Christmas 2021

Merry Christmas & Happy New Year

[vc_row][vc_column][rev_slider_vc alias="holidays-2021"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]Legacy Consulting would like to thank their clients, both current and past, for their support throughout the years. We know how hard the last two years have been for everyone. Legacy looks forward to being here for you in 2022 to help with any of your Consulting needs. From the Legacy Family to yours, Merry Christmas, Happy Holidays, and Happy New Year![/vc_column_text][/vc_column][vc_column width="1/4"][vc_widget_sidebar title="Interested in more like this?" sidebar_id="sidebar"][/vc_column][/vc_row]...

Donna White
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Surprise Medical Bills

Improving the Patient Payment Experience

[vc_row][vc_column][rev_slider_vc alias="patient-payment-experience"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]Securing patient payment has always been a challenge for healthcare providers. However, higher deductible plans with more patient responsibility have made the patient payment experience of the Revenue Cycle a whole new level of challenging. The key for providers to remember is eligibility. Ensure your staff is trained in two key areas. One, how to obtain accurate eligibility for your specialty. Second, train your staff on financial options available...

Donna White
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CMS Inpatient Only List Final Rule

[vc_row][vc_column][rev_slider_vc alias="ip-only-final-rule"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]While it has been under heavy consideration since July, CMS finalized its decision to add back nearly three hundred procedures to Inpatient only coverage. This reverses a Trump-era plane to phase out the list completely. Much of the list reduction can be tied back to COVID, when hospitals had to shut down elective surgeries to treat COVID patients. Beyond adding the procedures back to Inpatient only, they have also...

Donna White
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Increased Spending

Service Spotlight: Payment Posting and Denials Management

[vc_row][vc_column][rev_slider_vc alias="pp-and-denials"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]Getting your reimbursement from payors is key to any successful practice. However, ensuring those payments are posted accurately and denials are worked promptly, can not only make a huge difference in your cash flow, but your practice’s overall financial health. Why is timely payment posting so important? When payments are posted within 24-48 hours of receipt, it ensures your Accounts Receivable (AR) and Days Sales Outstanding (DSO) is accurate....

Donna White
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RCM

The Future of RCM: Artificial Intelligence

[vc_row][vc_column][rev_slider_vc alias="future-of-rcm"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]No doubt the pandemic has shifted the revenue cycle model. However, that model had already started to change with payor contracts and fee schedules, higher patient responsibility and deductibles, and a move towards value-based payments. The Revenue Cycle needs an update to deal with the increase in healthcare technology. We see more A.I. being used in clinical treatment and triage but triaging the revenue cycle is a different...

Donna White
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Potential Changes to Telehealth Visits

[vc_row][vc_column][rev_slider_vc alias="changes-to-telehealth"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]The global COVID-19 pandemic has brought an emerging healthcare technology to every-day practice nearly overnight. Two years ago, telehealth was something new that many practices were shying away from. Once the pandemic took over, they became a literal virtual necessity. Before the pandemic, legislation required many telehealth visits to still occur in a medical facility for their virtual appointment through sophisticated HIPPA-compliant platforms. Regulations loosened once the pandemic hit...

Donna White
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CMS Spending Growth

RCM Transformation Needed

[vc_row][vc_column][rev_slider_vc alias="rcm-transformation"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]COVID-19 has no doubt re-shaped the way healthcare is conducted. From more telehealth visits to nurse only visits for vaccine administration, both physician office and hospital visits are not what they were two years ago. Which has all impacted the way the Revenue Cycle must be managed. Hospitals have taken the biggest hit, with major changes to their payor mix. A shift from Commercial payors to more Medicaid (a...

Donna White
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site-neutral payments

Site-Neutral Payments Supported by Federal Court

[vc_row][vc_column][rev_slider_vc alias="site-neutral-payments"][/vc_column][/vc_row][vc_row][vc_column width="1/2"][vc_column_text]In a ruling last week, a Federal appeals Court ruled that the Department of Health & Human Services (HHS) is authorized to implement site-neutral payments. This is a long-awaited and huge win for independent physician practices. Historically, off-campus clinics attached to a hospital were reimbursed at a higher rate than independent physician practices. This left many providers with tough decisions to make regarding becoming a part of a hospital...

Donna White
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