Tag: RCM

Value-Based Care: Navigating Challenges and Opportunities in Revenue Cycle Management

Value-Based Care: Navigating Challenges and Opportunities in Revenue Cycle Management

RCM and Value-Based Care Challenges and Opportunities: Healthcare is a dynamic field constantly evolving to improve patient and staff experiences. As the industry transforms, it’s crucial to understand both the potential benefits and drawbacks of these changes. One area experiencing significant evolution is Revenue Cycle Management (RCM). The shift towards value-based care models is a […]
Learn More
12-rcm-trends-reshaping-healthcare-

Innovations in RCM: What to Expect in the Coming Year

The Revenue Cycle Management (RCM) process is at the heart of any healthcare organization, encompassing all administrative and clinical functions that contribute to capturing, managing, and collecting revenues. Increasing efficiency, reducing costs, and improving patient care are essential in the rapidly evolving healthcare landscape. RCM will be reshaped by several key RCM trends and technological […]
Learn More
GenAI Revolutionizing Healthcare: Transforming Revenue Cycle Management

GenAI Revolutionizing Healthcare: Transforming Revenue Cycle Management

Generative AI is revolutionizing healthcare: Recent breakthroughs have seen these models excel in medical exams, complex diagnoses, and even pandemic response strategies. Advanced language models like GPT-4, Google’s Bard, and specialized healthcare models are now capable of handling intricate tasks that can dramatically improve clinical decision-making and administrative efficiency. The immense potential of Generative AI […]
Learn More
Common coding mistakes and how AI is resolving them

How Medical Coding Mistakes Cost You Money

The administrative burden of accurate medical coding is a major contributor to physician burnout—a challenge exacerbated by the COVID-19 pandemic. Studies consistently rank coding-related stress as one of the top concerns for healthcare providers. Medical Coding Mistakes, whether due to oversight or complexity, can have severe financial repercussions for medical practices. Denied claims, reduced reimbursements, […]
Learn More
Boost Your Bottom Line: 4 Keys to Healthcare RCM Success

Boost Your Bottom Line: 4 Keys to Healthcare RCM Success

In 2024, factors like declining reimbursement rates, the shift towards value-based care, and ever-changing regulations demand a proactive approach to improve RCM. Here, we explore four key strategies to optimize your healthcare revenue cycle and ensure financial stability in the coming year. 1. Break down Silos: Merging Front-End and Back-End Functions Many healthcare organizations struggle […]
Learn More
Optimize Your Practice with Expert Chiropractic Billing Services

Optimize Your Practice with Expert Chiropractic Billing Services

Choosing the Right Chiropractic Billing Company The efficient billing practices are crucial for the success of any chiropractic practice. Managing insurance claims, patient payments, and other financial aspects can be time-consuming and complex. That’s where chiropractic billing services come into play. By outsourcing these tasks to experts, chiropractors can focus on providing quality patient care […]
Learn More
Stop Authorization Denials in Tracks

Stop Authorization Denials in Tracks

Getting bogged down by authorization denials? You’re not alone. Here, we explore common roadblocks and effective strategies to keep your revenue flowing smoothly. Challenge: Drowning in Last-Minute Authorizations Solution: Divide and Conquer with a Multi-Team Approach Separate teams can tackle present and future authorizations. The “Today” team verifies benefits and identifies authorization needs for upcoming […]
Learn More
Driving Revenue Growth: Key Insights for RCM Professionals

Driving Revenue Growth: Key Insights for RCM Professionals

The importance of Revenue Cycle Management (RCM) is no longer just a best practice in today’s ever-changing healthcare landscape – it has become a necessity. In a market where costs are rising, regulations are becoming more complex, and patients are becoming more responsible for their own finances, optimizing the revenue cycle is essential to maintain […]
Learn More
EHR-RCM Integration Can Improve Revenue Cycle Efficiency

EHR-RCM Integration Can Improve Revenue Cycle Efficiency

Partnering with a vendor that provides EHR and RCM capabilities helped one healthcare organization boost communication and improve revenue cycle efficiency for 150 care centers. Leveraging automation for revenue cycle management (RCM) processes can streamline tasks and improve efficiencies. Specifically, partnering with an EHR vendor helped a healthcare organization to achieve $1 billion in patient […]
Learn More
x