Medical Billing Blog: All Articles Mentioned by Melissa Clark

Archive of All Articles Mentioned by Melissa Clark

This is the archive containing links to all articles mentioned by our CEO Melissa Clark in the blog.

Click any of the article links below to read Melissa's entire synopsis or browse another section to the right to read articles on another subject.

5 Most Important Aspects of Medical Billing: Melissa’s Mention

Here is an excerpt from an interesting article that has been mentioned by Melissa:   “Medical billing is a process where you pay your provider for their services. When we say you, we mean that this is the process where your insurance carrier and you pay the service provider or hospital you were in for deductible charges. Now when you know this let’s put ourselves in the position of a medical institution, clinic, or practice that has to bill for their work. Believe it or not, sometimes it is very hard to do this and these businesses have their work cut out for them when it comes to charging their

Published By: Melissa Clark, CCS-P | No Comments

Data can unlock capacity in the O.R. & drive better decision-making: Melissa’s Mention

“Optimizing operating room performance is a tough nut to crack for hospitals because true OR capacity is often uncaptured and underutilized due to rigid scheduling protocols. During a workshop sponsored by LeanTaaS at the Becker’s Hospital Review 9th Annual CEO + CFO Roundtable in November, Sanjeev Agrawal, president and COO of LeanTaaS, and Matt Ruby, director of business operations, surgical services at Northwestern Memorial Hospital in Chicago, discussed challenges and available solutions related to efficient OR utilization. Four key takeaways: 1. Unused OR capacity leads to unrealized return on investment. The OR represents the economic backbone of hospitals but is often underutilized because of the rigidity of block scheduling and

Published By: Melissa's Mentions | No Comments

HIPAA and Professional Sports Figures: Let’s Get the Record Straight: Melissa’s Mention

Matt Fisher clears up some confusion related to HIPAA and individuals on Health IT Answers. “The spotlight continues to shine brightly on HIPAA, especially as an excuse, when it comes to professional athletes responding to questions around COVID vaccine status. The most recent string of erroneous responses started strongly over the summer when NFL training camps kicked into gear. As players returned and the league indicated its intentions for health safety, questions were often posed to players to find where they all stood. Before diving into a bit from my perspective, I encourage readers to check out a similar article by Charles Curtis on ForTheWin with USA Today where I

Published By: Melissa's Mentions | No Comments

Tips for Recouping Lost Revenue From COVID-19 Pandemic

Craig Adkins of AdvancedMD gives HealthIT Answers some tips of how to recoup some of the revenue lost during the pandemic in this article mention. “The past few months of the pandemic have brought many challenges to physician practices, especially small, independent providers operating outside the domains of COVID-19 treatment. While mandatory shutdowns and quarantines have slowed the spread of the virus, the economic impact has been substantial. Fewer outpatient visits—and even fewer procedures—over the past several months have led to serious financial hardship for many providers. Practices that will stay afloat during this challenging time are doing so strategically. In some cases, practices planned for a “rainy day” and

Published By: Melissa's Mentions | No Comments

EHR Training and Experience Lead to Decreased EHR Use by Residents

Are you satisfied with your EHR? Do you spend 40% of your day in your EHR? Research shows that some physicians do..   “Physicians at large community hospitals spend nearly four hours during work hours, or roughly 40 percent of their day, on the EHR, according to a study published in the Public Library of Science (PLOS ONE). Additionally, researchers found a significant decrease in resident EHR use with increased training and experience, although the overall amount of time spent on the EHR remained high. “Studies exploring EHR use emphasized extensive time as one of the significant drawbacks to EHR,” wrote the study authors. “It has been reported that physicians

Published By: Melissa's Mentions | No Comments

Completed the move into our new office

We are happy to announce the renovations are complete, and we have finally moved into our new facility in the heart of Bedford, Indiana. We have been located in Bloomington for over 20 years, but it made more sense for our offices to now be located in Bedford since most of our staff lives in, or closer to Bedford than Bloomington. Our staff is still settling into all the new offices, so we will post more pictures as we get more organized and settled.  

Published By: Melissa Clark, CCS-P | No Comments

Data Analytics and Predictive Modeling in Healthcare Revenue Cycle Optimization

In the intricate ecosystem of healthcare, revenue cycle management (RCM) plays a pivotal role in ensuring the financial stability and operational efficiency of medical practices. As healthcare continues to evolve, integrating more technology and data-driven decision-making processes, the necessity for sophisticated tools such as data analytics and predictive modeling becomes increasingly apparent. These tools not only streamline billing and administrative tasks but also enhance the accuracy of financial forecasting, risk management, and resource allocation. For healthcare professionals, particularly doctors and healthcare managers, understanding and leveraging these technologies can lead to more informed decision-making, improved patient outcomes, and an optimized revenue cycle. This article delves into how data analytics and predictive

Published By: Melissa Clark, CCS-P | No Comments

Metrics and KPIs to Track in Revenue Cycle Management

Revenue Cycle Management (RCM) is an integral component of the healthcare industry, ensuring that healthcare providers efficiently manage patient care revenue from initial appointment scheduling through to the final payment collection. Effective RCM not only supports the financial health of healthcare providers but also enhances patient satisfaction by streamlining billing processes and reducing errors. This article explores critical metrics and Key Performance Indicators (KPIs) that are essential for monitoring and optimizing every phase of the revenue cycle. By focusing on these metrics, healthcare organizations can identify areas for improvement, reduce costs, increase efficiency, and ultimately drive revenue growth. Understanding Revenue Cycle Management Revenue Cycle Management encompasses the administrative and clinical

Published By: Melissa Clark, CCS-P | No Comments

Understanding Bundled Payments: Implications for Revenue Cycle Management

The healthcare industry constantly seeks ways to improve quality, reduce costs, and enhance patient satisfaction. One innovative payment model that addresses these goals is bundled payments. Unlike traditional fee-for-service arrangements, where providers are paid separately for each service, bundled payments consolidate all charges related to a single episode of care into one comprehensive fee. This approach not only simplifies billing but also encourages collaboration among healthcare providers, aiming for better outcomes at lower costs. Understanding the nuances of bundled payments is crucial for effective revenue cycle management, as it impacts billing, reimbursement, and overall financial health of healthcare institutions. This article delves into the concept of bundled payments, exploring its

Published By: Melissa Clark, CCS-P | No Comments

Streamline Prior Authorization to Enhance Revenue Cycle Efficiency

The healthcare industry continues to face significant operational challenges, with the prior authorization process standing out as a particularly cumbersome and time-consuming task. Prior authorization, the practice of obtaining approval from a health insurance provider before a medical service, procedure, or medication is delivered, is crucial for ensuring that treatments are covered under the patient’s insurance policy. However, the traditional methods of managing this process have proven to be inefficient, often leading to delays in patient care, administrative burdens, and negative impacts on the overall revenue cycle efficiency of healthcare organizations. The necessity to streamline the prior authorization process cannot be overstated. By enhancing this aspect of healthcare administration, organizations

Published By: Melissa Clark, CCS-P | No Comments