Analytics Is the Most Underrated Resource For Revenue Cycle Managers

Revenue cycle managers need to take advantage of data analytics in their revenue cycle. It is a powerful tool in the hands of managers to help them manage their people, their processes, and track goals and improvements. In the current healthcare landscape, reimbursement is more and more difficult. It is easy to make mistakes and…


Denial Codes & Reasons List: Medicare Part A and Part B

Managing denied medical claims has historically been very time consuming and often confusing for many practices. To help simplify the process, we are going to cover the standard Denial Reason Codes & Statements for Medicare Part A and Part B. Let’s begin with what CMS had to say:   “CMS contractors medically review some claims…


6 Ways to Benchmark Revenue Cycle Success

Benchmarking revenue cycle performance is an important practice. It helps managers keep track of where they stand compared to the rest of the market, and it allows you to see where there are opportunities for improvement. Without benchmarking, practices can fall behind, and in worst case scenarios, close their doors or get bought out by…


Training & Customization Are the Top Indicators of EHR Satisfaction

  Widespread Disappointment in EHR Electronic Health Records have not achieved the goals that they were set out to achieve. The dream behind Meaningful Use was that EHRs would improve quality of care, reduce costs in healthcare, and make the whole process easier for clinicians. The reality is that EHR usage has led to reduced…


Government Now Requires Drug Companies to List Prices in TV Ads [New Rule]

  Health and Human Services (HHS) Secretary Alex Azar announced a final rule from The Centers for Medicare & Medicaid Services on May 8th that may leave drug companies unhappy. This new rule requires that drug companies post list prices in TV advertisements for drugs that cost $35 or more per month. The hope is that this…


Coding Corner: Billing For Date of Service

CMS recently released a document reminding physicians, non-physician practitioners, and others submitting claims of the guidelines for billing for date of service. The fact that they released this reminder indicates that many people are not following the guidelines correctly. Use this summary of the guidelines to refresh your practices and make sure you are following the…


Top Reasons For Denied Claims

Every practice deals with the headache of denied claims. Insurance companies are strict, and their rules are constantly changing. It takes a lot of time and attention to detail to keep a low denial rate. Reducing your denial rate is a critical way practices can improve their revenue cycle outcomes. A low denial rate and…


Most Healthcare Organizations Will Hire New Coders This Year

Are you looking to either add or replace a coder this year? You’re not alone. Most practices expect to hire a new coder within the next 6 months to a year. As revenue cycle workloads increase, managers seek to meet the ever growing demands by adding coders to their team. This will prove to be…


3 Signs You Need to Upgrade Your Revenue Cycle Software

Technology allows us to manage our business more efficiently than ever before. We have so much information at our fingertips, and we have the power to automate tasks that used to be manual. Managing your revenue cycle should be easier than ever before, but that’s not always the case. With so many different software vendors…


How Revenue Cycle Analytics Helps Managers Make Better Decisions

The number one reason managers need revenue cycle analytics is insight – insight into processes, employee performance, and the overall functioning of your revenue cycle. In order for managers to manage their practice well, they need to have full insight into their revenue cycle. Coder Performance Most managers probably assume they know who their best…


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