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Three Revenue Cycle Challenges Caused by COVID-19

July 22, 2020

...and How to Solve Them

The healthcare industry is acclimating to a world in which COVID-19 persists. As regulations and mandates are regularly being introduced, providers are facing problems affecting the revenue cycle.

Here are three common challenges we've seen:

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News - Illinois Medicaid NIPS Billing Update

June 05, 2020

Effective July 1, 2020 Illinois Medicaid transitions Non-Institutional Provided Services (NIPS) to be billed on institutional claims.

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Powerful Analytics Drive Performance Improvement

April 20, 2020

Welcome to the third installment of our Expect More From Your Claim Scrubber series. If you missed Part 1 and Part 2, make sure you check them out!

We’ve been sharing all the details on how efficientC differentiates itself from other clearinghouses & claim scrubbers on the market.

Today, we’re shifting the focus to denial analytics and how one Wisconsin-based health system has been able to achieve a first pass yield of 90-95% with the help of efficientC.

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Focus on First Past Yield Supports Denial Prevention

March 13, 2020

Welcome to the second installment of our Expect More From Your Claim Scrubber series! If you missed the first article all about how efficientC differentiates itself from other claim scrubbers on the market, you can find it here. In this article, we’re diving into the importance of working with a claim scrubbing partner who prioritizes denial prevention by focusing on first pass yield.

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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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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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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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