Why RCM is NOT a Back-Office Function

February 27th, 2020 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

As healthcare margins continue to shrink and payment reform continues at a snail’s pace, revenue cycle management teams may feel like the hospital’s entire future is dependent on their back-office efforts. Factors like increasing patient responsibility, a shift toward government managed care plans, the proliferation of narrow networks, and risk adjustment models are making it …

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

February 21st, 2020 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

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 inappropriately increase risk adjusted payments. …

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Concurrent Review for Risk Adjustment – Why “Cleaning As You Go” Works in Healthcare, Too

February 12th, 2020 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

If you’ve ever worked in a restaurant or commercial kitchen – you know one of the golden rules is to “Clean as You Go.” Employing a “Clean As You Go” policy is lauded not only for its efficiency, but also for its ability to reduce the risk of problems associated with health, safety and hygiene …

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4 Ways to Align Clinical & Financial Teams for a Better Bottom Line

January 30th, 2020 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

Revenue cycle improvements are top of mind for most health systems – but how do you make meaningful strides in a fast-paced healthcare environment where everyone is doing the best they can with limited resources? While there are dozens of strategies that can have an impact, one of the top ways to make real, measurable …

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EHR Access for Payers? How (and When!) to Cooperate

January 24th, 2020 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

In healthcare, safeguarding patients’ protected health information (PHI) is one of the most carefully followed rules, second only to behind “First, Do No Harm.” Hospitals, physician practices and providers understand their obligation to protect patients’ privacy at all costs. Much like any industry, the digitalization of health information has complicated the issues of privacy and …

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What’s Up With HIM? Three Things to Know

January 14th, 2020 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

The new year has officially come and gone, and we’ve found our way back into the 20s. Fortunately, health information management has become more sophisticated (and complicated) than anyone who lived a century ago would have ever guessed. Now that we’re here, it’s time to buckle down and tackle the tough issues facing health information …

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What’s Your 2020 RCM Strategy?

December 19th, 2019 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

Heading into 2020, having a sound revenue cycle management strategy (RCM) in place is a top priority for hospitals and healthcare organizations trying to navigate the ever-increasing world of healthcare payment. Most healthcare leaders recognize that chasing reimbursement is getting harder than ever. High deductible health plans (HDHP) are increasing the patient responsibility, so hospitals …

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Two Key RCM Drivers for 2020

December 4th, 2019 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

Looking ahead to 2020, it’s safe to assume that most hospitals and health systems will continue to focus on improving their revenue cycle – after all, it’s the only way to survive in a rapidly-consolidating market where margins continue to shrink. While most systems have been working on this for years, the industry continues to …

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Five Ways to Think Differently About RCM

November 26th, 2019 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

Improving your revenue cycle in an era of healthcare reform isn’t easy – but it’s the only way to survive as margins continue to shrink. Looking within your organization for ways to mitigate lost revenue and decrease leakage can lead to greater financial performance. Today’s savvy health systems are thinking creatively about ways to enhance …

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Top 4 Reasons Your Revenue Cycle is Probably Struggling (and What to Do About It…)

November 18th, 2019 / Judi Cahill / Posted in GeBBS Healthcare Solutions, Inc.

Hospitals have historically operated with fairly lean profit margins, but what happens when those margins continue to shrink? Everyone knows healthcare reform is critical to the future of US hospitals but getting there is proving to be more difficult than many experts anticipated. Straddling the line between fee-for-service models of care and the shift to …

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