RCM Risks

Revenue Cycle Risks in 2019

[vc_row][vc_column][rev_slider_vc alias="risks-2019"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]A new year means new complications for the Healthcare Revenue Cycle. A new report from Crowe, a public accounting, consulting and technology firm explores the potential risks for healthcare in 2019. This report came from reviewing risk assessments in 2018 for more than 250 hospitals, physician practices and other providers. Billing and Collections Many practices are outsourcing their billing and collections. This is a great option for many organizations to...

Donna White
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Service Spotlight: Insurance Verification & PreCertification Services

Service Spotlight: Insurance Verification & Pre-Certification Services

[vc_row][vc_column][rev_slider_vc alias="ss-insurance-verif"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Many practices can get by with electronic batch billing through their EHR. This is a simple service that 2-3 days prior to the patient’s appointment, eligibility is checked to verify that the patient has active coverage. This system delivers a report of those who kick back without current coverage, so your registration team may reach out to the patient prior to their visit to make sure the most current...

Donna White
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denials management

Denials Management

[vc_row][vc_column][rev_slider_vc alias="denials-management"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]What exactly is denials management? What are the benefits of tracking and managing your denials? Who should be tracking your denials rate? In today’s blog, we’re going to explore these questions. Denials Management Denials management is the process of reporting on received denials on a regular timetable, usually set by executive management. Be it weekly or monthly, depending on the size of your practice, tracking your denials types will help...

Donna White
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New Year Resolution for a Better Revenue Cycle

Your Practice’s New Year Resolution: A Better Revenue Cycle

[vc_row][vc_column][rev_slider_vc alias="better-rev-cycle"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Happy 2018! As you wrap up year end activities, now is the time to put into place solutions that will improve your revenue cycle for the entire year. Check in It starts at the beginning. That’s a little redundant isn’t it? But it’s true. Your revenue cycle starts when your patient checks into the office for their appointment. It is critical that any new insurance information is collected and verified....

Donna White
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Working Common Denials (part 1)

[vc_row][vc_column][rev_slider_vc alias="common-denials"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Depending on your practice, there may be several types of top denials. In today’s article, we are going to review best practices for follow up on some of the most common denials, regardless of specialty. Coverage Termed/Expired Per the EOB, the patient’s service denied as Coverage Termed or Expired at the time of the service. In your practice management system, check the Insurance Screen’s eligibility area to see what eligibility information...

Donna White
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Dealing with Rejections and Denials

[vc_row][vc_column][rev_slider_vc alias="rejections"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Finding the root issue of denials and rejections is essential to keeping a consistent cash flow for your practice. Many times, rejections and denials can be avoided through simple changes to daily processes. Denials and Rejections -- what's the difference? Before we get into ways to fix issues that cause rejections or denials, we need to know that there's a difference between a rejection and a denial. A rejection is a...

Donna White
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Denials – Posting, Tracking & Working

[vc_row][vc_column][rev_slider_vc alias="denials-tracking"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Insurance companies issue denials for a number of reasons. Many of these denials do not indicate that the claim cannot be paid, only that the claim requires additional or corrected information before it can be processed. For example: Invalid Subscriber ID Medical Necessity Invalid Diagnosis Code Posting Denials The key here is to post your denials into your practice management system. This allows your denials to be tracked and worked at a later date....

Donna White
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Data Analytics: Why They Are Important

[vc_row][vc_column][rev_slider_vc alias="data-analytics"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Many practices feel that working denials and doing AR follow-up is enough to make a solid revenue cycle plan. However, with so many Electronic Health Records (EHRs) having dashboards and in-depth reporting, data analytics is a key piece to the revenue cycle puzzle. Value of Data Analytics A 2016 survey shows that many providers fail to see the value in data analytics. According to the results, 55% of providers stated...

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Checklist

The Ultimate Revenue Cycle Checklist

[vc_row][vc_column][rev_slider_vc alias="ultimate-checklist"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Understanding the revenue cycle for your practice can seem like a mystery. But there are several areas you can focus on to make sure your revenue cycle stays under control. 1. Charge Entry Make sure your claims are as clean as possible prior to submission. It is more complex than just keying charges from a superbill or importing charges through your EMR. Each payor has different requirements for submitting clean...

Donna White
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Value Based Care

How Value Based Care is Changing Your Revenue Cycle

[vc_row][vc_column][rev_slider_vc alias="value-based-care"][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]by: Jennifer A. Geoppinger A practice's rejections and denials are a key piece to keep cash flowing swiftly for the practice. So is office workflow. But with the looming change to value based care coming, there are certain key areas that practices should be watching for to ensure minimal impact to their revenue. None of the items pointed out today are new philosophies in the revenue cycle management industry. They...

Donna White
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