Effective billing and coding practices are essential for optimizing reimbursements in behavioral and mental health services. Proper documentation, accurate coding, and adherence to specific coding guidelines, including those for prolonged services, are key factors for success.

Discover effective strategies for revenue cycle optimization in your medical billing company. Learn how to improve operational efficiencies and profitability with insights from Medical Billing Wholesalers' blog.

With headwinds of cost increases, reducing reimbursement rates, and declining patient visits, Physician practices must refocus on operational efficiencies to achieve profits sustainably. Revenue cycle KPIs are essential in measuring your Practice's performance and guide on improving.

Process rigor is essential in revenue cycle transformation because it helps ensure the accuracy, consistency, and efficiency of the revenue cycle processes. A lack of process rigor can result in errors, duplications, and delays that can negatively impact the financial performance of an organization.

For hospitals, healthcare systems, and even mid to large physician practices, 2022 was the worst financial year in decades. Healthcare providers already reeling under the impact of the long period of adversity due to COVID-19 were further impacted by inflationary impact and increasing cost of healthcare supplies. Protecting the revenue and doing more with fewer resources are the central themes on the minds of RCM leaders. The impact of the great resignation has left them short of both administrative and clinical workforce.

2023 promises to be a super-charged year with an increasing pace of consolidation, innovation, and adoption of new ways of doing work. We discuss some of the trends impacting healthcare and the revenue cycle.

The rising costs of caring, economic uncertainty, the impact of the great resignation, the consequent labor shortages, and the multi-year delay in investing in technology and processes to re-engineer the financial process have created a perfect storm. Worsening the condition is the demand for medical care slowly shifting from hospitals to ambulatory care settings.

Here’s a list of top considerations for choosing the right revenue cycle technology for your organization:

Healthcare administrative talent will be in short supply for many years, and medical billing and coding offer lucrative career options. This blog discusses the importance of medical coding, the career opportunities it provides, and how medical coding will play a critical role in defining the quality of care.

In this edition of the NSCHBC Edge Podcast, Terry Fletcher invites NSHCBC members Vinod Sankaran and Misty Haralson for an RCM Round table discussion.

Hear fellow healthcare consultants in the RCM space discuss physician and dental practice pain points and how to be efficient in your Revenue Cycle Management efforts.

Staffing shortages affect employee morale, delay patient care, and cause clinician burnout. With the rising inflation, care cost is also increasing significantly. Click here to learn more.

With rising consumerism, patients have increasing responsibility for payments. The growth of high deductible health plans (HDHPs) is a clear indicator of this trend. It is important to clearly understand the patient's responsibility for payments upfront and determine coverage. Click here to read the entire article.

Healthcare providers must focus on delivering high-quality care while the revenue cycle team manages the reimbursements. Outsourcing accounts receivable and denial management processes to a seasoned outsourced revenue cycle services provider can minimize revenue loss and improve financial outcomes. Click here to view some of the strategies to minimize revenue loss.

A revenue cycle CFO faces multiple challenges - Declining reimbursements, the need to find money to make investments in technology and automation, and the massive shortage of qualified revenue cycle labor.

When clinicians handle the billing themselves, they spend considerable time, money, and effort on administrative tasks rather than doing what they do best-providing outstanding medical care. Trained and specialized Radiology Billing specialists understand the changing rules and regulations for specialties and the nuances of payer-specific guidelines in their respective regions.

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.

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.

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.

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.

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.

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.