Remove Auditing Remove Information Remove Revenue Cycle
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Preparing for 2025: Key Trends & Predictions in Medical Collections

RevCycle

As healthcare providers navigate the evolving landscape of medical collections, staying informed about emerging trends and potential regulatory changes is crucial. HIPAA: Cybersecurity Focus: With increasing cyber threats, HIPAA may introduce stricter cybersecurity standards to protect patient health information.

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How To Maximize Medicare Reimbursements

RevCycle

Incorrect codes or insufficient documentation can lead to underpayments, claim denials, or even audits. The Centers for Medicare & Medicaid Services (CMS) regularly updates policies, reimbursement rates, and program requirements, so it’s essential for healthcare providers to stay informed about these changes.

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North American Assisted Living & Aged Care Purchasing, Procurement, Finance and Accounting Best Practices.

Compleatable

Cash Reserves : Maintain a cash reserve to cover unexpected expenses or revenue shortfalls, such as during periods of low occupancy. Revenue Cycle Management : Streamline billing and collections processes to ensure timely payments from residents, insurance companies, and government programs. Access and visibility are key.

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How Robotic Process Automation is Revolutionizing RCM

RevCycle

The Direct Link: How RPA Slashes Claim Denials Claim denials are a major pain point, impacting revenue and requiring significant administrative effort for rework. This means fewer claims submitted with missing or incorrect details. Documentation Issues: Ensuring the right documentation is attached to each claim is critical.

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Streamlining Payer Requests for Information: A Provider’s Guide

RevCycle

Hospitals are facing a growing threat to their bottom lines, namely payer requests for information (RFI’s). Cloud-Based Solutions: Consider adopting cloud-based solutions for revenue cycle management. Continuous Learning: Stay updated on industry trends and best practices related to revenue cycle management.

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The Evolution of Electronic Medical Claims and Revenue Cycle Management in the US Healthcare System

SSI Healthcare Rev Cycle Solutions

The Evolution of Electronic Medical Claims and Revenue Cycle Management in the US Healthcare System Home / November 29, 2023 In the constantly evolving landscape of US healthcare, the story of electronic medical claims and revenue cycle management stands out as a testament to technology’s transformative power.

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Infographic: Get Out of the Denial Danger Zone

SSI Healthcare Rev Cycle Solutions

A Path Forward: SSI Solutions (Claims Reporting and Analytics, Denial Management, Audit Management). Additional information including the denial reason code and the Electronic Remittance Advice (ERA “remit”) arms you with the detailed level of data you need to fix denials. The Good News: 2/3 of denials are recoverable!