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Strengthening Your EHR Conversation Plan

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...

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Healthcare Claims: The Role of 835s and 837s

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...

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Strengthening Your EHR Conversation Plan

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...

read more
Hospital Denials and How to Fight Them

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...

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Daily Charge Reconciliation: Finding Lost Revenue

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...

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What is the No Surprises Act?

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,...

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What is Charge Capture’s Role in Healthcare?

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...

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What Are CPT Codes?

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...

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Revenue Integrity and Healthcare

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...

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Four Benefits of a Healthcare Audit

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...

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How Healthcare IT Consulting Can Benefit Your Organization

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...

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4 Ways to Improve Revenue Cycle Management in 2022

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...

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Four Tips to Better Chargemaster Management

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...

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How Hospitals Can Stay Competitive

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...

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Managing Change Control in Healthcare

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...

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EMRs vs. EHRs: Which One Should I Choose?

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...

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3 Tips to Transform Your Revenue Cycle Management

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...

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Healthcare Claims: The Role of 835s and 837s

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...

read more
Revenue Cycle Management – A Comprehensive Guide

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...

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