Tag: RCM

Authorization Denials

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 […]
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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 […]
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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 […]
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Medical Coding News – August 2021

  What are the latest code changes? Get the facts, fast. This month, there’s new billing guidance for a COVID-19 vaccine; there are three new HCPCS Level II codes for COVID-19 therapeutic injections; and Medicare payment allowances for the 2021-22 influenza vaccine codes have been released. FDA Approves COVID-19 Vaccine Pfizer’s COVID-19 vaccine received the […]
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cms-prior-authorization-operational-and-financial-impact

CMS Prior Authorization—operational And Financial Impact

CMS has expanded the prior authorization requirement to two new service categories within hospital outpatient department services. The Centers for Medicare & Medicaid Services (CMS) has expanded the prior authorization requirement for two additional hospital outpatient department (OPD) services. Effective with date of service July 1, 2021, CMS has expanded the prior authorization requirement to […]
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car-t-coding-update

HCPCS Level II codes for CAR-T Coding Update

  C9076 is the newest addition to the list of HCPCS Level II codes for CAR-T therapies, effective July 1. Learn the latest changes to reporting products and procedures related to Chimeric Antigen Receptor (CAR) T-cell therapy to ensure proper medical coding and billing of CAR-T services furnished to Medicare patients. Review the Basics CAR-T […]
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Healthcare Supply Chain Management

Hospitals Use Supply Chain Analytics to Recover from COVID-19 Losses

The COVID-19 pandemic has challenged healthcare networks throughout the U.S. in unprecedented ways. As financial losses are being surveyed, new opportunities have emerged for hospitals and health systems to not only recover from those losses, but also simultaneously establish cost-saving initiatives in the perioperative area by using optimized supply chain analytics. Healthcare organizations are also recognizing the […]
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