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Revenue Cycle Matters - Insights & Tips to Improve Healthcare Collections

Chris Hegwood

Recent Posts

Expect More from Your Clearinghouse - The efficientC Difference

February 17, 2020

As a healthcare leader in 2020, your bottom line is largely dependent on your ability to get claims paid accurately and on time—contributing to predictable cash flow and less costly re-work by billing staff. So keep the New Year going strong by taking steps to improve that bottom line.

The first step?

Begin by taking a closer look at your clearinghouse, which is arguably the most important technology in the revenue cycle. It is responsible for transmitting claims to payers, but even more importantly, it should have powerful claim scrubber technology. A clearinghouse that submits inaccurate claims, while touting a high clean claim rate, will create more follow-up work and increase operating costs.

Don’t take your clearinghouse for granted.

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Plan for Revenue Cycle Success in 2020

January 22, 2020

 

Setting Your Revenue Cycle Goals

The best hedge against problems down the road is a solid plan. Even the most well-run organizations can benefit from goal setting at least annually. Giving yourself and your staff a set of goals to strive for provides you with benchmarks that help you determine if you are succeeding.

To realize your goals, you need to know how to set them. Goal setting is a process that starts with careful consideration of what you want to achieve, followed by specific steps, and some hard work.

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Keep it or let it go?

October 03, 2019

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:

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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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HFMA ANI 2017: Chris Hegwood Q&A

June 19, 2017

Later this week, over 5,000 healthcare finance professionals are expected to descend on Orlando, Florida for the Healthcare Financial Management Association's Annual National Institute.

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How Critical Access Hospitals Can Achieve Financial Sustainability

April 03, 2017

Critical access hospitals provide healthcare to millions of Americans across the country. As the economic anchor of their community, it's vital they achieve and maintain financial sustainability.

We've identified the top five pain points of CFOs in critical access hospitals:

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