Industry News
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Reduce Denials with a Pre-Bill Review
Question: How do I increase my clean claims rate and reduce my denial rate? Answer: Implement a Pre-Bill Review process. Most denials are caused by errors occurring on the front end of the revenue cycle. There are so many details involved with processes such as...
Minimizing Revenue Leakage in RCM
In the intricate world of healthcare, maintaining financial stability is a paramount concern for healthcare organizations. A significant threat to this stability comes in the form of revenue leakage, where potential earnings slowly seep away due to inefficiencies and...
Telehealth Billing Challenges in Physical Therapy RCM
Telehealth has revolutionized the healthcare landscape, allowing patients to receive essential care remotely. Physical therapy, a critical component of patient rehabilitation, has also embraced telehealth to provide effective treatments from a distance. However,...
Rejected Claims Analysis: Identifying Patterns and Preventing Recurring Issues
In the intricate landscape of healthcare revenue cycle management (RCM), rejected claims can disrupt financial workflows and hinder the efficiency of healthcare organizations. Analyzing rejected claims data has emerged as a crucial practice to not only identify...
Patient Financial Responsibility: Trends in Collecting Payments
The healthcare industry is in a state of constant evolution, and the realm of patient financial responsibility is no exception. As healthcare delivery models shift from fee-for-service to value-based care, healthcare organizations are facing novel challenges in...
How RCM Services Free Up Staff
In the fast-paced world of healthcare, administrative tasks can often overshadow the primary goal of providing quality patient care. Clinic staff, including physicians and nurses, can find themselves inundated with paperwork, claims processing, and billing duties that...
Tips to Speed Up Revenue Collection
In the realm of healthcare, financial stability is a vital factor in providing high-quality patient care. One of the most significant challenges healthcare organizations face is delayed reimbursements, which can disrupt cash flow and hinder the ability to deliver...
Incomplete Documentation: Impact on Revenue Cycle Efficiency
In the intricate world of healthcare, complete and accurate documentation is the backbone of effective patient care and streamlined revenue cycle management. Incomplete documentation, however, poses a significant challenge to the revenue cycle, impacting not only...
Evolving Healthcare Regulations: Challenges in Revenue Cycle Management
In the ever-evolving landscape of healthcare, staying abreast of changing regulations is crucial for successful revenue cycle management. As government policies, insurance standards, and compliance requirements shift, healthcare organizations find themselves...
Regulatory Changes in Physical Therapy Billing: What Clinics Need to Know
In the dynamic landscape of healthcare, regulatory changes are a constant factor that can significantly impact various aspects of clinical operations. For physical therapy clinics, staying informed about regulatory updates is essential, particularly when it comes to...
Orthopedic Coding: Deciphering the Complexities of Musculoskeletal Care
In the intricate realm of healthcare, orthopedics stands out as a specialized field dedicated to diagnosing and treating musculoskeletal conditions. Ensuring accurate reimbursement for orthopedic services relies on precise coding practices that reflect the complexity...