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Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding, ICD, HIPAA and practice management functions.
2004-2024 Celebrating 20 Years of Healthcare RCM Articles
The Blog Currently Contains 1,265+ Healthcare Articles
RCM tip: Achieving effective revenue cycle practices in urgent care
Urgent care facilities have various factors contributing to their financial performance. With the start of a new year, one factor they should focus on is achieving effective revenue cycle practices, according to Monte Sandler, executive vice president of revenue cycle management at DocuTAP. First, Mr. Sandler encouraged urgent care facilities to look at patient registration. “Though it can be challenging in many ways, the good news is that with focus on training and oversight during patient registration, you have control over your revenue cycle. The patient experience is critical in the urgent care setting, so … be sure you put the right staff in place to oversee this important and …
RCM tip: Focus on field training in an IDN environment
Healthcare providers operating within integrated delivery networks should pay attention to field training as they manage a central business office, according to Kenneth Miller, Senior RCM Specialist at Cantata Health. Mr. Miller shared this tip with Becker’s Hospital Review. “Ongoing education is key to ensure financial success. Without an education department, it is impossible for IDNs to ensure field staff and registrars are doing what the leadership team expects of them. Trainers must be sent out to the field on rotation to certify staff are following through on verification, maintaining the required financial paperwork, and communicating with patients as appropriate.” Beckers is seeking article topics and tips…. If you would …
EHR Use and Administrative Burden Accelerate Burnout
In response to a new study about high levels of physician burnout among family physicians, Ohio State University Wexner Medical Center family physician Donald O. Mack, MD, suggested the recent transition to a value-based care system and increased EHR use may have augmented the problem. “Burnout is associated with lower patient satisfaction and care quality, higher medical error rates and malpractice risk, higher physician and staff turnover, physician substance abuse/addiction, and physician suicide,” he wrote. “The causes are numerous, and in many cases physicians point to the increasing demands of electronic medical records, quality metrics, administrative tasks such as prior authorization, and value-based payment requirements, which take time away from …
RCM tip: Identifying the root causes of denials
Discovering the reason for a hospital claim denial can help healthcare organizations improve revenue cycle performance, according to Susan Eilman, senior healthcare consultant for revenue cycle transformation at Hayes Management Consulting. Ms. Eilman shared the following tip with Becker’s Hospital Review. “Recently I was working with a revenue cycle director who researched root causes for registration and eligibility denials and identified a specific clinic with a denial rate of 42 percent. This director contacted the clinic and asked the clinical director, ‘Why does your location have a denial rate of 42 percent due to registration and eligibility denials when the industry standard is less than 5 percent?’ The clinical director …
RCM tip: Invest in automated rules engine to improve RCM
Investing in automation tools, such as a rules engine, can help healthcare organizations decrease their administrative workload, according to Andrew Wade, practice administrator at Conway, S.C.-based Coastal Orthopedics. Mr. Wade shared the following tip with Becker’s Hospital Review: “If we want to truly free up providers from administrative burden and empower them to do the work they love to do — spending more time with patients and delivering quality care — organizations need to invest in tools that automate tasks wherever possible. Thanks to our technology’s rules engine, our claims can be automatically verified and some errors automatically resolved based on knowledge gleaned from the network. We are getting cleaner …
