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Strengthening Your EHR Conversation Plan
Over the past several years there has been a shift in the healthcare world. Clinical and financial systems are improving data management by migrating from paper record-keeping to electronic files, and hospitals that can’t keep up could be missing out on...
Healthcare Claims: The Role of 835s and 837s
Intro Recovering healthcare claims from insurance providers is an essential part of good revenue cycle management, but the process is convoluted. This claims process revolves around two different files. 835s, and 837s. These files can be understood as the bill and the...
Three Tips for Fixing Your Hospital’s Accounts Receivable Discrepancies
In healthcare, accounts receivable, or AR, is the balance of money due from patients. Processing healthcare claims is an essential step in the revenue cycle management journey. From 837s to 835s, it’s a long process, and not always an easy one. Even if you handle...
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More Posts
Strengthening Your EHR Conversation Plan
Over the past several years there has been a shift in the healthcare world. Clinical and financial systems are improving data management by migrating from paper record-keeping to electronic files, and hospitals that can’t keep up could be missing out on...
Hospital Denials and How to Fight Them
Health insurance in the United States is a necessary complexity that is required to ensure medical emergencies are paid for. Insurance, however, doesn't always come through to pay for everything related to an insured patient's care. Hospital denials occur when an...
Daily Charge Reconciliation: Finding Lost Revenue
A healthcare organization’s revenue cycle can quickly become disorganized if there aren’t effective practices and procedures being utilized across all departments. A clean and methodical charge reconciliation process is an absolute necessity because it enables fast...
What is the No Surprises Act?
What is the No Surprises Act? The No Surprises Act (NSA), is a federal law that applies new measures to protect Americans who receive emergency and non-emergency care at in-network facilities. Introduced by Congress in January 2020 with a rollout date of January 2022,...
What is Charge Capture’s Role in Healthcare?
What is Charge Capture? Charge capture is the practice of health care providers documenting and recording their performed services and then submitting those charges for payment from a patient or insurance provider. After a patient has completed their visit, the...
What Are CPT Codes?
In healthcare, CPT (Current Procedural Terminology) codes are numbers used to describe the tests, surgeries, evaluations, and any other medical procedure performed by healthcare providers at an institution or hospital. Published twice a year and maintained by the...
Revenue Integrity and Healthcare
What is Revenue Integrity? Revenue integrity is the practice of translating patient experiences to revenue in a healthcare organization and avoiding revenue leakage or compliance issues. Once referred to as “revenue optimization,” the term “revenue integrity” is a...
Three Ways Third-Party Software Vendors Can Help a Hospital Increase Their Patient Satisfaction
With all the pressure and requirements of today, it’s more important than ever for hospitals to mobilize their organizations so they can put more focus on patients’ quality of care. The issue is that a hospital can leave itself vulnerable to errors, revenue leakage,...
Transforming Healthcare with Technology: How Better Care Has Been Created
Technology in Healthcare To say that technology has transformed healthcare is an understatement. The use of technology has not only made patient care more reliable, but it has given hospitals insight into data they didn’t have access to before with manual processes....
Four Benefits of a Healthcare Audit
What is a Healthcare Audit? A healthcare audit is a comprehensive and in-depth evaluation of the practices and processes in a healthcare facility. While there are numerous types of healthcare audits, the most common internal inspections usually primarily focus on...
How Healthcare IT Consulting Can Benefit Your Organization
Because of fast-paced environments within hospitals, making any sort of change can be difficult since major problems can often start at the foundation level. To even start the recovery process, healthcare organizations will have to isolate each issue and be honest...
4 Ways to Improve Revenue Cycle Management in 2022
Revenue cycle management (or RCM) is a multi-faceted process that touches all parts of a hospital. Organizations that aren't prepared to take control of their revenue flow can find themselves leaking millions as their bottom line decreases. These are challenging times...
Four Tips to Better Chargemaster Management
Every hospital in the country relies heavily on its chargemaster – without it, you wouldn't be able to properly track and bill the necessary services you're providing. By acting as the centralized data hub for your medical staff, particularly CNOs and Revenue...
How Hospitals Can Stay Competitive
On a regular basis, hospitals use their chargemaster price as a base price when they are negotiating with private insurance providers, but it doesn’t stop there. Current market fluctuations are the ultimate decider, forcing the hospital and providers to agree upon a...
Managing Change Control in Healthcare
Over the last decade, systems within healthcare organizations have experienced numerous, transformational changes to bring efficiency and structure. All departments have gone through some kind of change but most of the alterations can be attributed to those sectors...
EMRs vs. EHRs: Which One Should I Choose?
Healthcare records are an integral part of a hospital, but they come in several different forms including paper, EMR, and EHR. If you’re thinking about an EHR or EMR conversion, it’s important to know which one is a better fit for you. What exactly is the difference...
3 Tips to Transform Your Revenue Cycle Management
Revenue cycle management is a multi-faceted process that touches all parts of a hospital. Hospitals not prepared to take control of their revenue flow find themselves leaking millions as their bottom line falls away. These are challenging times for hospitals around...
Healthcare Claims: The Role of 835s and 837s
Intro Recovering healthcare claims from insurance providers is an essential part of good revenue cycle management, but the process is convoluted. This claims process revolves around two different files. 835s, and 837s. These files can be understood as the bill and the...
Three Tips for Fixing Your Hospital’s Accounts Receivable Discrepancies
In healthcare, accounts receivable, or AR, is the balance of money due from patients. Processing healthcare claims is an essential step in the revenue cycle management journey. From 837s to 835s, it’s a long process, and not always an easy one. Even if you handle...
Revenue Cycle Management – A Comprehensive Guide
Intro The healthcare revenue cycle is the flow of money through a hospital. Revenue cycle management is the process of finding, gathering, and managing that flow of revenue from patients and payers to ensure monetary stability and success. On this page, we will unpack...
What Should You Look for in a Healthcare IT Consulting Firm?
Overview In the last few decades, an increasing number of hospitals have sought to keep up with the technology boom by outsourcing their IT to third-party consulting firms. In 2020, that trend has risen exponentially as hospitals scramble to deal with the Covid-19...
How to Achieve Compliance with the Hospital Price Transparency Mandate
What is the Hospital Price Transparency Mandate? What does it mean for your hospital? Access to cost-sharing information Disclosure of prices Shoppable list How a hospital can meet the deadline The hard way Building a team Online interface Competitive pricing The easy...
