Could the Data Behind Your Denials Be the Key to Improving Your Revenue Cycle?

Posted in Data Analytics, Revenue Cycle Management (RCM)

Big data and its related technology solutions are making a major impact on industries all over the world – driving smart decisions, supporting shifts in strategy, and providing new insights never before uncovered. In an industry like healthcare where the adoption of technology is typically behind the curve or focused more on the patient care …

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Encounter Data…Why Getting It Right is More Important Than Ever

Posted in Data Analytics

Earlier this month, CMS announced changes to future payments for Medicare Advantage plans that will take effect in 2020. While a pay raise is part of the plan, what’s causing a stir is that payment will now be based on a higher percentage of patient encounter data (up to 25% from 10%). Many (especially payers) have argued that encounter data is often incomplete and inaccurate when compared to diagnoses, since encounter data relies on provider documentation.

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Security Breaches Must Not Undermine Healthcare’s Movement toward Electronic Record Keeping

Posted in Data Analytics

For years, healthcare officials have worried out loud that privacy and security breaches could undermine public support for a federal program to accelerate the shift from paper to electronic health record (EHR) systems. But for just as long, healthcare spending on security has lagged behind security spending in other industries. Recent survey reports from HIMSS peg …

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The Role of Predictive Analytics in Revenue Cycle Management

Posted in Data Analytics, Revenue Cycle Management (RCM)

Healthcare billing service companies provide vital services to the medical industry; both hospitals and physician groups need their critical services. However, these billing service companies often experience their own operational pains in the form of ever-changing governmental regulations that make medical billing confusing and complicated. Other reimbursement mandates and collection regulations exacerbate the problems medical …

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Big Data Is A Really Big Deal For Healthcare Revenue Cycle Management

Posted in Data Analytics, Revenue Cycle Management (RCM)

In our initial blog on big data, we posed the question: “Is big data a big boondoggle or a big solution?” Based upon our experience of helping literally thousands of healthcare providers use vast amounts of financial and clinical data to improve their revenue cycles and care delivery – we believe that big data can …

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Big Data: Solution or Mistake for Healthcare Revenue Cycle Management?

Posted in Data Analytics, Revenue Cycle Management (RCM)

Big data is the hot buzz word right now in healthcare IT. The constant news barrage about the value of big data and business analytics/intelligence (BI) is forcing healthcare IT departments to take notice and determine what value big data really has for their facility. As this terminology has evolved in healthcare, big data has …

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