Beacon Partners White Paper Understanding Revenue Cycle Strategypvillacci
The document discusses optimizing the revenue cycle process through people, processes, and technologies. It emphasizes the importance of well-educated staff, clearly defined processes and policies, and integrating different technologies like EMRs. The revenue cycle manager must measure performance, identify areas for improvement, and ensure effective communication across departments to streamline the revenue cycle and minimize errors. Denials reveal inefficiencies and where processes can be improved to increase payments received.
You know medical billing is a crucial part of your private practice, but why exactly is it so vital? This presentation explains why medical billing is a matter of survival. Claims must be submitted in a timely manner in order for physicians to get paid for their services.
Looking for ways to maximize reimbursement? Interested in outsourcing your medical billing?
Visit Our Website: http://www.CaptureBilling.com/
Emerging trends in revenue cycle management presentation v6.0 finalDavid
This document summarizes emerging trends in revenue cycle management. It discusses how the definition of revenue cycle management has expanded to focus on both the front-end and back-end of the process. Motivations for changes include reducing costs and improving cash flow. New goals include automating processes, improving the patient experience, and coordinating with payers. Hospitals are implementing integrated systems to improve workflows, reduce errors and denials, and allow for data-driven management. The benefits include improved cash flow, coordination with payers, reduced administrative expenses, and higher employee morale.
The document discusses the benefits of using an external billing company like CureMD to manage a medical practice's revenue cycle. It outlines key aspects of CureMD's billing process, including insurance verification, claim submission, denial management, and payment verification. It also notes that CureMD can reduce operational costs by 60% compared to in-house billing and provides integrated software and financial reporting for practices. The presentation emphasizes that effective revenue cycle management is important for practices to maximize reimbursements and avoid lost revenue.
Cardiology Coding Got You Down? Use These 5 Tips for Success!Manny Oliverez
Struggling with billing for your cardiology practice? In this presentation, we discuss 5 challenges to proper documentation and coding in a cardiology practice. These challenges include human errors, lack of knowledge regarding current coding and documentation standards, working and charting in multiple care environments, and/or not coding to the highest degree of specificity.
Visit Our Website: http://www.CaptureBilling.com/
Technomine is an ISO 9001:2008 certified outsourcing company founded in 2008 that provides business process outsourcing services primarily in the healthcare domain, including medical billing, coding, revenue cycle management, and staffing services. They leverage technology, processes, and domain expertise to maximize financial and operational performance for clients. Technomine aims to help clients focus on their core business by taking over non-core activities and ensuring quality, consistent performance and value.
Healthcare Industry Highlight: Revenue Cycle ManagementCascadia_Capital
In our most recent Healthcare Industry Highlight Report on Revenue Cycle Management, we outline the trends driving consolidation and increased market activity and make predictions on the outlook and future of the RCM ecosystem.
Accretive Health - Revenue Cycle Management - Medical Billing Services AccretiveHealth
Our technology is a critical component of our end-to-end solution. It integrates seamlessly with clients' existing systems through standard protocols to provide a complete view of the revenue cycle from front to back without requiring a system conversion. This allows us to effectively analyze performance, identify issues, and drive improvements across the entire revenue cycle process.
Beacon Partners White Paper Understanding Revenue Cycle Strategypvillacci
The document discusses optimizing the revenue cycle process through people, processes, and technologies. It emphasizes the importance of well-educated staff, clearly defined processes and policies, and integrating different technologies like EMRs. The revenue cycle manager must measure performance, identify areas for improvement, and ensure effective communication across departments to streamline the revenue cycle and minimize errors. Denials reveal inefficiencies and where processes can be improved to increase payments received.
You know medical billing is a crucial part of your private practice, but why exactly is it so vital? This presentation explains why medical billing is a matter of survival. Claims must be submitted in a timely manner in order for physicians to get paid for their services.
Looking for ways to maximize reimbursement? Interested in outsourcing your medical billing?
Visit Our Website: http://www.CaptureBilling.com/
Emerging trends in revenue cycle management presentation v6.0 finalDavid
This document summarizes emerging trends in revenue cycle management. It discusses how the definition of revenue cycle management has expanded to focus on both the front-end and back-end of the process. Motivations for changes include reducing costs and improving cash flow. New goals include automating processes, improving the patient experience, and coordinating with payers. Hospitals are implementing integrated systems to improve workflows, reduce errors and denials, and allow for data-driven management. The benefits include improved cash flow, coordination with payers, reduced administrative expenses, and higher employee morale.
