The Complex Effects of COVID-19 on Risk Adjustment Strategy
Itโs been nearly 25 years since the United States government first began using risk adjustment in the Medicaid program and more than 20 since the country started using it in…
Outsourced RCM: Offering Improved Profitability and Expert Efficiency
Analysts estimate that hospitals and health systems in the United States could collectively lose $53 billion in revenue this year. And thatโs an optimistic assessment. Even before the COVID pandemic,…
The Precise Role of Optimized Billing in a Complete RCM Process
Contrary to many opinions, revenue cycle management (RCM) is not solely a function of billing. Furthermore, the two terms, RCM and billing, are not interchangeable. The focus on revenue here…
Mitigating Error in Record, Revenue and Health Information Management
Top of mind for most health system operations teams is the optimization of revenue cycle management (RCM). This critical starting point serves as a lynchpin for the success and profitability…
Powering the Patient Experience Through Front-End RCM
When reflecting on revenue cycle management optimization across health systems, much of the conversation revolves around internal processes and staff. Often overlooked is the critical role that patients play in…
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