CMS Assists Rural Hospitals with RCM Issues

Hospitals in rural communities are more prone to revenue cycle challenges, ranging from physician shortages and hospital closures to a higher degree of uninsured patients. The solutions for such complex problems are not universal to healthcare reform; rural communities are unique. The CMS Rural Health Summit has identified healthcare institutions in rural settings as the…

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Outsourcing RCM: Considerations for Your Healthcare Organization

Revenue cycle management (RCM) is crucial to a healthcare organizations financial organization and success. By utilizing RCM’s medical billing software, providers can track the entirety of the patient care process, from registration to appointment scheduling and final payments. With the new age ICD-10 and a growing level of financial responsibility, many medical employees are working…

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Why Should You Outsource Revenue Cycle Management?

There are more reasons to outsource your revenue cycle management today than ever before. Stringent regulations, escalating costs, and the shift to value-based reimbursement models have each helped to saddle physicians with heavy burdens. Because of their high-deductible health plans, there are more patients who are responsible for their out-of-pocket costs than there had been…

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Why are Revenue Cycle Systems Important for Value-Based Care?

In 2008, the Affordable Care Act launched a series of sweeping system-wide reforms that have had a major impact on the healthcare industry. One major development has been the progressive shift from a fee-for-service system to a value-based care system. With the previous fee-for-service orientation, hospital revenue depended on the number of services offered to…

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Revenue Cycle Management: 5 Ways to Improve

1. Minimize the need for collections by asking patients for their payments upfront.Create a checklist for your staff to follow with regard to procedures for copying insurance cards, verifying patients’ data, collecting payments, and confirming contact information. Your staff members may know the basics, but are they consistently performing them? Consistency is key. Alternatively, make…

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6 Tips On How to Improve Your Collection Rates for Small Balance Claims

As the healthcare industry continues to change and evolve, many hospitals are trying to adapt in order to maintain or increase their profits. With the increase of health plans featuring high deductibles and increased pressure on reimbursement rates, many health systems and hospitals have begun looking for any ways they can find to improve their…

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Hospitals Need to Monitor These 5 RCM Metrics In Order to Improve Their Cash Flow

If hospitals wish to maintain or improve profitability, there are certain things they need to keep an eye on when it comes to revenue cycle management. There are specific metrics that can be monitored which will allow hospitals to get the maximum amount of reimbursement possible, as well as enhancing the effectiveness of their billing…

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6 Tips On How to Improve Your Collection Rates for Small Balance Claims

As the healthcare industry continues to change and evolve, many hospitals are trying to adapt in order to maintain or increase their profits. With the increase of health plans featuring high deductibles and increased pressure on reimbursement rates, many health systems and hospitals have begun looking for any way they can find to improve their…

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[Infographic] Top 5 Reasons Rural Hospitals Lose Accounts Receivable

Rural hospitals lose on accounts receivable due to a number of preventable reasons. It is important hospital personnel is trained in collecting payments and inputting information. No matter what the claim size, obtaining payments is key. Use this infographic to learn the reasons rural hospitals are losing accounts receivable.    

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6 Ways to Improve Your Operational Efficiency and Revenue Cycle

No business can maintain a healthy revenue cycle or continue on a path of business growth without a sound operational infrastructure. For healthcare organizations, in particular, operational challenges have become increasingly ratcheted up due to convoluted payment models, coding complexities, declining reimbursements, and shrinking profit margins. Since optimizing your revenue cycle must remain a continuous…

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