The document discusses the benefits of using an external billing company like CureMD to manage a medical practice's revenue cycle. It outlines key aspects of CureMD's billing process, including insurance verification, claim submission, denial management, and payment verification. It also notes that CureMD can reduce operational costs by 60% compared to in-house billing and provides integrated software and financial reporting for practices. The presentation emphasizes that effective revenue cycle management is important for practices to maximize reimbursements and avoid lost revenue.
Cardiology Coding Got You Down? Use These 5 Tips for Success!Manny Oliverez
Struggling with billing for your cardiology practice? In this presentation, we discuss 5 challenges to proper documentation and coding in a cardiology practice. These challenges include human errors, lack of knowledge regarding current coding and documentation standards, working and charting in multiple care environments, and/or not coding to the highest degree of specificity.
Visit Our Website: http://www.CaptureBilling.com/
Technomine is an ISO 9001:2008 certified outsourcing company founded in 2008 that provides business process outsourcing services primarily in the healthcare domain, including medical billing, coding, revenue cycle management, and staffing services. They leverage technology, processes, and domain expertise to maximize financial and operational performance for clients. Technomine aims to help clients focus on their core business by taking over non-core activities and ensuring quality, consistent performance and value.
Healthcare Industry Highlight: Revenue Cycle ManagementCascadia_Capital
In our most recent Healthcare Industry Highlight Report on Revenue Cycle Management, we outline the trends driving consolidation and increased market activity and make predictions on the outlook and future of the RCM ecosystem.
Accretive Health - Revenue Cycle Management - Medical Billing Services AccretiveHealth
Our technology is a critical component of our end-to-end solution. It integrates seamlessly with clients' existing systems through standard protocols to provide a complete view of the revenue cycle from front to back without requiring a system conversion. This allows us to effectively analyze performance, identify issues, and drive improvements across the entire revenue cycle process.
Physician Billing Services (PBS) provides revenue cycle management services such as medical billing, coding, and collections to healthcare providers. It aims to partner with consulting groups to expand its client base. As a partner, a consulting group would refer clients to PBS for revenue cycle services, earn commissions, and have PBS support its sales efforts. To partner with PBS, a group would need to promote PBS's services and provide client referrals.
Sun Knowledge Revenue Cycle Management ServicesSun Knowledge
Sun Knowledge Revenue Cycle Management gives you a clear visibility of your finances through payment follow-up. Prosthetics and orthotics billing are handled diligently.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
Dan Wellisch gave this presentation to the Chicago Technology For Vaue Based Healthcare Meetup at https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/
The document defines revenue cycle management and its key components. It begins by providing the Healthcare Financial Management Association's definition of revenue cycle as encompassing all administrative and clinical functions from creating a patient account through payment collection. It describes revenue cycle processes as interdependent and notes that early errors can significantly impact revenue recovery costs. The rest of the document provides more details on the various components and goals of revenue cycle management.
Eight strategies to get paid - Revenue Cycle ManagementJames Muir
Join revenue cycle management expert Elizabeth Woodcock & James Muir to dissect the eight strategies for surviving and thriving in today’s turbulent reimbursement environment. This webinar will empower you with solutions to make your practice a top performer. In addition, attendees of this live webinar can quality for CEU credits.*
After this session, you’ll be able to:
Evaluate payer contracting opportunities and pitfalls
Determine contract management procedures to ensure appropriate payment
Implement effective methods of setting patient’s expectations for payment – before the visit
Apply time-of-service collections techniques
Develop denial prevention and management procedures
Assess technologies to support efficient revenue cycle management
Identify staffing needs for successful revenue cycle management
Differentiate the elements of reporting key performance indicators for revenue cycle management
Lean Strategies in Healthcare Revenue Cycle ManagementInvensis
Did you know? Revenue cycle inefficiencies accounted for 15% of 2.7 trillion spent on healthcare, or about $400 billion. Join Dr. Steven M Wagner to understand how to align continuous quality improvement through lean method for staff and management to overcome income obstacles in healthcare and help them to learn and experiment with strategies to address them.
We provide complete end to end solutions for Health care providers and payers.
We have rich experience in Revenue cycle Management services.
We have a strong team of AAPC certified coders, Billing Specialists and Denial management team.
We are currently looking for partner in revenue share for the business they bring in or Vendor partner relationship.
