Revenue Cycle Management Archives - Page 59 of 60

4 Ways Utilization Management Staff Can Help Prevent Denials

Medical necessity denials continue to be a pain point for revenue cycle leaders, so much so that HBI members reported medical necessity as one of the top three root causes in 2016, 2017, and 2018. While denials and appeals are typically housed within the revenue cycle, there are many other teams—including clinical staff, utilization review, […]

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Tackling 2 of Healthcare’s Biggest Revenue Cycle Challenges With AI

Data was big in revenue cycle challenges long before “Big Data” was a buzzword. The same goes for the challenges that come with it. For years, revenue cycle challenges for leaders have looked for answers to common hurdles like missing or incorrect charges, payment file problems, and data transfer timing delays. Big Data and advanced […]

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Top 3 Challenges To Revenue Cycle Transformation

Hospitals and health systems are exploring ways to revenue cycle transformation processes to offset financial pressures. However, shifting to a new business model for revenue cycle management can be challenging. The hospital revenue cycle has become increasingly complex in recent years for several reasons, including the shift away from fee-for-service medicine, the adoption of advanced […]

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Customize Patient Financial Encounters For Revenue Cycle Success

Healthcare is a top priority for American voters and there aren’t dramatic differences by ideology, according to a new survey. Adopted from the marketing industry, customer segmentation allows health systems to further customize the patient financial experience and help them get paid. Key Takeaways Tailor billing strategies and patient payment options to a financial situation […]

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May 17, 2019
Blog, Healthcare News, Revenue Cycle Management
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CMS Proposed Rules Will Impact SNFs & Hospice Providers

Proposed rules also include new payment models. The Centers for Medicare & Medicaid Services (CMS) has been quite busy these last few weeks issuing the proposed payment rules for 2020 and making some other announcements. Here is an update on other regulatory activities of interest. On April 22, 2019, the CMS Innovation Center announced the […]

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How to Prevent and Manage Claim Denials

For many healthcare providers, claim denials are a frustrating cost of doing business. Each year, around 5-10% of medical billing claims are rejected (possibly more). With each claim costing around $25 to rework, providers lose billions in eroded revenue and productivity. Any revenue leakage is bad enough, but the shift towards value-based care means tighter revenue cycle management […]

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Good News in FY 2020 Inpatient Prospective Payment System Proposed Rule

The FY 2020 Inpatient Prospective Payment System (IPPS) proposed changes could bode well for many facilities. There has been much discussion about the Centers for Medicare and Medicaid (CMS) Inpatient Prospective Payment System (IPPS) for fiscal year (FY) 2020 proposed rule and its suggested changes. Good news can be found in the 1,824 pages of […]

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April 29, 2019
Blog, Healthcare News, Revenue Cycle Management
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CMS Proposes FY 2020 Medicare Payment Updates For Post-Acute Care

Recently proposed rules would boost FY 2020 Medicare payment rates for several post-acute providers, including skilled nursing facilities and hospices. April showers bring May flowers. But, this year, they are also bringing a slew of new Medicare payment rate proposals, including reimbursement and quality reporting updates for several types of post-acute care providers. CMS recently […]

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How Blockchain Can Solve Healthcare’s Data Reconciliation Problem

The U.S. healthcare industry has a $1 trillion opportunity to cut costs and reduce waste, according to a 2015 Harvard Business Review analysis. While there are various areas waste accumulates, costly data reconciliation is a prominent problem for hospitals and health systems. Change Healthcare defines data reconciliation as “the process of compiling information across companies […]

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October 5, 2018
Blog, Medical Billing, Revenue Cycle Management
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3 Claim Denial Prevention Strategies

Claim denial prevention and management is crucial for a hospital’s financial health. Without an effective approach, organizations may lose or experience delays with reimbursement. A Change Healthcare study found a typical health system could lose as much as 3.3 percent of net patient revenue, an average of $4.9 million per hospital, due to denials. That’s […]

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Category: Revenue Cycle Management

4 Ways Utilization Management Staff Can Help Prevent Denials

Tackling 2 of Healthcare’s Biggest Revenue Cycle Challenges With AI

Top 3 Challenges To Revenue Cycle Transformation

Customize Patient Financial Encounters For Revenue Cycle Success

CMS Proposed Rules Will Impact SNFs & Hospice Providers

How to Prevent and Manage Claim Denials

Good News in FY 2020 Inpatient Prospective Payment System Proposed Rule

CMS Proposes FY 2020 Medicare Payment Updates For Post-Acute Care

How Blockchain Can Solve Healthcare’s Data Reconciliation Problem

3 Claim Denial Prevention Strategies

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