[BLOG] Build a Nurse Staffing Program Like the Pros
As the healthcare industry continues to experience a shortage of qualified workers, hospitals are finding it difficult to fill open shifts. In order to maintain patient safety and quality of care, it is essential that hospitals have enough staff on hand at all times. The current nursing shortage in the United States is well-documented. The […]
[BLOG] Cut Through the Madness of Prior Authorizations
By: Donald Drummy, Director, Revenue Cycle Consulting As revenue cycle professionals, we often see the burden prior authorizations cause on our patients and providers. I am passionate about making the process easier to get faster patient care access, but I see the scenarios below all too often. Picture it: Your doctor tells you that you […]
[BLOG] The Importance of Worker Productivity in RCM
One of the biggest challenges facing revenue cycle management today is the productivity of the workforce. With the shift to remote and hybrid work environments over the past few years, it has become much harder to manage the day-to-day activities of a revenue cycle staff. Core functions like denials and cash collection used to be […]
[BLOG] Why is Great EHR At-the-Elbow Support Critical?
Hospital systems that make the decision to invest in EHR systems are looking for significant gains. Usually, that comes in the form of increased revenue, decreased denials, and improved cash collection. But as any successful CFO will tell you, achieving those outcomes can not be done by just implementing an EHR system by itself. It […]
[BLOG] The Importance of Patient Registration
By: Gina Stinson, Senior Director, Revenue Cycle Everyone who has ever been to a hospital or clinic has been through the patient registration process. If you’re not part of revenue cycle management, you probably don’t realize just how important it is to get a patient’s upfront registration correct. In many cases, it costs tens of […]
[BLOG] Reimbursements for Motor Vehicle Accidents
By: Will Love, Director of Denials and Underpayments Over the previous five decades, motor vehicle accidents (MVAs) have increased emergency department (ED) visits in metro- area hospitals. While most MVAs cause minimal injury, injured motorists are lawfully entitled to a hospital visit, by ambulance if needed, following a car crash. With EDs daily treating MVA […]
[BLOG] The Importance of Revenue Cycle Management
Introduction Healthcare providers are always looking for ways to improve their revenue cycle management. This is the process of tracking patient payments and insurance claims from the time of service to the time of payment. By improving this process, hospitals can reduce the amount of money they lose by not being able to track patients’ […]
[BLOG] Quick Overview of the Services Approval Process
For anyone new to revenue cycle management, understanding all the terms, acronyms, and standard operating procedures can be overwhelming. So we continue to do what we can to create quick guides and simple reference materials that can help bring employees up to speed (like this one: Revenue Cycle Terms & Acronyms Quick Reference Guide). ‘Service […]
[BLOG] The Why and How of Forming Payor Relationships
By Will Love, Director of Denials and Underpayments @Healthrise Over the previous five decades, the American healthcare system has moved further and further toward a managed care model of reimbursement. Since the year 2000, patient out-of-pocket payments have constituted only 3% of hospital revenue, and hospitals with high volumes of Medicare and Medicaid patients may […]
[BLOG] These Denial Analytics Add More Efficiency
By: Gina Stinson, Senior Director, Revenue Cycle Want to take your denial analytics to the next level? You can by incorporating select data elements into the mix. What are these elements, and why are they recommended? Let’s dive in and learn more. 1 – Group Number The group number is a systematic differentiator – it […]