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.Read More
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.Read More
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.Read More
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:Read More
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.Read More
Revenue Cycle Management is a vast operation for every healthcare organization starting prior to patient intake and continuing on through to financial reporting. Each stage of the healthcare revenue cycle has its own terminology that, for mere mortals (all of us), can increase the complexity of our day-to-day and make the job harder!Read More
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.Read More