Crack the Codes: Increase Revenue with Improved Medical Coding

Posted in Health Information Management (HIM)

Healthcare claim-denial rates have been on the rise in recent years, and the trend accelerated while hospitals and other medical providers contended with the effects of the coronavirus pandemic. In a recent survey of hospital executives, about one-third stated their average denial rate was more than 10%. Another 16% of hospital executives said their facilities’ …

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Mitigating Error in Record, Revenue and Health Information Management

Posted in GeBBS Healthcare Solutions, Inc., Health Information Management (HIM)

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 of the organization, helping to track and predict cash flow, process claims, and propel the business forward. But RCM affects more than just the bottom …

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Can Outsourcing Save Struggling Hospitals?

Posted in Extended Business Office Solutions (EBO), Health Information Management (HIM), Revenue Cycle Management (RCM)

Anyone working in healthcare finance knows all too well the struggles US hospitals have been facing for years, only recently intensified by the COVID-19 pandemic. In fact, a recent report issued by Kaufman Hall indicates that at least 39% of hospitals are likely to experience negative operating margins in 2021 – a number that could …

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Top Strategies for Improving Your Medical Coding Audits

Posted in Health Information Management (HIM)

The one thing that never changes in healthcare is… change. In a world that’s constantly advancing, change is inevitable in the medical environment at every turn. Pandemics happen. Medical codes are added. Hospital policies change.  Industry payment models change.  Regulatory requirements change.  All of this comes at a great burden to health systems whose profit …

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Sweeping Changes for E/M Coding Are on the Way – What Do They Really Mean?

Posted in Health Information Management (HIM)

Come 2021, outpatient evaluation and management, or more commonly known as E/M coding is getting a massive overhaul and will considerably impact how care is documented and reported. This past August, the Centers for Medicare & Medicaid Services (CMS) confirmed that several previously announced changes to E/M guidelines and pay rates for outpatient and office …

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As Telehealth Expansion Continues, How to Ensure You are Getting the Most from Your Program

Posted in Health Information Management (HIM), Healthcare Technology

Telehealth adoption has skyrocketed this year due to COVID-19 – putting the industry’s growth at a higher rate than anyone could have anticipated at this same time a year ago. In fact, recent reports highlight that April 2020 telehealth claims were up 8,300% over April 2019 claims for those with private insurance (excluding Medicare and …

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Can A Balanced Health Information Management Team Save Struggling Hospitals?

Posted in Health Information Management (HIM)

Cost containment and expense reduction have been top priorities amongst hospital executives for years, but never have they been more important than in the pandemic era we are living in today. Hospitals have seen plummeting revenue for nearly three months now – a financial catastrophe from which some may never recover. Even for those health …

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A User’s Guide to Billing & Coding for Telehealth During COVID-19

Posted in Health Information Management (HIM)

Billing and coding has never been a simple process, but adding COVID-19 and rapidly changing CMS guidelines related to telehealth and you have the recipe for confusion – particularly for many busy practices and providers who are managing newly implemented telehealth technology, and the staffing and safety concerns that come with balancing daily operations and …

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COVID-19 Recovery Phase 1, Resuming Elective Procedures: How Hospitals Are Preparing for a ‘New Normal’

Posted in Extended Business Office Solutions (EBO), Health Information Management (HIM), Revenue Cycle Management (RCM)

Everywhere you turn, you see the phrase ‘a new normal’, but what does it really mean for busy healthcare organizations on the front lines of responding to COVID-19? The answer is – no one really knows, but it’s time to start planning for it. In all likelihood, the new normal will be different for just …

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