of Value-based care are to improve care quality and lower costs.  Independent providers must overhaul their financial and clinical processes to ...

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Billing
Blog Post
Coding

Jessica ShortDecember 9, 2019

Four Most Common Errors in Medical Billing and Coding (And How Independent Providers Should Solve Them)

For modern medical practices, financial health is often challenged due to shrinking reimbursements and increased scrutiny over coding practices. Although medical billing and coding errors are usually from minor mistakes, these common errors can add up to a lot of lost revenue over the years and, for ...

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Billing
Blog Post
Coding
Physician Services

R1 RCMSeptember 16, 2019

Four Questions You Should Ask Your Revenue Cycle Management Partner

With updated rules and a newly pruned reimbursement landscape, the uncertainty associated with the future of healthcare has not been made any clearer. In fact, the current environment may have seemed to muddy the waters further, making it even more difficult for healthcare institutions and independent clinicians ...

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Billing
Blog Post
Patient Satisfaction
Revenue Cycle

Joe PolarisAugust 26, 2019

Use Revenue Cycle Improvements to Clear The Path To Patient Satisfaction

Although patient-centered strategies are a common topic of debate in hospitals and health systems these days, it’s striking how seldom revenue cycle factors into the discussion. The lack of correlation between financial conversations and patient satisfaction is especially interesting given the prevalent role of ...

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Billing
Blog Post
Emergency Medicine
Revenue Cycle

Sara RiceJuly 26, 2019

Four Revenue Cycle Management Areas Emergency Physician Groups Need to Keep in Mind When Starting a New Hospital Contract

Emergency physician groups that are focused on growth are often looking to expand into a new hospital location or begin their own free-standing emergency department. Once the arduous legal and bureaucratic process is complete, and you have won that contract it is time to get to work.

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Billing
Blog Post
Collections

Pamela OlkowskiJune 3, 2019

Five Things to Consider Before Using a Collections Agency for Medical Debt

In today’s billing environment, increasingly higher payment responsibility resides with patients. Self-pay accounts have steadily grown to essentially their own payer ...

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Article
Billing
Patient Experience
Physician Advisory
Registration

Dr. Ronald HirschMay 8, 2019

The Patient, the Clinicians, the Payer, and the Hospital Encounter

While efforts continue to be made to improve the quality and efficiency of care provided to patients in a hospital (this includes many of the qualifying payment programs being tested by governmental and private payers), the industry cannot overlook how patients view their financial obligations and how their ...

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Article
Billing
RCM Trends

Becker's HealthcareApril 29, 2019

Clinical Denials: Prevention is the Best Medicine

Clinical denials are a fact of life for hospitals. Providers must contend with a number of government audits conducted by several different organizations. On the private payer side, hospitals must comply with complex approval processes related to prior authorizations, admission status and medical ...

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Billing
Blog Post
Collections
Patient Satisfaction
Physician Services

Richard Lopez del RinconFebruary 14, 2019

Five Ways Providers Can Improve Front End Processes to Maximize Reimbursement

In order to maintain financial stability in an ever changing industry, healthcare providers need to develop a better understanding of the impact front end processes have on the revenue cycle. With this in mind, let’s take a look at five ways providers can drastically improve office flow and maximize reimbursement ...

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Billing
Blog Post
Patient Satisfaction
Physician Services

David MoyeJanuary 31, 2019

Are Medical Super Groups the Answer to Succeeding in Value-Based Reimbursement?

Moving toward a value-based methodology has proven to be burdensome for independent medical practices. With the shift, practices tend to face small group discrimination, escalating administrative loads and costly technology requirements.

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