Revenue Cycle Management

Revenue Cycle Management in the Healthcare Industry

Hospitals, clinics, and small practices provide healthcare industry services that play a critical role in improving health and saving lives. Although providing healthcare is a service, healthcare providers cannot offer their services free of cost. Every healthcare organization has to develop and follow certain processes and uniform procedures to maintain their financial health and survive […]

How Can Medical Billers Avoid Claim Denials?

Medical billing is a critical process in the revenue cycle management of every healthcare providing organization and helps the healthcare provider get its dues in the form of timely claim reimbursements for the services provided. A medical billing denial results in revenue losses for the provider and affects the bottom line negatively. A medical bill […]

Ways EHRs Can Impact Clinical Judgment

Healthcare facilities can have access to real-time and patient-centered electronic health records (EHRs), thanks to the information technology that makes the patient information available to the authorized users instantly and securely. Although it is true that electronic health records have a tremendous impact on the workflow and quality of care provided, there are some complicated […]

Common Revenue Cycle Myths that Affect Healthcare Providers

Healthcare providers have a tough task in optimizing their revenue cycle because of the nature of business they are in that deals with the health of people. Although it is challenging in the beginning stages, it is not entirely difficult to drive revenues to increase cash flow if healthcare facilities are capable of making their […]

Ways Healthcare Facilities Can Improve Charge Capture

Charge capture is an important process of revenue cycle management that helps the physicians and healthcare facilities to record the services and procedures performed on patients that is later on submitted to the insurance companies to get the reimbursement. Doctors record and transfer the charge capture information in various ways like using spreadsheets, post-it notes, […]

Medical Coding and its Role in Revenue Optimization

Healthcare revenue cycle is impacted by different processes and their efficacy levels with each stage of a process showing its impact on the next stage and other processes. Healthcare providers and medical coding companies should work considering this fact and remember that even the minutest problems or mistakes that are left unaddressed can lead to […]

Ways to Take Control of Medical Accounts Receivables

One common thing that bothers healthcare providers is poor accounts receivables management and the unacceptable cash flows resulting thereby. Healthcare providers can focus on providing quality healthcare only when they have proper revenues and problems in accounts receivables result in loss of revenue. The revenue cycle management of a healthcare provider involves achieving the shortest […]

Dealing with Pre-Authorization in Medical Industry

Among the many frustrating and time-consuming processes, physicians are required to complete as part of their job is to deal with the pre-authorization. Getting pre-authorization for procedures to be performed is expensive in terms of time and productivity as it takes a considerable amount of time in getting it from the payers. Receiving pre-authorization for […]

Healthcare Documentation Training for Better Prospects

It is an agreed fact that by availing the services of healthcare documentation specialists, primary healthcare providers can reduce the burden of documenting healthcare procedures on clinicians. This facilitates improved workflow and job satisfaction by enhancing the time for patient interaction for the physicians. Studies on evaluation of the effect of using scribes and how […]

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