Revenue Cycle Management Archives - Page 22 of 34

Review New CMS Vaccines Rule: It May Soon Apply to More Facilities

The federal agency is seeking comment, which is due 90 days after it is formally published in the Federal Register. It is set to be published May 13, meaning the deadline for comment is August 11. CMS pre-published an interim final rule today that sets COVID-19 vaccine requirements for long-term care (LTC) facilities and intermediate […]

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CMS 2021 Final Rule: What practices can do

Insights from MGMA’s Medical Practice Excellence Pathways Conference. At MGMA’s Medical Practice Excellence Pathways Conference, Justin Chamblee, CPA and senior vice president of Coker Group, gave a presentation overviewing CMS’s 2021 Final Rule changes and exploring the impact these changes will have on wRVUs and physician compensation. According to the presentation, some key changes to […]

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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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2021 Emergency Medicine Reimbursement Changes

February 15, 2021
Blog, Medical Coding, Revenue Cycle Management
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Understanding 2021 Changes in Emergency Medicine Reimbursement

Emergency medicine groups face several changes this year, including a new federal ban on surprise medical billing, updates to the Medicare reimbursement formula, changes to the CMS MIPS program, and new billable services. Below is a summary of these changes provided by the experts at Brault Practice Solutions. Federal Ban on Surprise Medical Billing […]

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Tag: Revenue Cycle Management

Review New CMS Vaccines Rule: It May Soon Apply to More Facilities

CMS 2021 Final Rule: What practices can do

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

Understanding 2021 Changes in Emergency Medicine Reimbursement

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