Sun Knowledge - Practice Management and Revenue Cycle Management Services PPTMichael Smith
Sun Knowledge – A Practice Management and Revenue Cycle Management Company.
Contact Details:
New York Office - 41 Madison Avenue, 25th Floor, NY 10010
Phone - +1 212-400-6100, Email - contact@sunknowledge.com
Website - www.sunknowledge.com
Facebook - https://www.facebook.com/SunKnowledge
Twitter - https://twitter.com/sunknowledge
LinkedIn - https://www.linkedin.com/company/sun-knowledge
Google plus - https://plus.google.com/+SunknowledgeInc
We provide our tailored solutions for any healthcare practices helping them gain more reimbursements with reduced TAT. Over the years, we have developed our specialization with an astute understanding of Payer processes helping you set the tone with better collections.
Our clients prefer us for:
~ Powerful references from major healthcare providers and health insurance payers
~ Instant reduction of billing costs by 70%
~ Managing high volume claims with robust processes
~ Collections of up to 97%
~ 99% medical billing & coding accuracy
Sun Knowledge is a revenue cycle management company and expert in various practice management software. We also provide services for following medical billings, medical coding, account receivable, denial managements, claims adjudications, claim processing, authorization and verification, insurance follow up, and many more.
We are specialize in Hospitals, urgent care centers, DME, orthotics, prosthetics, Nursing home, physician office and many more billing industry.
GoTelecare Medical Billing & Coding ServicesGoTelecare
GoTelecare is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain. We deliver proprietary technologies, workflow and business processes to cater to various medical billing & coding requirements of our clients. We specialize in turnkey Revenue Cycle Management services, account receivables recovery & clean-up, DME billing and a complete range of billing & coding services for pharmacies, physicians, hospitals, nursing homes, urgent care centers, drug rehab centers and more.
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
6 revenue cycle metrics you must be tracking nowango mark
Learn how you can improve the financial performance year on year. Leverage your practice revenue cycle metrics by setting benchmarks & KPIs for your billing department - http://bit.ly/2hwlqpm
What is revenue cycle management? How does it impact your practice’s ability to maintain profitability? What are the critical steps to take when managing your revenue cycle? This Quirk Healthcare Solutions Insights webinar will lead you through the important healthcare provider business practice of revenue cycle management. We’ll discuss the stages of RCM, development of a fee schedule, establishing financial policies, billing and collection cycles, and the practical application of revenue cycle management.
Coding & Billing Services for DME (Durable Medical Equipment), Prosthetics & ...GoTelecare
Overview of full range of medical coding & billing services for DME, Prosthetics & Orthotics provided by GoTelecare.
GoTelecare is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain. We deliver proprietary technologies, workflow and business processes to cater to various medical billing & coding requirements of our clients. We specialize in turnkey Revenue Cycle Management services, Account Receivables collection & clean-up, DME / Prosthetics & Orthotics billing and provide a complete range of billing & coding services for pharmacies, physicians, hospitals, nursing homes, urgent care centers, drug rehab centers and more.
Claim denials are costly. Learn the basics of establishing a strong denial management process and strategies to place your focus on denial prevention. Learn to reduce your costs associated with collection on your claims, reduce your days in AR and maintain a healthier Revenue Cycle.
The document discusses how hospitals and health systems can prepare for bundled payments and pay-for-performance contracting. It outlines challenges such as fluctuating profits, rising costs, and shifting to outpatient care. It also discusses the need for data aggregation and business intelligence tools to track costs, utilization, and quality measures in order to succeed under new payment models.
Frequent internal or external audits can reveal inaccuracy issues, such as outdated codes or even fraudulent billing. These audits provide a quality assurance process that helps organizations obtain proper reimbursement and maintain regulatory compliance.
http://www.modernhealthcare.com/article/20140514/SPONSORED/305149926/webinar-turning-insight-into-action-analytics-effective-denials
Join us to learn how leaders at Middlesex Hospital turned insight into action by leveraging analytics to drive financial performance. This presentation will showcase how Middlesex streamlined its Denials Management process by using analytics to identify trends and opportunities for improvement, as well as for departmental managers to monitor operational aspects of the business.
