Category: Blog

Claim denial cost

How Much Do Claim Denials Cost Hospitals? New Report Says $3.5M

Hospital and health systems have seen an improvement in some aspects of revenue cycle performance over the last two years, but a new report finds that many organizations are under pressure and face risks from increased denial write-offs, bad debt and inefficiencies due to high collection costs. Indeed, the Advisory Board’s biennial revenue cycle survey […]
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Mastering Appeals

When Appeals Are Not Enough

If you are as enthusiastic about medical billing and reimbursement, it can be vexing when we receive a denial. Here are some tried and true points that every biller should know to address a true appeal correctly. Know Your Coding: In today’s multi-tasking office you will often find billers who are certified in both collections […]
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CMS Finalizes MPFS Payment and Policy Changes

CMS Finalizes 2018 MPFS Payment and Policy Changes

The Centers for Medicare & Medicaid Services (CMS) has finalized 2018 payments and policies under the Medicare Physician Fee Schedule (MPFS). Most notable is the leniency in adopting federally-mandated policies. MPFS Final Rule Highlights: Taking into account the 0.5 percent automatic adjustment under the Medicare Access and CHIP Reauthorization Act (MACRA), CMS estimates the resource-based […]
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10 Revenue Cycle Tips For Healthcare Organizations

How Physicians Can Stabilize Revenue? Stabilize Your Revenue With These Tips

Physician practices are facing confusion and frustration due to the shift to value-based care and the ever-rising cost of care. Physicians seeking to stabilize their revenue amidst this chaos typically find themselves facing several challenges. 1. Collecting Patient Payments: Enrollment in high-deductible health plans is growing rapidly, leaving patients responsible for a larger portion of […]
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CMS Releases Physician Fee Schedule

CMS Releases Physician Fee Schedule For 2018: 6 Things To Know

CMS issued its 2018 Medicare Physician Fee Schedule, which cuts Medicare payments for services provided by certain provider-owned off-campus hospital departments. Here are six things to know about 1,250-page final rule: 1. Physician payment rates will increase 0.41 percent in 2018 compared to this year: CMS arrived at this increase after accounting for a 0.5 […]
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How Small Practices Can Increase Revenue

How Small Practices Can Increase Revenue

Virtual Groups Will Allow More Clinicians To Participate In Mips To Earn Incentive Payments: Clinicians who were ineligible to participate in the Merit-based Incentive Payment System (MIPS) in 2017 will have a better chance of qualifying in 2018. Although the Centers for Medicare & Medicaid Services (CMS) has proposed to increase the low-volume threshold, they’ve […]
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10 Revenue Cycle Tips For Healthcare Organizations

10 Revenue Cycle Tips For Healthcare Organizations

As patients take on more out-of-pocket costs, and patient satisfaction continues to influence the financial health of hospitals, revenue cycle management has become increasingly important to organizations. Amid these and other changes, many revenue cycle professionals have offered thought-provoking insights. Here are 10 RCM tips from industry experts: 1. “To make sure that your organization […]
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