A significant share of today’s hospital and doctor reimbursements now come from patients rather than commercial payers, yet many providers haven't updated their collection practices. As charge amounts on medical bills continue to rise, healthcare providers are increasingly challenged to collect the high deductible amounts owed them. Patients are also more conscious of how much they spend on healthcare services as medical costs consume an increasingly large portion of their paychecks.
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Improving Revenue Cycle Management with Point of Service Collections via Estimation and Eligibility Checking
Posted on Tue, Sep 25, 2018 @ 09:00 AM
Expert Coding Can Ensure You Are Maximizing Your Revenue Cycle
Posted on Tue, Sep 11, 2018 @ 06:00 AM
Declining reimbursements are one of the biggest challenges healthcare providers face today. Ask any physician or hospital and they will tell you about the daily struggle of getting paid for their services. However, many healthcare providers are leaving a significant amount of money on the table by under coding.
Read MorePre-authorization as a Service Requires Both Technology and Human Components
Posted on Tue, Aug 21, 2018 @ 09:00 AM
Most claim denials are due to the lack of verifying benefit information prior to services being provided. Insurance verification process is crucial for all hospital encounters, whether inpatient, outpatient or ambulatory care. It will ensure that the hospital or physician receives payment for services rendered and will help determine the patient’s share of the charges referred to as the patient’s responsibility.
Read MoreThe overall theme of this year’s HFMA Annual Conference is “Transforming the Business of Healthcare,” and it is right on target. No other industry is experiencing more evolution and transformational change than healthcare. It seems that the only thing we can count on is change -- this is even more true for the business side of healthcare delivery.
Read MoreUncertainty Over the ACA Repeal Has Many States Scrambling for Health Insurance Coverage
Posted on Fri, Sep 08, 2017 @ 11:46 AM
The California state exchange, Covered California, is pumping millions of additional dollars into its marketing budget to promote ACA enrollment, and it's giving the federal government an extra month to commit to paying next year's cost-sharing reduction subsidies before it allows insurers to hike 2018 rates.
Read MoreStaying in Touch Is What’s Behind Kaiser's $1 billion Quarterly Operating Gain
Posted on Tue, Aug 15, 2017 @ 11:43 AM
There was a time when healthcare providers knew their patients and their patients’ healthcare needs. A patient stayed in touch with his or her doctor on a regular basis and the doctor could make care assessments and ongoing recommendations for patients over time.
Read MoreWith the 10th Annual Association of Clinical Documentation Improvement Specialists (ACDIS) Conference coming up this week in Las Vegas, Nevada, it is appropriate to remind healthcare professionals about the importance of medical coding audits and Clinical Documentation Improvement (CDI).
Read MoreThe main issue that needs to be considered regarding offshore vs. onshore coding is not where the support comes from, but the technology, training, and expertise of the coders. With high-speed connectivity, security, and coding workflow software, the location of the coder is not as important as the expertise of the coder.
Read MorePatient Collection Rates Are Plummeting as Out-of-Pocket Costs Rise – We Weren’t Surprised!
Posted on Thu, Apr 13, 2017 @ 11:09 AM
Hospitals reported that patient collection rates dropped by 17.6 percent once patients owed more than $1,200 in out-of-pocket costs, a Crowe Horwath study recently confirmed. Hospitals collect significantly less from patients with higher out-of-pocket costs. The study revealed that collection rates for patient accounts with balances greater than $5,000 were four times lower than collection rates for patient accounts with low-deductible health plans.
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