By attending this webinar, you will learn:
- How post-denial write-off analytics provide immediate feedback for targeting payers, service type, denial type and/or high-dollar areas
- The impact near-real-time data can have on the feedback loops working with clinical departments
- The financial benefit of investing in a dedicated a Denials Management team
This document outlines a sample claims management process for a physician practice with 14 steps. The process begins with patient registration, verification of insurance benefits, and check-in. It continues with clinical documentation of services, assigning codes, patient check-out, coding review, pre-authorization if needed, claim generation, claim review, processing by the health insurer, collections if needed, posting payments, appeals if claims are denied, and ends with a glossary. Implementing this detailed process is intended to increase efficiency, submit clean claims, reduce denials, and ensure timely payments from health insurers.
Physician Billing Services (PBS) provides revenue cycle management services such as medical billing, coding, and collections to healthcare providers. It aims to partner with consulting groups to expand its client base. As a partner, a consulting group would refer clients to PBS for revenue cycle services, earn commissions, and have PBS support its sales efforts. To partner with PBS, a group would need to promote PBS's services and provide client referrals.
Sun Knowledge Revenue Cycle Management ServicesSun Knowledge
Sun Knowledge Revenue Cycle Management gives you a clear visibility of your finances through payment follow-up. Prosthetics and orthotics billing are handled diligently.
Hospitals and health systems are struggling to maximize the benefits of innovative technology to better manage uncompensated care and revenue integrity, suggests a HFMA/Navigant survey of 125 provider CFOs and revenue cycle management executives.
Dan Wellisch gave this presentation to the Chicago Technology For Vaue Based Healthcare Meetup at https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/
The document defines revenue cycle management and its key components. It begins by providing the Healthcare Financial Management Association's definition of revenue cycle as encompassing all administrative and clinical functions from creating a patient account through payment collection. It describes revenue cycle processes as interdependent and notes that early errors can significantly impact revenue recovery costs. The rest of the document provides more details on the various components and goals of revenue cycle management.
Eight strategies to get paid - Revenue Cycle ManagementJames Muir
Join revenue cycle management expert Elizabeth Woodcock & James Muir to dissect the eight strategies for surviving and thriving in today’s turbulent reimbursement environment. This webinar will empower you with solutions to make your practice a top performer. In addition, attendees of this live webinar can quality for CEU credits.*
After this session, you’ll be able to:
Evaluate payer contracting opportunities and pitfalls
Determine contract management procedures to ensure appropriate payment
Implement effective methods of setting patient’s expectations for payment – before the visit
Apply time-of-service collections techniques
Develop denial prevention and management procedures
Assess technologies to support efficient revenue cycle management
Identify staffing needs for successful revenue cycle management
Differentiate the elements of reporting key performance indicators for revenue cycle management
Lean Strategies in Healthcare Revenue Cycle ManagementInvensis
Did you know? Revenue cycle inefficiencies accounted for 15% of 2.7 trillion spent on healthcare, or about $400 billion. Join Dr. Steven M Wagner to understand how to align continuous quality improvement through lean method for staff and management to overcome income obstacles in healthcare and help them to learn and experiment with strategies to address them.
We provide complete end to end solutions for Health care providers and payers.
We have rich experience in Revenue cycle Management services.
We have a strong team of AAPC certified coders, Billing Specialists and Denial management team.
We are currently looking for partner in revenue share for the business they bring in or Vendor partner relationship.
Sun Knowledge - Practice Management and Revenue Cycle Management Services PPTMichael Smith
Sun Knowledge – A Practice Management and Revenue Cycle Management Company.
Contact Details:
New York Office - 41 Madison Avenue, 25th Floor, NY 10010
Phone - +1 212-400-6100, Email - contact@sunknowledge.com
Website - www.sunknowledge.com
Facebook - https://www.facebook.com/SunKnowledge
Twitter - https://twitter.com/sunknowledge
LinkedIn - https://www.linkedin.com/company/sun-knowledge
Google plus - https://plus.google.com/+SunknowledgeInc
We provide our tailored solutions for any healthcare practices helping them gain more reimbursements with reduced TAT. Over the years, we have developed our specialization with an astute understanding of Payer processes helping you set the tone with better collections.
Our clients prefer us for:
~ Powerful references from major healthcare providers and health insurance payers
~ Instant reduction of billing costs by 70%
~ Managing high volume claims with robust processes
~ Collections of up to 97%
~ 99% medical billing & coding accuracy
Sun Knowledge is a revenue cycle management company and expert in various practice management software. We also provide services for following medical billings, medical coding, account receivable, denial managements, claims adjudications, claim processing, authorization and verification, insurance follow up, and many more.
We are specialize in Hospitals, urgent care centers, DME, orthotics, prosthetics, Nursing home, physician office and many more billing industry.
