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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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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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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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Do You Speak Revenue Cycle Management?

August 08, 2019

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!

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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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