Physicians Practice: Thriving Through Better Claims and Collections

Drew BoxerOctober 28, 2020

Current revenue cycle management (RCM) processes in some practices may be well established, but there is always room for improvement and optimizations.

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Independent Practice Survival in a Value-Based Environment

Lynn Guerrant BSN, MSFebruary 28, 2020

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 realize success under the model ...

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Independent Providers: How to Reduce Four Billing and Coding Errors

Jessica ShortDecember 9, 2019

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 smaller practices, failing to ...

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Four Questions You Should Ask Your Revenue Cycle Partner

R1 RCMSeptember 16, 2019

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 to understand what is required ...

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Revenue Cycle Improvements Lead Path to Patient Satisfaction

Joe PolarisAugust 26, 2019

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 the billing experience in patient ...

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New Hospital Contracts: RCM Questions Emergency Physicians Should Ask

Sara RiceJuly 26, 2019

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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5 Considerations Before Using A Collections Agency for Medical Debt

R1 RCMJune 3, 2019

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

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Health IT Outcomes: The Patient, the Clinicians, the Payer, and the Hospital Encounter

Dr. Ronald HirschMay 8, 2019

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 financial situation impacts ...

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Becker's Hospital Review: Why Prevention is the Best Medicine for Clinical Denials

Becker's Hospital ReviewApril 29, 2019

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 necessity.

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5 Ways Providers Can Improve Front-End Processes and Reimbursement

Richard Lopez del RinconFebruary 14, 2019

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 by bringing the front end back ...

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