GoTelecare Medical Billing & Coding ServicesGoTelecare
GoTelecare is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain. We deliver proprietary technologies, workflow and business processes to cater to various medical billing & coding requirements of our clients. We specialize in turnkey Revenue Cycle Management services, account receivables recovery & clean-up, DME billing and a complete range of billing & coding services for pharmacies, physicians, hospitals, nursing homes, urgent care centers, drug rehab centers and more.
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
6 revenue cycle metrics you must be tracking nowango mark
Learn how you can improve the financial performance year on year. Leverage your practice revenue cycle metrics by setting benchmarks & KPIs for your billing department - http://bit.ly/2hwlqpm
What is revenue cycle management? How does it impact your practice’s ability to maintain profitability? What are the critical steps to take when managing your revenue cycle? This Quirk Healthcare Solutions Insights webinar will lead you through the important healthcare provider business practice of revenue cycle management. We’ll discuss the stages of RCM, development of a fee schedule, establishing financial policies, billing and collection cycles, and the practical application of revenue cycle management.
Coding & Billing Services for DME (Durable Medical Equipment), Prosthetics & ...GoTelecare
Overview of full range of medical coding & billing services for DME, Prosthetics & Orthotics provided by GoTelecare.
GoTelecare is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain. We deliver proprietary technologies, workflow and business processes to cater to various medical billing & coding requirements of our clients. We specialize in turnkey Revenue Cycle Management services, Account Receivables collection & clean-up, DME / Prosthetics & Orthotics billing and provide a complete range of billing & coding services for pharmacies, physicians, hospitals, nursing homes, urgent care centers, drug rehab centers and more.
Claim denials are costly. Learn the basics of establishing a strong denial management process and strategies to place your focus on denial prevention. Learn to reduce your costs associated with collection on your claims, reduce your days in AR and maintain a healthier Revenue Cycle.
The document discusses how hospitals and health systems can prepare for bundled payments and pay-for-performance contracting. It outlines challenges such as fluctuating profits, rising costs, and shifting to outpatient care. It also discusses the need for data aggregation and business intelligence tools to track costs, utilization, and quality measures in order to succeed under new payment models.
Frequent internal or external audits can reveal inaccuracy issues, such as outdated codes or even fraudulent billing. These audits provide a quality assurance process that helps organizations obtain proper reimbursement and maintain regulatory compliance.
http://www.modernhealthcare.com/article/20140514/SPONSORED/305149926/webinar-turning-insight-into-action-analytics-effective-denials
Join us to learn how leaders at Middlesex Hospital turned insight into action by leveraging analytics to drive financial performance. This presentation will showcase how Middlesex streamlined its Denials Management process by using analytics to identify trends and opportunities for improvement, as well as for departmental managers to monitor operational aspects of the business.
By attending this webinar, you will learn:
- How post-denial write-off analytics provide immediate feedback for targeting payers, service type, denial type and/or high-dollar areas
- The impact near-real-time data can have on the feedback loops working with clinical departments
- The financial benefit of investing in a dedicated a Denials Management team
This document outlines a sample claims management process for a physician practice with 14 steps. The process begins with patient registration, verification of insurance benefits, and check-in. It continues with clinical documentation of services, assigning codes, patient check-out, coding review, pre-authorization if needed, claim generation, claim review, processing by the health insurer, collections if needed, posting payments, appeals if claims are denied, and ends with a glossary. Implementing this detailed process is intended to increase efficiency, submit clean claims, reduce denials, and ensure timely payments from health insurers.
The document discusses techniques to improve healthcare revenue cycle operations in 2020. It recommends focusing on improving the patient financial experience through greater price transparency and interactions. It also suggests implementing supporting technologies to optimize workflows, enhance revenue through predictive analytics of key performance indicators, and automating prior authorizations and eligibility verification processes to reduce costs and free up staff time. The overall aim is to streamline revenue cycle operations and clinical processes for faster and more accurate reimbursement.
The Importance of Outsourcing Medical Billing: Streamline Your Practice with ...OmniMD Healthcare
Outsourcing medical billing is a crucial decision that most healthcare providers need to take. It is a personal decision that usually depends upon the staff's experience and expertise. Outsourcing medical billing services allows you to streamline your practice with professional services.
