Revenue Cycle Management Archives - Page 23 of 30

ACHP Urges Policymakers to Solidify Affordable Care Act Changes

ACHP provides several steps that will leverage the advancements of the Affordable Care Act and increase access to high-quality coverage and care. The Alliance of Community Health Plans (ACHP) released recommended steps to build on the success of the Affordable Care Act (ACA) and enhance and expand coverage in the individual health insurance market. First, […]

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CMS Sent out Warnings to Hospitals Failing at Price Transparency

The Centers for Medicare & Medicaid Services has sent its first wave of warning letters out to hospitals breaking federal rules requiring them to disclose payer-negotiated prices, a spokesperson for the agency confirmed. CMS has been auditing hospitals’ websites and complaint submissions since the rule went into effect on January 1 and began sending out […]

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CMS Releases 2022 Proposed Inpatient Prospective Payment System Rules

On April 27, 2021, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule for the fiscal year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS). The proposed rule includes CMS proposals for certain annual Medicare payment policies and rates as well as certain quality and value-based programs for FY 2022. Stakeholders must submit […]

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Why Patient Access is Key to Revenue Cycle Management Success

Patient access is the first point of contact for patients and the first time staff can get key information right for revenue cycle management success. Patient access is generally the first encounter a patient will have with a healthcare organization, making it central to the patient experience. But this aspect of healthcare is also […]

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How Payers Can Improve Attachment Processes in Claims Management

Claims management is a multi-step process that provides ample opportunity for errors and delays, but if payers modify their approach to certain steps in the process it could have a positive impact overall. In the most concise language, claims management starts with a provider sending a claim or prior authorization request to a payer. The […]

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How to find the right revenue cycle partner

Physicians enter into health care because they want to help care for patients, not to become business people. This can make revenue cycle management (RCM) seem like an overwhelming or complex set of steps, yet, at its essence, “it is basically about obtaining payment for services rendered to a patient,” says Kelly Dingwell, principal attorney […]

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Why Revenue Centricity Should be Important to Coders

Revenue is not a goal; it is an outcome. Healthcare providers, hospitals and other services, have struggled for the last decade to maintain sustainable revenue for survival. This has been exacerbated by the pandemic changing borderline net revenue to worsening losses. Many have instituted new practices to acquire more revenue not realizing increased revenue is […]

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Understanding A/R Productivity is Key to Revenue Cycle Success

The COVID-19 pandemic created a host of challenges for revenue cycle management leaders, from widespread service line shutdowns to shifting staff to work at home and increasing self-pay balances. These pressures have heightened inefficiencies in A/R processes and productivity. While these challenges took a massive financial toll on healthcare organizations—to the tune of $323 billion […]

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February 9, 2021
Blog, Healthcare IT News, Medical Billing
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Scale, Efficiency Key to Provider Success in 2021 and Beyond

The COVID-19 pandemic has permanently changed the healthcare business model, causing providers to rely more on scale and efficiency to maintain financial stability in 2021 and beyond. At least those are the strategies industry leaders at Providence and UW Health are implementing to adapt to a more virtual, leaner environment as the pandemic continues, health […]

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November 13, 2020
Blog, Medical Coding
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ICD-10-CM Coding For Autoimmune Hemolytic Anemia

Cold antibody hemolytic anemia is a rare autoimmune disorder characterized by the premature destruction of red blood cells by autoantibodies at temperatures of approximately 0 to 10 degrees Celsius. Q: What is the difference between cold, hot, and mixed type autoimmune hemolytic anemia, as described by 2021 ICD-10-CM codes D59.11-D59.13? A: ICD-10-CM code category D59.- (acquired […]

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Tag: Revenue Cycle Management

CMS Sent out Warnings to Hospitals Failing at Price Transparency

CMS Releases 2022 Proposed Inpatient Prospective Payment System Rules

Why Patient Access is Key to Revenue Cycle Management Success

How Payers Can Improve Attachment Processes in Claims Management

How to find the right revenue cycle partner

Why Revenue Centricity Should be Important to Coders

Understanding A/R Productivity is Key to Revenue Cycle Success

Scale, Efficiency Key to Provider Success in 2021 and Beyond

ICD-10-CM Coding For Autoimmune Hemolytic Anemia

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