Why the Government is Outsourcing (and You Should, Too)

Posted in Accounts Receivable (A/R), Health Information Management (HIM), Revenue Cycle Management (RCM)

The data is clear – policymakers are making every effort to reduce healthcare costs, particularly as states struggle with significant budget deficits across the country. To do this, many state governments have elected to outsource the management of Medicaid and Medicare programs to managed care companies. According to Modern Healthcare, 34% of Medicare beneficiaries are now enrolled in a Medicare Advantage plan, which is administered by a private payer. Similarly, 77% of Medicaid beneficiaries are enrolled in some form of managed care plan.

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The Importance of Revenue Cycle Management in an Evolving Healthcare Delivery Environment

Posted in Health Information Management (HIM), Offshore Revenue Cycle Management, RCM Solutions, Revenue Cycle Management (RCM), Revenue Cycle Solutions

At the recent Becker’s Hospital Review 5th Annual CEO + CFO Roundtable healthcare experts seasoned in the revenue cycle management (RCM) process discussed how their organizations and companies are working to stay ahead of the financial curve.  As hospitals evolve into a value-based care delivery environment, RCM becomes even more critical. The Roundtable highlighted the …

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10 Steps for ICD-10 Readiness You Must Know

Posted in Health Information Management (HIM), ICD-10

There have been numerous delays to the implementation of ICD-10. These delays have caused untold frustration, — but they have also created opportunities for healthcare providers and the organization that serve the healthcare industry. You now have time to readjust your ICD-10 timeline preparations. As an HIM Director for many years, I am offering a plan …

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The Switch to ICD-10 Will Not Be All “Gloom and Doom!”

Posted in Health Information Management (HIM), ICD-10

Good preparation for the “so-called” transition to ICD-10 coding can actually optimize your reimbursements; it is going to take some effort, but it can pay off in terms of higher practice revenue, less paperwork and greater overall clinical efficiency. Preparation is the key, but it will provide an excellent ROI! The term transition does not …

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How Much Cash is Enough?

Posted in Health Information Management (HIM), ICD-10

How much emergency cash should you have in reserve to deal with ICD-10? Most healthcare providers can expect disruptions, some of them very serious, in their payments during the transition to ICD-10. Even if you have made preparations for this event, it is likely your revenue stream will take some kind of hit. Since all …

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How To Reduce Costs & Improve Quality | Revenue Cycle Management

Posted in GeBBS Healthcare Solutions, Health Information Management (HIM), ICD-10

According to a recent healthcare technology research study, U.S. Revenue Cycle Management by HIMSS, focused on the revenue cycle management (RCM) marketplace, positive changes are predicted in the attitudes of CEOs, CFOs and IT directors toward the efficacy of RCM to improve a healthcare facility’s financial operation. The study included nearly 400 participants — CEOs, CFOs …

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