Our End-To-End Best Medical Billing Services consist of certified individuals with over 20 years of experience in medical billing, information technology, and business consulting. Our leadership team of billers and coders has worked with various hospitals, medical practices of all types, laboratories, Healthcare it Solutions and individual physicians throughout the last decade.
Medical coding entails extracting medical information from available documentation, assigning diagnostic and treatment codes, Best Medical Billing Services and assisting in creating a claim for submission to payers. Book an Appointment with best medical billing company We utilize a "data-driven" strategy to make strategic decisions based on data analysis and interpretation. Our strategy to analyze and organize your data can help you better serve your customers.
Discover how our state-of-the-art solutions can optimize your practice's revenue cycle! 🏥💡 Streamline billing, enhance cash flow, and ensure maximum profitability without the headaches.
Our expert team takes care of coding, collections, and more, while you focus on delivering exceptional patient care. Trust us to provide efficient #OpticalRevenueManagement services tailored to your practice's needs.
How Does Medical Coding Affect the Revenue Cycle |Medphine
Accurate medical billing and coding is essential for an effective revenue cycle management system and minimizing claim rejections and denials. Even small deviations in documentation can significantly impact a healthcare organization's revenue stream. As Medicare remains the primary payer for hospitals, clinical documentation improvement is increasingly important to ensure accurate billing and coding that healthcare institutions are paid appropriately based on the quality of care provided.
How Does Medical Coding Affect the Revenue CycleMedphine
Medphine is the largest professional medical billing and coding company in India & USA. We provide an exceptional range of claims denial management, healthcare business process outsourcing .
Benefits of Outsourcing Medical Coding Services-ecare.pptxecare India
In addition to coding audits, outsourced medical coding companies may also offer other services like clinical documentation enhancement, research assistance, and evaluation of medical records.Get the best medical coding services from ecareindia.
https://www.ecareindia.com/medical-coding-services.html
INTERNAL MEDICINE PRACTICE INCREASE COLLECTIONS WITH “ECARE’S” E2E MEDICAL BI...ecare India
we provide a Quick resolution to denials and brought the AR days down to 31 days #internalmedicine #Medicalbillingindia #medicalbillingservices
https://www.ecareindia.com/case-studies.html
Let us know the advantages of otsourcing Account receivable Management services. aGet the best AR management services from ecare india ine of the best medical billing companies in India.https://www.ecareindia.com/accounts-receivable-management.html
Medical Billing Company Reduces Anesthesia Denial Ratio with ecare Support – ...ecare India
A medical billing company in Florida was experiencing high denial rates for anesthesia claims due to issues like missed timely filing limits, outdated provider credentialing, and a lack of denial management and accounts receivable follow up. Ecare analyzed the company's billing processes and identified the root causes of denials. They prioritized addressing denied claims, updated credentialing information, and created streamlined billing protocols. As a result, Ecare was able to significantly reduce denial rates and increase collections for the client over time.
Clearing House Mistakes Impact Practice Revenue Ecare’s RCA approach helps C...ecare India
One of Ecare's FQHC clients had accumulated a large backlog of aging accounts receivable and unpaid claims due to mistakes made by their claims clearinghouse. Through a root cause analysis, Ecare identified that the clearinghouse had incorrectly mapped the payer ID, causing claims to be rejected. Ecare worked with the clearinghouse and payer to correct the error, resubmit over 300k pending claims, and help the client collect over $100k in outstanding payments. As a result of Ecare's solution, the client saw decreasing trends in their accounts receivable over 90 days past due.
e-care helps fix “Podiatry Billing” Challenges & Generate More Revenue!ecare India
Understanding the challenges faced by our client and after identifying the primary reason with our strategical approach our team worked out on a streamlined process
Looking for Denial Management and Accounts Receivable Specialist? Reach out t...ecare India
The California billing company was facing challenges with inefficient claims processing, denial management, and accounts receivable follow-up that was negatively impacting revenue. An analysis by Ecare identified a lack of streamlined processes for reimbursement tracking, aging accounts receivable, and reducing denials. Ecare implemented solutions like dedicated resources, clear communication protocols, and issue tracking to reduce denied claims backlogs and clear aging AR buckets, resulting in increased monthly collections and client satisfaction.
Fix your RCM Challenges with e-care’s Root Cause Analysis Processecare India
Based on the in-depth analysis and a strategic approach, e-care was able to fetch positive and productive results for the client and were able to see signification benefits.
