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Revenue Cycle Matters - Insights & Tips to Improve Healthcare Collections

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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News - Latest on Price Transparency

January 09, 2020


What to Watch in 2020

As is usually the case at the beginning of a year, health care providers can expect new rules and regulation changes from the Department of Health and Human Services.

Recently, there has been significant policymaker focus on the issues of price transparency. Here’s a look how some of the changes could impact health care providers and insurance plans.

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News - Latest Rules & Legislative Updates

January 03, 2020


What to Watch in 2020

As is usually the case at the beginning of a year, health care providers can expect new rules and regulation changes from the Department of Health and Human Services.

Recently, there has been significant policymaker focus on the issues of price transparency, health IT and the Final Rule from the Centers for Medicare & Medicaid Services regarding the Medicare Physician Fee Schedule (MPFS).

Here’s a look at some of the changes you’ll want to know about.

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Increase Satisfaction and Reimbursement by Knowing What Patients Want

December 11, 2019

If you ever doubted that interactions between patients and your registration and billing staff are important to reimbursement, consider how the Affordable Care Act ties reimbursement to patient satisfaction.

Here’s how: 

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Rural Hospitals Struggle to Stay Afloat

November 25, 2019

Rural hospitals, as defined by their geographic location, have an essential role in our nation’s healthcare system, as well as in the communities they serve. Unfortunately, trends in healthcare reimbursement and factors outside their control have put many of them into difficult financial situations.

In recent years, many of the 60 million Americans living in rural communities have watched helplessly as their only local source of healthcare disappears.

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Lori Zindl Behind the Scenes: A Conversation with her Daughter

November 04, 2019

efficientC | OS inc. is excited to announce that Lori Zindl, President, will be participating in a panel of female healthcare and technology innovators during HFMA’s November 8th conference for Women in Healthcare Leadership. It’s important to recognize and share the success stories of the tenacious, hard-working women who are redefining what it means to lead well in this space, and Lori Zindl is certainly one such woman.

As her daughter, I may be a little biased, but I’ve also had a front-row seat over the years as I’ve watched my mother's passion and drive transfer into the DNA of her companies. Being a young woman myself, studying to pursue my own passions, I sat down with my mom and asked her about her journey to today—the ups and downs of her career and the behind-the-scenes of the creation of OS inc. and efficientC.

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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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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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