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Revenue Cycle Matters - Insights & Tips to Improve Healthcare Collections

Increasing First Pass Payment Success in Your Revenue Cycle

September 10, 2019

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.

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Are you Settling for Mediocre GDRO?

August 21, 2019

As a revenue cycle consultant for Zimmerman & Associates in the early 90s, I served as an analyst for the HARA report. For those of you who started your career after it was in circulation or don’t recognize the name, HARA stood for Hospital Accounts Receivable Analysis. At the time, it was the industry-leading publication that discussed healthcare billing best practices and trended major KPIs. Which brings me to my reason for this article - the GDRO benchmark (Gross Days Receivable Outstanding) for a superior performing hospital at the time was anyone reporting 60 days or less.

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Do You Speak Revenue Cycle Management?

August 08, 2019

Revenue Cycle Management is a vast operation for every healthcare organization starting prior to patient intake and continuing on through to financial reporting. Each stage of the healthcare revenue cycle has its own terminology that, for mere mortals (all of us), can increase the complexity of our day-to-day and make the job harder!

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Elevate Revenue Cycle Performance by Leveraging Analytics & Business Partner Expertise

July 25, 2019

In our previous Revenue Cycle Matters posts, we discussed the importance of clearinghouse and claim scrubber partners as part of an effective revenue cycle management strategy. We also highlighted the benefits of focusing on first pass yield and clearinghouse features that support positive collection outcomes. 

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How do You Measure Revenue Cycle Management Success?

July 10, 2019

 

Debunking the Clean Claim Rate Fallacy

Benchmarking the effectiveness of a clearinghouse can be done in many ways and most clearinghouses use clean claim rate, as the success criterion making them the best choice for your revenue cycle.

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Should You Expect More from Your Clearinghouse?

June 26, 2019

Welcome to our first installment of Revenue Cycle Matters. Our goal is to provide compelling content that matters to you and your revenue cycle on a monthly basis. 

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Paperless Claims: It's More Than efficientC

May 17, 2019

 

CMS reported almost 100% adoption of rate electronic claim submission in 2016. According to CAQH, The commercial healthcare industry could save over $8 billion annually by fully adopting electronic processes for six of the most common claims-related administrative processes. 

Paperless claims have many advantages including quicker detection of errors, faster payment, and lower administrative costs which positively impacts your revenue cycle

 

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2019 May Revenue Cycle Events

May 01, 2019

After the excitement of the new year wears off, we quickly fall into a routine and when we are busy with day-to-day responsibilities, it is easy to push self-development to the bottom of our list of priorities. 

One way to break out of the monotony and get inspired is to set your out of the office reply and attend a revenue cycle conference or seminar. Many events offer agendas with a good mix of presentations centered on industry-leading best practices, team & leadership development and speakers sharing perspectives on the future of healthcare. 

Spring is always the busy season for conferences and here's a list of upcoming revenue cycle events the efficientC team is heading to in the coming weeks.

Check out our speaking engagements and exhibiting events below. 

Will you be attending these too? Let us know! 

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The Cure for Revenue Cycle Leakage

May 14, 2018

Rural hospitals can’t afford revenue leakage, and while most CFO’s might have an idea about the most common sources, unfortunately a majority do not know the depths of the problem or how much revenue they’re truly missing out on.

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