Partners in Revenue Cycle Management

Health care providers are encountering several problems stemming from the increase in telehealth usage, many of which are directly tied to the COVID-19 pandemic.

Many physicians are now working remotely as clinics have been partially or fully closed during the pandemic. These clinics need to do what they can to maintain profitability during this time.

The Office of Civil Rights (OCR) has relaxed some requirements and waived penalties for HIPAA violations against health care providers. Relaxing HIPAA requirements allows for the use of “in good faith” technologies such as FaceTime or Skype during COVID-19. Currently there is no expiration date to these new guidelines.

With OCR’s new waiver, it is easier to get the face-to-face technology set up the “new” telehealth way. What is not so easy, is making sure that services rendered translate to income for providers.

It’s been said that now is boom time for telehealth in the US, but that may be an understatement.

For decades, telehealth services have been beneficial in rural regions because they reduce barriers to care for people who live far from specialists and other services. Apart from that, they were not widely used elsewhere. 

Over the years, however, the use of telehealth services has been increasing steadily, and the method of delivery has evolved from telephone to videoconferencing and other technologies.

Today, the spread of the COVID-19 virus has created a surge in demand for telemedicine because it is perfect for providing virtual services to patients.

Welcome to the third installment of our Expect More From Your Claim Scrubber series. If you missed Part 1 and Part 2, make sure you check them out!

We’ve been sharing all the details on how efficientC differentiates itself from other clearinghouses & claim scrubbers on the market.

Today, we’re shifting the focus to denial analytics and how one Wisconsin-based health system has been able to achieve a first pass yield of 90-95% with the help of efficientC.