Partners in Revenue Cycle Management

efficientC | OS inc. is excited to announce that Lori Zindl, President, will be participating in a panel of female healthcare and technology innovators during HFMA’s November 8^th conference for Women in Healthcare Leadership. It’s important to recognize and share the success stories of the tenacious, hard-working women who are redefining what it means to lead well in this space, and Lori Zindl is certainly one such woman.

As her daughter, I may be a little biased, but I’ve also had a front-row seat over the years as I’ve watched my mother's passion and drive transfer into the DNA of her companies. Being a young woman myself, studying to pursue my own passions, I sat down with my mom and asked her about her journey to today—the ups and downs of her career and the behind-the-scenes of the creation of OS inc. and efficientC.

It’s an often-debated topic within health care organizations: whether or not to outsource components of their revenue cycle. As much as you might like to manage all aspects of the revenue cycle in-house, you may be seeing signs that are nudging you toward outsourcing.

Key drivers behind an organization’s decision to outsource include increasingly complex payer rules and coding procedures as well as the continued decline in reimbursement from payers.

Industry experts advise that if you find yourself asking some of the following questions, it might be time for you to consider outsourcing:

In a perfect world, your claims would leave your business office “clean” and be paid promptly.

No denials, no delays, and no reductions in payment. But the world of health care providers and payers is not perfect; nor is it simple.

Increasing the number of claims that get paid on the first submission takes time, effort, and quality control. It is possible, however, to apply strategies that help reduce avoidable claim denials – those that could be prevented by your organization – and take a critical step toward improving revenue cycle management.