Managing claim denials is essential in the revenue cycle, recouping lost healthcare revenues and maximizing reimbursements. So what if you could stop (or at least reduce) claim denials in their tracks?Read More
On April 24, 2018, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that, in addition to many other policy revisions, is seeking to increase price transparency. If the proposal passes, the rule would require hospitals to post their pricing online.Read More
Did you know there’s a competition to determine the “best” coder? The 2nd Annual ICD-10 Coding Contest took place July 14 - August 11, 2017. Central Learning sponsored the coding competition and recruited coders from all over the nation to participate in coding a total of 1,636 real medical record cases. Ninety-nine percent of the participants were certified coders. The inpatient coders who participated had an average of 14.3 years coding experience while the outpatient coder experience averaged 9.9 years.Read More
We’ve all experienced both love and hate for something, admit it. I confess, I continue to experience a love-hate relationship with Denials. Let me explain.Read More
With the tedium of detail and legal jargon contained in the MACRA legislation (over 2,000 pages in the final release), how are small and mid-sized organizations supposed to keep up with all the requirements?Read More
The start of the new year is a great time to evaluate your facility’s past performance, identifying areas of excellence and areas for improvement. After evaluating the strengths and weaknesses of each department and your revenue cycle, crafting a set of resolutions can help you achieve optimal results and surpass prior year’s successes.Read More
Now that the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) regulations have been issued, small practices (15 fewer clinicians) need to immediately know what to do to prepare for the beginning of 2017.Read More
As it does every year, the Center for Disease Control (CDC) has released the top ten causes of death in the United States.
The 2015 list by incidence and prevalence:Read More
There is a lot of information floating around about Early Out Self-Pay, an emerging healthcare service necessity, but as with many things, not all of it is based in fact.
Creating a successful OutPartnering™ relationship depends greatly on finding a partner that you have synergy with, one who is in it for the long run. When engaging with a new partner focus on meeting your immediate objectives for today but also ensure that you have goals for future growth.
Productive and lasting relationships can be enhanced through regular meetings with your vendor. Weekly or bi-weekly meetings via conference call can allow both parties to voice concerns, find resolution to current issues, find opportunities for improvement and establish common goals for the future as well as celebrate successes.Read More
Do you spend sleepless nights thinking about how to maximize throughput within your revenue cycle functions? Throughputs can include increasing cash, decreasing days in revenue outstanding, improving customer satisfaction or maintaining compliance standards and the available strategies are often complicated by external factors such as: consumerism, newly insured patients, increases in patient liability, sophisticated payer edits, denials for payment and staff turnover.Read More