Cardiology Practice Increases 38% in one Month with e-care’s RCM Supportecare India
This document discusses how a cardiology practice in Texas was able to increase their monthly collections by 38% after partnering with Ecare for revenue cycle management services. When Ecare took over billing processes in July 2021, they identified issues with charge scrubbing and procedure/ICD-10 coding that were negatively impacting collections. Ecare addressed these issues and also deployed teams to complete EFT requests, manage denials, and obtain necessary authorizations, which resulted in AR days dropping from 52 to 33 and monthly collections rising from $47,000 to $65,000.
FQHC Denial Management Solution for Aging AR and Financial Losesecare India
This document discusses challenges faced by a large FQHC practice in Massachusetts providing family medicine, internal medicine, and pediatrics services. The practice was experiencing high numbers of unpaid claims over 91 days old due to denials from Medicare for unsubmitted cost reports and incorrect vendor IDs on filed claims. Ecare assisted by identifying these issues, helping submit cost reports to receive over $81,000 in pending payments, and correcting the vendor ID to refile previously denied claims, collecting an additional $88,000 for the practice.
With e-care’s end to end RCM Services; Cardiology Practice in TX Increases Co...ecare India
This client was a cardiology practice in Texas that was facing challenges with cardiology billing and coding. Specifically, they were missing documentation of time spent on smoking cessation counseling, which affected coding and charges. They also lacked processes to effectively report additional services. After Ecare took over revenue cycle management in July 2021, they performed an audit and identified opportunities. Ecare provided education to the provider on enhancing documentation to capture counseling time. This allowed Ecare to code for these services, increasing monthly revenue by over $10,000 and average services billed per month from 2500 to 2650.
Solution on Anesthesia Coding Challenges with Increased Collections & Revenue...ecare India
This case study examines how Ecare helped an anesthesia and pain management practice address coding challenges. The client's proprietary software had latency issues that slowed productivity. Ecare analyzed the root causes, identified a solution to establish faster software connectivity, and assigned a senior coding expert. These actions increased coding quality, productivity and revenue flow. Ecare also created reference materials to reduce clarification needs. As a result, the client's volume and collections increased substantially in subsequent years. The client expressed appreciation for Ecare's work.
Understand Medical Record Indexing process and its Outsourcing Benefits.pptxecare India
Learn how Outsourcing provides high-quality indexing solutions to retrieve medical information instantaneously and effortlessly for further processing.
Simple Strategies to Boost Billing Efficiency Post-Covidecare India
The document discusses strategies for boosting billing efficiency in the post-COVID environment. It notes that the pandemic has caused upheaval in medical billing due to changes in procedural/diagnosis codes, billing guidelines, and insurance policies. To adapt, medical billing companies should train staff on recent updates, check insurance coverage and billing guidelines, and look out for changes to fee schedules. Outsourcing billing overseas can help cut costs and provide a flexible solution during this uncertain time.
Stop wasting time with back and forth emails with providers. Accurately verify providers’ credentials and keep your practice running smoothly with our credentialing services.
6 steps for streamlining physician credentialing processesecare India
he prime motive of every physician is to provide un-compromised medical services to his/her patients. It is based on the quality of the services that patients decide whether to visit the same physician or change for good.
6 steps for streamlining physician credentialing processesecare India
The prime motive of every physician is to provide un-compromised medical services to his/her patients. It is based on the quality of the services that patients decide whether to visit the same physician or change for good.
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
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At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
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This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
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2. Abstract
Introduction
ASC Billing and Coding Guidelines – an Overview
Latest Update – ASC Payment System
Strategies to Improve KPIs in Your ASC Billing
Effectively monitor and measure KPIs to Improve
About e-Care India
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3. Introduction
Ambulatory Surgical Centers (ASC) are outpatient surgical centers not requiring
patient hospitalization or the procedure duration does not exceed 24 hours from
the time of admission.
ASCs are standalone centers as CMS regulatory does not allow ASC and other
medical entities such as a medical practice or physician office to operate in one
common space unless under certain conditions.
As a distinct entity exclusive for outpatient surgical services, ASC must sign a
written agreement with Center for Medicare and Medicaid Services (CMS) and be
certified and approved by CMS as participating providers.
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4. ASC Billing and Coding Guidelines – an
Overview
ASC services are billed on a combination of Hospital and physician billing
form CMS 1500 for Medicare part B and some third-party carriers, while
other payors and commercial insurance require UB04 for billing ASC
claims.
ASC services are coded using HCPCS Level II codes along with ICD -10
CM in certain instances as allowed by the payors.
