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Showing posts from July, 2024

What is Revenue Cycle Management in Healthcare

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Inside this Article: Best Revenue Cycle Management Companies Seamless Revenue Cycle Management Integration Data-Driven Revenue Optimization Compliance and Security Assurance Financially clear patients to collect faster Optimize revenue cycle efficiency to improve reimbursement Integration to Optimize Revenue Performance   Revenue cycle management Company the executives alludes to the most common way of dealing with the progression of patient data and clinical cases through the medical care framework. The objective of the board is to guarantee that medical care suppliers are paid for the administrations they convey in an opportune and effective way. This ordinarily includes a blend of individuals, cycles, and innovation cooperating to deal with the different strides in the Revenue cycle management Company, like confirming protection inclusion, submitting cases to payers, and gathering installments from patients. Revenue cycl...

How to Choose the Right RCM Partner for Your Practice

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Given the mounting healthcare revenue cycle management (RCM) complexities amid staffing shortages, providers are walking a tightrope and reeling under the constant pressure of delivering high-quality care with limited resources. While doing so, they are also expected to handle claim denials and stay compliant with industry regulations and payer policies. Their passion for care delivery transforms into an uphill battle when they struggle to maintain this balance. This underscores their need for effective RCM services to handle front-end through back-end operations to stay financially afloat.    To ensure their revenue doesn’t slip through the cracks due to process inefficiencies and that they are reimbursed fully and timely, providers need to strengthen their RCM capabilities. This can be achieved with the infusion of technology, the subject-matter expertise of RCM professionals, or a combination of both. For those overwhelmed with revenue cycle complexities due to a lack of me...

Decoding Claim Denials: Your Guide to Improving Revenue Integrity

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Claim denials continue to remain a thorn in the side of many providers in the healthcare space. Owing to growing complexities in the regulatory framework and ever-changing payer behavior, there has been a steady rise in denials, underscoring the urgent need for providers to rethink their denial management strategy. These denials not only affect their bottom line but also silently underline the need for revenue cycle management (RCM) solutions that could help providers optimize their operations for improved financial outcomes. To improve the resilience of their revenue cycle with a clean claim rate, healthcare systems need to implement a well-thought-out strategy that can target denials head-on and help them maintain financial stability in the long run. Dive into this blog to explore why claim denials happen and what measures providers can take to make their revenue cycle bulletproof.   Why denials happen Claim denials happen when the insurer or the payer rejects to pay for the serv...

From Strain to Gain: How to Mitigate the Impact of Staff Burnout on Your Revenue Cycle

  It goes without saying that the pandemic not only unleashed an invisible foe to mankind but also led to a series of events that resulted in physician burnout to an unimaginable extent. Healthcare staff shortage and burnout, which peaked during the pandemic, have refused to subside since then. With the rising demand for better healthcare, providers are struggling to meet their clinical and administrative needs with the limited resources they have. This isn’t merely causing disruptions in care delivery, with reported delays in treatments causing inconvenience to their patients, but also resulting in a massive backlog of their accounts receivable (AR) due to impacted revenue cycle management (RCM) across all levels – patient access, billing, and collections – further affecting their bottom line.   The industry trends make a strong case A recent study by KLAS Research reveals that over the years, staff shortage has become the top contributor to burnout, which, in turn,...

How Pain Management Clinics are Improving Collections in 2024

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  Healthcare is transforming right in front of our eyes. The last 12 months have rocked the industry to the core. The ways facilities engage with patients from treatment to payment processing are changing. Pain Management Clinics are at a bigger disadvantage due to limited resources compared to bigger hospitals. Despite these setbacks we have been able to help Pain Management Clinics thrive in the new healthcare economy. We are sharing 5 ways your facility can improve collections in 2024 and beyond. 1. Become spot-on with eligibility and benefit verification: The practice needs to absolutely make sure that we have the right  medical billing  information and that it is validated well within time. Just making sure that the patient is eligible may not be enough for a pain management ASC centre. 2. The service is covered in the patient’s plan when performed in the ASC setting. 3. The frequency of service is under the LCD (or similar applicable) limitations. 4. The patient’s e...