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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Outsourcing as a Solution for Revenue Cycle Management (RCM) Continues to Grow at a Rapid Pace

Posted in Business Process Outsourcing (BPO), Coding Outsourcing, Offshore Medical Billing, Offshore Medical Coding, Offshore Revenue Cycle Management, Outsource Coding, Outsourced Coding, Outsourced Medical Coding, RCM Solutions, Revenue Cycle Management (RCM)

Facing lower reimbursements and shrinking margins, hospitals are exploring ways to capture more revenue. This has led an increasing number of hospitals across the nation to outsource their Revenue Cycle Management to professional outsourcing companies. This trend was identified in a recent Black Book™ survey, which included responses from 1,309 hospital CFOs and business office …

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Be Prepared for “Surprise” Medical Billing

Posted in Medical Billing BPO, Offshore Medical Billing, Outsourced Medical Billing, Patient Access Management, RCM Solutions, Revenue Cycle Management (RCM)

A recent article on the Radiology Business Management Association (RBMA) web site discussed consumer’s frustration with the cost of medical care as being at an all-time high as many purchasers of narrow-network, high-deductible and high-co-pay health plans are finding out that the benefits they get from their monthly insurance premiums are much more limited than …

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High Deductible Self-Pay Accounts Can Be a Major Threat to Revenue Cycle Management

Posted in Patient Access Management, RCM Solutions, Revenue Cycle Management (RCM)

According to data from the latest quarterly Crowe RCA Benchmarking Analysis: “Patient Financial Responsibility on the Rise,” healthcare providers could be facing a major threat to their revenue cycles. The analysis found that in the past year, insured patient financial responsibility has grown from 23.3 percent to 26.9 percent for outpatients and 10.2 percent to …

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Specificity of ICD-10 Coding Can Improve Reimbursements for Vaccine Administration

Posted in ICD-10, Medical Coding, Medical Coding BPO, Outsourced Coding, Outsourced Medical Coding, RCM Solutions, Revenue Cycle Management (RCM)

Administration of vaccines is an important part of healthcare delivery, and a critical contribution to preventive public healthcare. However, risings costs are making it difficult to align vaccine administration expenses with revenues. There may be some relief to these rising costs and it comes from something that was once seen as a burden for medical …

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AHA President and CEO Asks President-Elect Trump For “Steady as She Goes” Effort on Healthcare

Posted in Best Practices, Healthcare Revenue Billing, Insurance Billing Solutions, Medical Billing BPO, RCM Solutions, Revenue Cycle Management (RCM), Revenue Cycle Solutions

By Nitin Thakor, GeBBS President & CEO AHA President and CEO Rick Pollack recently sent a congratulatory letter to President-elect Donald Trump and asking him to go slowly on changes to our healthcare delivery system, particularly when it comes to the Affordable Care Act (ACA). This is good advice since healthcare represents a significant portion …

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Beware of Secondary Injury to Your Wallet after an ER Visit

Posted in Healthcare Revenue Billing, Insurance Billing Solutions, Medical Billing BPO, RCM Solutions, Revenue Cycle Management (RCM), Revenue Cycle Solutions

A recent article in US News and World Reportexplained a little known fact of which most patients are completely unaware. A trip to the emergency room could cause a secondary injury to a patient’s wallet. Even if a patient goes to a hospital included in his or her health insurance network, if the emergency room …

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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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How to Survive in a Value-Based Healthcare Delivery Environment

Posted in RCM Solutions, Revenue Cycle Management (RCM), Revenue Cycle Solutions

Black Book™, well-known for its accurate, impartial customer satisfaction surveys in the services and software industries, recently conducted its annual revenue cycle management outsourcing and software/technology user poll. They survey the clients of RCM vendors to provide insight into their customer experience in the functional areas of Billing, Charge Capture, Mid Process Coding, Claims Management, …

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Streamline Your Revenue Cycle Management

Posted in Business Process Outsourcing (BPO), Medical Billing BPO, Offshore Medical Billing, Outsourced Medical Billing, Revenue Cycle Management (RCM)

In their May 6, 2016 newsletter, the AMA stated that: “Patient care is the top priority and a source of passion for physicians, but making sure the business side of your practice is ‘healthy’ also can contribute to better outcomes and patient satisfaction.” We couldn’t agree more! This has been GeBBS Healthcare Solutions’ philosophy from …

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