Results for Risk Adjustment

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Results 1-19 of 19
  • News

GeBBS Healthcare Acquires CPa Medical Billing

Acquiring CPa Medical Billing expands GeBBSโ€™ end-to-end RCM solution offering to FQHC market.GeBBS Healthcare Solutions, Inc., (ChrysCapital portfolio company), a leading provider ofย Revenue Cycle Managementย (RCM) and Risk Adjustment Solutions for Healthcare Providers and Payers, announced today the acquisition of CPa Medical Billing an East Haven, CT-based provider of Revenue Cycle ...Read More
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  • Whitepapers

Removing Redundancies from Healthcare RCM with Robotic Process Automation

The creation and development of robotic process automation (RPA) has had a tremendous impact on various industries over the last few years. While companies in all sectors have benefited from this technology, RPA has been particularly useful for healthcare revenue cycle management (RCM).Healthcare organizations like hospitals, physiciansโ€™ groups, and other ...Read More
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  • Whitepapers

Mitigate Compliance Risk & Enhance Revenue Integrity

One Platform for All Compliance & Auditing Requirements I. Coding Audits: The Cornerstone of Compliance & Revenue IntegrityAccording to the Healthcare Financial Management Association (HFMA), lowering compliance risk and ensuring the accuracy of charges should be top concerns of revenue integrity programs.4 Administrative costs, which are frequently cited as a ...Read More
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  • Whitepapers

The Compliance and Credit Balance Conundrum

"HFMA calls credit balances the โ€œstealth aircraft of hospital patient accounting.โ€ I. Credit Balances Are Not Always What They SeemCredit is a word we hear almost daily, and many people are already familiar with the fact that accounting uses credits and debits to โ€˜balance the books.โ€™ In the everyday vernacular, ...Read More
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  • Case Studies

Internal Data & Audit Platform: 30% increase in productivity & 50% reduction in technology spend

Client Background and Context Client with 20+ risk-bearing locations & various data input sources wanted to: Partner with a platform to audit codes received from multiple sourcesImprove productivity of each of their locations & divisionsIncrease data quality of codes added by internal & external partnersEnhance operating margins through cost optimization Solution ...Read More
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  • Blogs

Are You RADV Audit Ready? Three Strategies to Get You There

The Centers for Medicare and Medicaid Services (CMS) recently announced plans to ramp up its risk adjustment data validation (RADV) audit program in 2020 based on a recent study by the Office of Inspector General (OIG), which found potential issues related to Medicare Advantage Organizations (MAOs) using chart reviews to ...Read More
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  • Blogs

Rev Up Your Revenue Cycle with AI

With profit margins shrinking and the cost of health care going nowhere but up, operational leaders and consultants throughout the healthcare industry are looking in every nook and cranny to either find ways to cut costs or generate more revenue. With the ongoing need for costly equipment, an expert workforce ...Read More
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  • Blogs

Strategies for Mastering Two-Sided Risk

Population health and the transition to two-sided risk is no easy feat โ€“ itโ€™s a monumental shift in the way providers, payers and hospitals think about the delivery of health care. And, while, we all know itโ€™s coming โ€“ knowing how to get there and doing it successfully is the ...Read More
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