Medical Billing & Credentialing News

  Your Revenue Cycle Management Status Healthcare providers faced a tidal wave of challenges at the beginning of the COVID-19 pandemic, many of which endure consequences today. It’s not surprising that the  revenue cycle  did not evade these challenges. The shutdown and transfer to a generally virtual care world presented substantial bedlam that the revenue cycle had never encountered in the past.  Those employed in the revenue cycle moved to practically 100 percent remote working quite suddenly,  billing  and claims activities were turned on their head among payer and government changes. Moreover, budgets were gashed as elective surgeries came to a standstill to focus on the growing pandemic. Revenue cycle management  (RCM) is one of the most important processes in any medical provider practice.  Deprived of a robust RCM procedure, practices are in danger of losing out on reimbursement and experiencing perilous decreases in revenue. So, what’s ha...

  Achieving Revenue Cycle Optimization The healthcare industry is changing rapidly, creating a host of challenges for healthcare providers.  Cutbacks in reimbursements , bad debt and regulatory reforms all affect a provider’s revenue. Moreover, the failure to recognize claim submission mistakes heightens the risk of inadequate reimbursement and even nonpayment. While concentrating on ever-pressing needs,  it’s difficult for providers to spot opportunities to boost revenue.  Providers must rely on their staffs to manage the office efficiently while they focus on patient care. However, growing government directives, adjustments in coding standards and  medical billing  concerns often make it tough for staff to remain engaged. The answer: A revenue optimization plan will usher in a demonstrated method for increasing revenue and applying best practices to boost profits while updating practice processes.   To realize revenue cycle optimization, it’s es...

  Common Revenue Cycle Management Mistakes Is Your Revenue Cycle Management in Top-Notch Condition? Let’s face it, we all make mistakes, even as veterans in  revenue cycle management . Sometimes, though, our biggest mistakes are the ones right under our noses – the ones we simply don’t identify as mistakes because we’ve been making them for so long. Plenty has changed in the revenue cycle. With the deployment of ICD-10, the arrival of accountable care, the growing volume of patient self-pay and the changing payment habits of those patients, we need to continuously upgrade our revenue cycle processes to accommodate these changes.  We’d like to share with you what has been recognized as progress-halting revenue cycle mistakes you may be making presently and how to fix them. You Rely on Current Staffing Levels to Handle the Increased Volume of A/R Activity We know how challenging it is to find the right people with the right skills to keep your revenue cycle humming. There a...