Use Analytics to Improve Revenue Cycle Outcomes

Physician practices are stuck in an unfair game.  Government and commercial payers have larger budgets, larger staffs and they make the rules. Practices can automate and improve revenue cycle outcomes.  Practice leaders need visibility into revenue cycle processes and opportunities to automate and improve revenue cycle outcomes. Michael Lewis is one of my favorite writers. …


Improve HCC Coding for Revenue Cycle Staff

As Risk Adjusted Coding gathers steam, I get more questions about HCC coding.  Today, we are going to look at some specific strategies for improving HCC Coding for revenue cycle staff.  Many coders do not have a lot of experience with HCC Coding.  The term HCC Coding may be new, but the concept is probably…


Improve HCC Coding for Clinical Staff

As Risk Adjusted Coding gathers steam, I get more questions about HCC coding.  Today, we are going to look at some specific strategies for improving HCC Coding for clinical staff.  Most clinicians do not have a lot of experience with HCC Coding.  The term HCC Coding may be new, but the concept is probably familiar. …


Top Three Revenue Cycle Problems Caused by Paper Superbills

In a post Meaningful Use era, many people are surprised to learn that they are not alone that their practice continues to use paper superbills.  While all certified EHRs are capable of capturing charge data through point and click templates, many practices continue to use paper superbills due to concerns about physician productivity. #1 –…


Top Three Revenue Cycle Problems Caused by EHR

Correctly configured EHRs and appropriate user behavior, can solve many revenue cycle problems.  However, we often see systems that create more revenue cycle headaches than they solve.  Here are the top three revenue cycle problems caused by EHR: #1 – EHR installed, but physicians are still using paper superbills. The most common EHR revenue cycle…


Will APIs Deliver Fewer Clicks for Physicians and Interoperability?

The five year stretch from 2011 – 2016 will forever be remembered as an era of high government regulation in HCIT.  Physician practice adoption of EHR flipped from less than 20% to more than 80% in a short period of time.  EHR companies saw sales skyrocket as a result of the Meaningful Use incentive dollars…


Productivity Metrics for Billing Staff

Privately owned physician practices continue to battle rising operating costs, declining reimbursement and increased complexity from government and commercial payers.  The MGMA benchmark is 2.7 billing staff per physician.  The three largest factors in revenue cycle productivity are: how charges are captured, the percentage of encounters that require coding corrections and revenue cycle workflow.  Most…


HCC Coding and MIPS in 2018

One of the surprise changes in the CMS Final Rule for MIPS in 2018 was that the Cost Measure was included at 10% of the MIPS Composite Score.  The Cost Measure was not included in 2017, and most industry experts projected that it would not be included until 2019. Quality and Cost will always be…