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5. Latest Update – ASC Payment System
Effective 1st January 2021, CMS has updated various changes in the
payment system and policies for ASCs.
In the previous update for ASC in 2019 CMS included “surgery like”
procedures outside the CPT surgical codes that meet required criteria
to be on the ASC list.
Now with effect of the current payment changes in enrollment,
utilization, case-mix changes, ASC Medicare payments for 2021 is
expected to see an increase of $120 million approximately.
Let us have a broad look into some ASC new and revised code
changes
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6. HCPCS code C9053, which was effective April 1, 2020, was deleted June
30, 2020 and replaced with HCPCS code J0791 (Injection, crizanlizumab-
tmca, 5 mg) effective July 1, 2020.[1]
HCPCS code C9056, which was effective April 1, 2020, was deleted June
30, 2020 and replaced with HCPCS code J0223 (Injection, givosiran, 0.5
mg) effective July 1, 2020[1].
HCPCS code C9057, which was effective April 1, 2020, was deleted June
30, 2020 and replaced with HCPCS code J1201 (Injection, cetirizine
hydrochloride, 0.5 mg) effective July 1, 2020.[1]
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7. HCPCS code C9058, which was effective April 1, 2020, was deleted June
30, 2020 and replaced with HCPCS code Q5120 (Injection, pegfilgrastim-
bmez, biosimilar, (Ziextenzo), 0.5 mg) effective July 1, 2020[1].
HCPCS code C9754, which was effective January 1, 2019, was deleted
June 30, 2020 and replaced withHCPCS code G2170 effective July 1,
2020.[1]
HCPCS code C9755, which was effective January 1, 2019, was deleted
June 30, 2020 and replaced withHCPCS code G2171 effective July 1,
2020.[1]
HCPCS codes Q4227 through Q4248: The availability of an HCPCS code
for a particular human cell, tissue, or cellular or tissue-based product
(HCT/P) does not mean that that product is appropriately regulated solely
under section 361 of the PHS Act and the FDA regulations in 21 CFR Part
1271.[1]
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9. Strategies to Improve KPIs in Your
ASC Billing
Billing for ASC requires you to understand the ASC setup and its
operating conditions under CMS regulatory.
Going through the above overview and latest changes will ease
understanding billing and coding guidelines for ASC Billing.
Having a streamlined billing process in place will optimize the overall
billing experience and result in improved revenue cycle management
for Ambulatory Surgery Billing.
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10. Effectively Monitor and Measure
KPIs to Improve
By closely monitoring key performance indicators (KPI) and tracking them
will help identify lags, default in the process and streamline them. Have a
checklist of KPIs as below to be tracked and monitored regularly for
consistent and improvised results.
Closely monitor each claim and track its average bill days to ensure
each and every claim is billed within the timely filing limit (TFL) and
paid appropriately. Unwanted delays in billing will lead to claim denial,
lost or reduced pay.
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11. Have a track on the payment days of each insurance payer. Each
insurance will have different payment days from the claim submission
date, tracking it will help you understand the payment process and
schedule follow-up if required.
Tracking Old AR aging more than 90 days will help decrease your revenue
loss and maintain a healthy billing process. It is ideal to make sure that
your old AR does not cross more than 10-15%. Anything exceeding this
can be a sign that your billing is overlooked and needs immediate
attention and corrective measures for effective and productive results.
Keeping a track of the denial reason and educating your billing and coding
staff on repeated errors to reduce denial percentage.
Outsourcing your ASC billing to an offshore-based Medical Billing
company can help enhance your billing process and your monthly
collections.
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12. About e-Care India
e-Care is one of the top medical billing companies in India with more
than 20 years of experience in the industry, e-Care provides end to
end billing services to more than 80+ Clients across US. e-Care is a
multispecialty medical billing company having expertise across more
than 28 specialties. Our team has a clear understanding of the payer
guidelines for ASC billing in various states. To know more about our
ASC billing visit Ambulatory Surgical Center (ASC) Billing Services |
e-care India
Reference
[1]https://www.hfma.org/content/dam/hfma/Documents/industry-
initiatives/fact-sheets/cy2021-opps-asc-final-rule-summary.pdf
Source: https://www.ecareindia.com/blog/strategies-to-improve-kpis-in-your-asc-revenue-cycle/
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13. THANKS!
Any questions?
You can find us at:
+1 813 666 0028
info@ecareindia.com
www.ecareindia.com
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