The Revenue Cycle Blog
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Cardiology Coding Guidelines & Best Practices
Cardiology coding requires the knowledge of catheter-based techniques to diagnose and treat coronary artery disease and congenital heart defects. Click here to download cardiology coding guidelines & best practices.
Top 7 Practice Management Software to know
For medical practices, the practice management software is their lifeline. It helps them register patients, manage appointments, contract with payers, submit claims, and obtain reimbursements for the services they provide. Please scroll below to learn more about few leading practice management softwares.
Key Revenue Cycle Trends for 2022 and Beyond
Tech, investments, and coding automation are some of the themes that will drive the RCM momentum in 2022 and beyond. Read more about the key RCM trends in this whitepaper.
6 Revenue Cycle Management KPIs to Track
KPIs in RCM plays a pivotal role, as they help drive data-driven decision-making and creating business transformation projects. Whether you are running a physician practice or a hospital, adhering to the 6 KPIs listed below enables you to keep your revenue cycle in control. By Measuring and monitoring these KPIs, you will be able to extract the most out of your revenue cycle and find the much-needed cash to invest in technology and patient care.
Radiology – Coding Guidelines & Best Practices
Reducing reimbursement rates, increasing infrastructure costs, and shifts in payer mix create challenges for radiology practices. Download this guide on Radiology Best Practices to learn more.
Top 5 Revenue Cycle Management Challenges in Specialty Healthcare
RCM for Specialty healthcare can be daunting to most healthcare organizations, considering the frequent changes in regulations. In addition, it can be complex as it requires attention to financial & administrative challenges that usually have a hyperbolic effect on its financial stability. This article brings you a few revenue cycle management challenges in Specialty Healthcare and a few tools & strategies to overcome them.
Oncology – Coding Guidelines
Oncology coding requires the knowledge of medical treatment, surgical treatment, snd radiation therapy, and they should be well versed with these areas. Download this guide on Oncology Best Practices to learn more.
Use Cases for applying Artificial Intelligence in the Revenue Cycle
Practitioners working on the healthcare revenue cycle need to be conscious of multiple state-specific rules and payer-specific nuances to be successful. AI can help simplify the complexities of today's revenue cycle. The usage of AI in RCM can be a gamechanger and help healthcare entities improve patient experience, improve collections, improve compliance, and reduce their RCM team members' workload. This article will help you understand the use cases for applying artificial intelligence in the revenue cycle.
A Provider Credentialing & Contracting Checklist
A credential provider gets an increased number of patients through referrals from payers. Physicians/providers must credential themselves, i.e., enroll and attest with the payer's network and get authorized to provide services to patients who are members of the payer's plans. This article brings a few things that need to be checked off to ensure a hurdle-free credentialing process.
Urology Surgery and Radiology Coding Guidelines
Urology surgery coding requires training & knowledge as the coders have to keep up with thousands of yearly changes made to the ICD & CPT systems. Despite the frequent changes, few guidelines have remained consistent and continue to serve as key urology surgery & radiology coding rules. Download this guide for more information on urology surgery & radiology coding guidelines.
Medical Coding Guidelines for COVID-19 Treatment and Vaccinations
With COVID-19 vaccinations now being administered across the United States, we have compiled these medical coding guidelines to account for the treatment and vaccinations for the novel Coronavirus.
OB-GYN Coding Guidelines and Best practices
Ob/GYN billing & coding can be challenging to most billers & coders due to the global claims, widely varying coverage terms, and multiple tests performed at numerous facilities. Apart from this, many OB/GYN practitioners lack the billing support provided to large hospitals. Learn more about the challenges in Ob/Gyn coding and best practices followed by our coding experts.
Overcoming common issues in Accounts Receivable Management
Most Central Billing Offices (CBOs) and outsourced billing companies rely on dedicated accounts receivable calling to overcome their receivables' challenges. Running an AR calling team needs a solid understanding of the receivables patterns and diligent processes to follow-up and close underlying issues. In this article, we list some of the critical operational issues and solutions to overcome them.
2021 E&M Changes
As of January 1, 2021, there will be significant changes to the office and outpatient Evaluation and Management (E&M) services (CPT ® codes 99202-99215) for both new and established patients. Practices, physicians, and staff must be aware of the modifications to ensure a successful transition next year and avoid any reimbursement disruption. Their clinical documentation systems (EHR systems) need to be adjusted accordingly as per the 2021 E&M changes.
Utilizing Global Delivery for your medical billing processes? Let your clients know!
Global Medical Billing and Coding services teams hold the key to your financial success. As a medical billing services provider, you should let your clients know that you are utilizing global delivery. It is imperative that you bring up the capabilities of your offshore partner in such conversations.
Internal Performance Monitoring is the Key to Client Retention in Medical Billing
Retaining Healthcare Provider customers is key to profitability for Medical Billing companies. Therefore, the role of exceptional service and achievement of revenue cycle KPIs is paramount
Physician Practice metrics to watch
Three additional key performance indicators (KPIs) - patient slots occupied, point-of-service (POS) collections percentage, and days to claim submission from the date of service (DOS) are key to running a successful practice.
Improving Clinical Quality and Patient Experience is key to financial success
Improving the overall patient experience requires a comprehensive re-look at your clinical, administrative, and financial processes. From reducing time to care delivery to improving transparency around the costs of care, healthcare provides need to focus on improving quality, timeliness, and responsiveness.
The Potential of Efficient Payment Posting - Analytics
Inefficient payment posting can be a cause of extended days in A/R – creating frustration for your clients. High labor costs with this department can cut into your profitability. Efficient Payment Posting can provide the right visibility into your revenue cycle performance.
Recruiting and Training the Best Medical Billing Talent
With changes in technology, a successful medical biller needs to understand (and be proficient) in using technology, applying deductive and critical thinking skills, and be an excellent communicator. Ideally, one should look for strong analytical, communication, and inter-personal skills in a medical biller