Revenue Cycle Management Archives - Page 60 of 62

August 30, 2019
Blog, Medical Coding, Revenue Cycle Management
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Big Changes Ahead for MIPS in 2020 and Beyond

Several changes to the Merit-based Incentive Payment System (MIPS) track of the Quality Payment System (QPP) are outlined in a proposed rule for 2020 revisions to payment policies under the Physician Fee Schedule (PFS). Most of the proposed changes come as no surprise, but there is one proposal, in particular, that will make a huge impact on […]

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Implementation Best Practices: Getting in the Revenue Cycle

Revenue cycle management technology is at the heart of the administrative side of business at every hospital and health system. It is key to daily operations. As such, healthcare CIOs and other IT professionals must take great care when implementing RCM systems. Getting revenue cycle done right – and done right the first time – […]

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August 27, 2019
Blog, Healthcare News, Revenue Cycle Management
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2020 Medicare Physician Fee Schedule: What You Need to Know

On Aug. 15, 1935, Will Rogers died in a plane crash near Point Barrow, Alaska. He is an Oklahoma legend and one of the best political satirists and commentators ever. I often wonder what his commentary would be on the state of U.S. politics in 2019. As an aside, Oklahoma City has two airports named […]

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4 Front-End Revenue Cycle Revamps You Need For A Competitive Edge

In the crowded healthcare market, smart healthcare leaders must find patient satisfaction advantages everywhere they can. When it comes to patient satisfaction, providing excellent clinical care is a no-brainer. But in a crowded and competitive healthcare market, smart healthcare leaders know that they need an edge everywhere, including an efficient revenue cycle. That’s the case […]

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August 16, 2019
Blog, Healthcare News, Revenue Cycle Management
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Major Changes in 2020 Medicare Payment Rules

Final rules will impact nearly every type of healthcare provider. The Centers for Medicare & Medicaid Services (CMS) presented us with quite a number of Medicare payment rules in the last week or so, referencing almost every type of provider in the program. The final rules included the Fiscal Year (FY) 2020 Medicare Hospital Inpatient […]

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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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5 More Reasons Claims Are Denied

There are the standard reasons medical claims are denied, such as putting the wrong modifier on a code or putting the diagnoses in the wrong sequence. But did you know that some reasons are not the fault of medical coding? 5 Ways Your Medical Claim Can Be Denied Denials can be cause by more than an […]

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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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Category: Revenue Cycle Management

Big Changes Ahead for MIPS in 2020 and Beyond

Implementation Best Practices: Getting in the Revenue Cycle

2020 Medicare Physician Fee Schedule: What You Need to Know

4 Front-End Revenue Cycle Revamps You Need For A Competitive Edge

Major Changes in 2020 Medicare Payment Rules

4 Ways Utilization Management Staff Can Help Prevent Denials

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

5 More Reasons Claims Are Denied

Top 3 Challenges To Revenue Cycle Transformation

Customize Patient Financial Encounters For Revenue Cycle Success

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