With the Start of ICD-10, It’s Now About Reducing the Denial Rate

Posted in Accounts Receivable (A/R), Best Practices, ICD-10, Insurance Billing Solutions

The world did not come to an end on October 1, 2015. With the start of ICD-10, healthcare professionals anticipated an overall reduction in productivity of their billing staff. In a pre-October 1 survey, 94% of respondents indicated that they expected increased denials, but only 30% had done any work toward solving the problem. If …

Continue Reading »

Checklist for ICD-10 and Audit to Confirm Readiness

Posted in Best Practices, ICD-10

October 1st is almost here.  Here is a quick checklist to ensure you are ready: Have you identified the top ICD-9 diagnoses and trained appropriate staff on the corresponding ICD-10 coding for billing and clinical documentation? Have you reviewed current clinical documentation and identified gaps for ICD-10 requirements? Have you contacted all your vendors to …

Continue Reading »

Getting a Late Start on ICD-10? Don’t Worry!

Posted in Best Practices, ICD-10

If you are getting a late start on ICD-10 preparation, don’t worry; there are still cost-effective and viable solutions that can help you meet the October 1 deadline – outsourcing and technology. The transition to ICD-10 will have a tremendous impact on your organization and its revenue stream. If you are getting a late start …

Continue Reading »

Outsourcing Chronic Care Management Is a Win-Win for All!

Posted in Best Practices, Healthcare Revenue Billing, Insurance Billing Solutions

The Centers for Medicare & Medicaid Services (CMS) has begun paying providers for delivering non-face-to-face care to their Medicare patients with two or more chronic conditions. This is a win-win for everyone involved in the process. Patients will experience improved outcomes and physicians have the opportunity to increase their revenue streams. CMS created the new …

Continue Reading »

New CMS Initiative Can Generate Revenue for Physicians

Posted in Best Practices, Healthcare Revenue Billing, Insurance Billing Solutions

The 2015 Medicare Physician Fee Schedule (PFS) will pay for non-face-to-face services for CPT Code 99490 — Chronic Care Management (CCM), reimbursing practices on an average of $42 per patient, per month. Of all the governmental mandates that have come along — this is a good one. It incentivizes physicians to extend their care management …

Continue Reading »

Tips to Make Sure You Are Ready for ICD-10

Posted in Best Practices, ICD-10

 October 1 is just around the corner. There is no other way to express it. Are you ready?  Training to ensure you are ready for ICD-10 is the most critical factor in preparation. You should determine your staff’s training needs based on their individual roles within your organization. Staff members will require different and specific …

Continue Reading »

Optimizing Patient Access Management in the New Healthcare Consumerism Environment

Posted in Best Practices, Business Process Outsourcing (BPO), Patient Access Management

Healthcare consumerism is going to be an important factor in the new healthcare financial environment where a number of patients are going to be responsible for a portion of their healthcare costs. Empowering healthcare consumers to schedule appointments, receive online statements, and make electronic payments are just a few of the options that consumers are …

Continue Reading »

Optimized Patient Access Management

Posted in Best Practices, Patient Access Management

Patient access management department structures vary among hospitals, but in best-performing facilities, patient access management functions are typically structured with their patient access staff members divided into three areas: pre-service, time of service and post-service to handle the issues unique to these processes at each stage in the continuum of care. Pre-service: Hospitals are beginning to …

Continue Reading »

Cost-Effective Demographic Data Entry Solution | GeBBS | Case Study

Posted in Best Practices, GeBBS Healthcare Solutions, Insurance Billing Solutions

GeBBS Provides Cost-effective Demographic Data Entry Solution to a Large Northeastern U.S. Radiology Billing Services Company. CASE STUDY Organization A leading Radiology Billing Services Company Key Metrics: Located in Northeast U.S. In business for more than 15 years Clients located in 30 states Serves over 800 radiologists Focuses on addressing the unique needs of practicing …

Continue Reading »