Category Archives: Best Practices

4 Areas Better Practices Perform Better

MGMA: 4 management areas in which better performers excel October 28, 2014 | By Debra Beaulieu-Volk There are common traits among better-performing medical practices, according to data from the Medical Group Management Association (MGMA) released at this year’s annual meeting in Las Vegas. In particular, groups earning the “better performing” designation held sharp focus in the…

Continue Reading →

4 Areas Better Practices Perform Better

MGMA: 4 management areas in which better performers excel October 28, 2014 | By Debra Beaulieu-Volk There are common traits among better-performing medical practices, according to data from the Medical Group Management Association (MGMA) released at this year’s annual meeting in Las Vegas. In particular, groups earning the “better performing” designation held sharp focus in the…

Continue Reading →

Revenue Cycle Tips

10 Quick Revenue Cycle Tips

Patient Related: Make sure patient demographics are clean. Verify patient eligibility before every encounter and determine the patient’s financial responsibility. Collect all patient responsibility at the time of visit (copays, deductibles, and balances). Define your financial policy regarding patient payments. Your office policy is critical to ensuring that all patients under-stand their responsibility and that…

Continue Reading →

The ASC Recipe for Success

Tip for ASC RCM Success

Change has been hitting the Ambulatory Surgery Center (ASC) space full blast.  Reimbursement and revenue cycle issues are the number one issue for surgery centers.  EDI expert Vanessa DiMantova touches on some of the revenue cycle dynamics for ASCs. Recent surveys show 51% of ASC Managers identify proper reimbursement as their number one practice issue. …

Continue Reading →

Regulatory Compliance

‘Final’ ICD-10 date to heat things up

Revenue cycle management companies are poised to gain from the ‘final’ ICD10 date says John Andrews after reviewing the most recent Black Book report and interviewing Tom Giannulli, MD. If survey data from Brown-Wilson’s Black Book Rankings is any indication, professional RCM (revenue cycle management) companies stand to gain a lot of business from physicians…

Continue Reading →

Key elements of new ehr

The second wave is coming. Will your EMR make the grade?

Normally I wouldn’t comment on EHR but revenue cycle management and electronic health records are now permanently interconnected.    Bill Crounse makes some salient points regarding what is coming in the second wave of EHRs.  Standout elements include: User Interface Cloud First, Mobility First Universal Communications Clinical and Business Analytics Read the details of Dr.…

Continue Reading →

There’s finally someone in charge of HealthCare.gov

There’s finally someone in charge of HealthCare.gov

Kevin Counihan has been announced as the chief executive for HealthCare.gov. The head of Connecticut’s successful exchange has been hired to run HealthCare.gov. (Photo by Andrew Harrer/Bloomberg) Welcome to Health Reform Watch, Jason Millman’s regular look at how the Affordable Care Act is changing the American health-care system — and being changed by it. You…

Continue Reading →

Taking the Guesswork Out of Prior Authorization

Electronic authorization transactions are needed to improve efficiency across both clinic and revenue cycle operations. This is an excellent step forward. “Is this medication covered by my patient’s health insurance plan?” This frustrating question is faced many times each day by physicians.  Getting drug coverage answers is often tedious and time consuming due to the…

Continue Reading →

Could electronic transactions save healthcare $8B in these 6 areas?

There is room for greater efficiency in every area of revenue cycle management at present.  Becker’s touches here on 6 areas: Claims Submission Eligibility & Benefit Verification Prior Authorization & Referral Certification Claim Payment Claim Status Inquiries Claims Remittance Advice & Receiving & Posting Payments The value of improvements in these areas is an estimated…

Continue Reading →

ICD10 Testing

How to get started with ICD-10 testing

An important part of preparing for ICD10 is testing.  Last year before ICD10 was bumped to October 2015 only a small number of organizations had tested for ICD10.  Are you ready for ICD10 yet?  Here’s how to get started with testing. It may seem a bit too early to start testing your systems for ICD-10…

Continue Reading →

Page 1 of 2