Category: Blog

Allzone - Artificial Intelligence & Blockchain

Artificial Intelligence (AI) and Blockchain in Medicare: Technologies to Watch in 2019

Expect more mass production of audits. Looking forward to the remainder of 2019, we will see a number of exciting information technologies (IT) that will reshape healthcare and Medicare. These include artificial intelligence (AI), the cloud, DNA sequencing, in silico testing of new molecular entities (NMEs), and distributed ledger systems, also known as “blockchain.” We also will […]
Learn More

Surprise Medical Bills are Not Uncommon

The high cost of medical care is giving some Americans sticker shock. Annual health care spending in the U.S. is estimated to be $3.5 trillion. Hospital costs make up almost a third of that total. And a portion of those costs come as a big surprise. Whether intentional or due to careless mistakes, “surprise” medical charges are […]
Learn More

Facing The Revenue Cycle’s Biggest Challenges In 2019

  Hospital revenue cycle departments have gained greater visibility in recent years as a significant driver of revenue streams. Yet many of these departments continue to face serious challenges in several areas, including workforce, interoperability, and EHR optimization. Taking revenue cycle management to the next level by harnessing technology and data analytics can help hospitals […]
Learn More
Automation in Insurance Verification - Allzone

How Automating Patient Insurance Verification Reduced Denials

  Eliminating the manual backend task of checking patients’ insurance eligibility reduced denials and AR days at an orthopedic surgery practice while also getting more staff face-to-face time with patients. When it comes to healthcare, Kim Wishon has a major pet peeve. “My biggest problem that I have is the administrative burden of healthcare,” says Wishon, CEO […]
Learn More
Allzone-Advanced-Practitioner

Understanding CMS Advanced Practitioner Professional Billing

Many providers are still struggling with the non-physician practitioner (NPP) billing rules from the Centers for Medicare & Medicaid Services (CMS). Most facilities are now referring to NPPs as Advanced Practitioner Professionals or APPs. I get questions all the time about APP billing, and during audits many times it is found that the rules just […]
Learn More

Claims Management Automation Progresses, But Opportunities Remain

Providers and payers are increasingly adopting electronic claims management transactions, but remittance advice and prior authorizations are still largely manual. Electronic claims management adoption by plans and providers is at or above 80 percent for three of the seven transactions analyzed in the most recent CAQH Index. The CAQH 2018 Index showed adoption of fully electronic […]
Learn More

Payer, Provider Trends To Watch In 2019

Ripple effects from 2018 will continue well into the new year as players deal with some massive policy and business shifts. The coming year for healthcare will see the industry reckon with some of the massive changes set in motion last year, such as megamergers like CVS-Aetna and Cigna-Express Scripts and a judge’s declaration that the Affordable Care Act is no […]
Learn More

Are You Neglecting Charge Capture?

Despite calling it “essential,” many healthcare leadership teams discuss charge capture once a month or less. Despite its importance, charge capture doesn’t get the attention that it deserves, according to a survey of revenue cycle leaders. Although 78% of respondents characterize charge capture as “essential” to their organization’s success, leadership teams at 40% of organizations […]
Learn More

Four Ways RCM Must Transform for the Shift to Value-Based RCM

Value-based care is driving transformation of many established operations within medical groups—and the revenue cycle is no different. It is likely that 2018 will be remembered as the year that value-based care became a financial reality for most U.S. medical practices. Those participating in MIPS (the Merit-based Incentive Payment System) received their first round of […]
Learn More
Allzone - Revenue Cycle Resolutions

Revenue Cycle Resolutions

  It’s a new year! While your organization’s initiatives may not have changed when the ball dropped, you can be sure that your employees are feeling a burst of motivation as they start 2019, an eagerness to tackle the tough to-dos and an energy to learn, grow, and achieve. Perhaps you’re feeling it too! Let’s […]
Learn More
x