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Revenue Cycle Matters - Insights & Tips to Improve Healthcare Collections

Lori Zindl

Recent Posts

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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What's Your GDRO? Revenue Cycle Management Strategy in Rural Hospitals

January 16, 2017

Depending on the response, your rural hospital may be suffering from an ineffective revenue cycle management strategy. If that's not the case, there is a severe breakdown in your revenue cycle. Typically, rural hospitals or any hospital for that matter should have GDRO in the 30s or better.

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Why Healthcare CFOs Are Seeking Out Revenue Cycle Experts in 2017

December 15, 2016

It's becoming increasingly difficult for healthcare CFOs to focus on the revenue cycleHealthcare CFOs face rapidly changing payer systems, more complex regulations, and an outdated digital infrastructure. In addition, health care providers will transition to value-based payment reimbursement models in 2017.

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Back to Basics: Decreasing Time in Accounts Receivable

November 30, 2016

The A/R clock starts ticking once a medical claim is submitted to the payer. Is your health care organization prepared to beat the clock?  

The current industry standard is < 30 days but some health care providers and medical practices are missing the mark. Errors in claims, multiple denial appeals, and/or missing timely filling dates are all contributing to an increased A/R.  

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Real Impact of Denials Continues to Make Headlines

August 10, 2016

Beckers Hospital Review recently published an article about the 4 ways healthcare organizations can reduce claim denials. The article covers the most common reasons for denials and how organizations can work to reduce denials – change the paradigm in denial management, use predictive analytics, invest in relationships with payers and focus on quality of patient data.

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Don't Forget Denials When Aiming for Patient Satisfaction

July 06, 2016

In May 2016, the Department of Health and Human Services (HHS) announced “A Bill You Can Understand” Design and Innovation Challenge: Help Patients Understand Their Medical Bills and the Financial Aspect of Health. Simply put, design a simplified medical bill that is easy to interpret.

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Are You Putting This Type of PHI in Your Emails? You Shouldn’t Be.

November 16, 2015
Are You Putting This Type of PHI in Your Emails? You Shouldn’t Be.

Cyber security remains a hot topic in the world of health data. When it comes to patient privacy, there’s no such thing as “too careful.” Although disclosure of PHI is necessary for billing functions, often more information is used than is actually needed to complete the task, especially e-PHI used in emails between staff and associated vendors.

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The 21st Century Biller

August 24, 2015

The healthcare landscape is rapidly changing, and sitting with a front seat view is the hospital business office. The uncertainty of ICD-10, healthcare reform and changing reimbursement rates, payer rules, compliance regulations…it's a lot to take in. A business office needs to be adaptable and ready to make adjustments. With the advantage of evolving technology around claim submission and editing, that includes adjusting the roles of its personnel, namely the medical biller.

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