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Revenue Cycle Matters - Insights & Tips to Improve Healthcare Collections

Lori Zindl

Recent Posts

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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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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Improve Your Collection Rate As Patient Balances Grow

February 26, 2018

High deductible plans and increasing copays and coinsurance are driving patient balances up. This trend is unlikely to change.

Almost 40% of employer-sponsored healthcare insurance plans require annual deductibles of $1000 per year, and that number keeps rising as employers scramble to reduce their costs while still offering insurance to their employees.

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Seven A/R Mistakes Costing You Money

December 01, 2017

The healthcare revenue cycle is dynamic and continues to evolve. As a result, healthcare professionals involved in revenue cycle management tend to face many challenges that if not done right, could cost your organization big money.

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10 Qualities of a Great Healthcare CFO

April 27, 2017

The role of a chief financial officer in today's dynamic healthcare landscape has evolved from a chief controller into a more strategic position overseeing many different parts of the organization — including compliance, finance, and risk management. In a 2015 survey of global CEOs by KPMG, 63% of the surveyed CEOs believe that the CFO’s role will continue to increase in significance over the next three years. 

What does it take to be a great hospital or health system CFO? It's a special blend of these 10 qualities.

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What's Eating Your Bottom Line: The True Cost of Denials

April 17, 2017

The Medical Group Management Association (MGMA) has estimated the average cost to rework a claim at $25, and it’s safe to say that cost is rising every year. Our statistics show that 90% of denials are preventable.

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5 Ways to Break up with Repeat Denials

February 14, 2017

Roses are red, denials are blue, a break up with repeats for Valentine's Day is easy to do.

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