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MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
Find suppliers and products in this comprehensive vendor directory for healthcare finance professionals.
Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
Ensuring optimal revenue cycle performance is increasingly important as federal payer and managed care audits become more prevalent.
The new semi-automated RAC audits give providers an opportunity to justify their billing without the threat of an automatic recoupment.
Revenue cycle leaders should take a few steps to ensure that the transition to the ICD-10 code system will not have a negative impact on the organization’s case mix index.
By auditing the revenue cycle, healthcare organizations can increase revenues and ensure compliance.
Penn Medicine’s Physician Groups automated cash postings to reduce costs and improve administrative efficiency.
By using key performance indicators to measure denial rates, revenue cycle leaders can assess the effectiveness of their organization’s denials management processes.
The expertise of a managed care compliance team is critical to managing contract variance.
The transition to ICD-10 can be less stormy if the process is broken down into simple steps.
In an environment of healthcare reform, ensuring that the hospital revenue cycle is operating efficiently, effectively, and with the highest regard for excellence in service and performance is critical.
Is your care management staff operating at productivity levels that supplement overall revenue cycle metrics?
Outsourcing revenue cycle activities can help providers improve business and patient outcomes.
Providing patients with tools for healthcare bill payment helps them easily pay their bills—on time.
Dual coding improves coder productivity and builds coder confidence during the transition to ICD-10.
Five key areas should be considered when selecting an integrated patient accounting system.
If you are submitting electronic insurance verification and claims and receiving your remittances electronically, you have the data to measure and improve your revenue cycle.
Any discussion of economic viability for healthcare organizations should consider payer mix and regulatory conditions that affect the industry.
Hospitals and health systems that acquire group practices should address major factors that affect the revenue cycle.
Richelle Fleischer, Vice President of Revenue Cycle Management for Riverside Health Systems, discusses how one organization leverages technology to reduce its cost to collect.
Implementing a revenue integrity program based on collaboration among finance and clinical departments resulted in additional net revenue of almost $11 million over the past three years.
New ED information system at rural St. Andrews Hospital has improved efficiency and increased charge capture and cash flow.
Advice for revenue cycle leaders on getting hospital staff to adopt bedside registration or workstations on wheels.
Simplified Solutions from Our Sponsor
Six tips to a patient friendly portal
In the world of website design, aesthetics are only a small part of the story. A truly well-designed site is much more than a pretty (inter)face. It is simple for users to navigate, offers effective visual communication, and guides and prompts interaction. Although an attractive appearance may serve as a site’s positive first impression, the graphical user interface (GUI) must join function with form to make a site intuitive and useful for visitors.
This truth becomes increasingly important for websites that provide online payment capabilities and account access.
Intuitive Online Payment
Every color, word, and graphic element must be created and placed judiciously to enhance users’ experiences and influence behavior so they easily conduct business online. Every click should innately lead to the next so that users complete payments barrier-free rather than abandoning their attempts out of frustration.
If your organization is like many in health care, you already have or are planning to introduce a web-based payment portal to capture revenue and provide convenience for patients. Across our industry, we’re seeing providers achieve measurable increases in collections thanks to the simplicity and immediacy of online payment options. Just by having a payment portal, providers increase the odds of receiving settlement from patients. However, imagine how those odds could be improved further by thoughtfully designing the portal for intuitive navigation and ease of use.
How Well Designed Is Your Portal?
Does your portal look and run like something from the MS-DOS era? Is its beauty only screen deep? Or does its form and function work in harmony to evoke action from users, resulting in more revenue for your organization?
Here are some key considerations to ensure your GUI is all it should be and more.
Begin with your brand. If good design is about more than aesthetics, why is branding mentioned first on this list? Your branding represents your organization. From a visitor’s first moment on your portal, they must be assured they’re in the right place and interacting with the trusted entity they sought out. By clearly showing your brand, you provide a virtual welcome mat for your users, offering peace of mind that they are providing payment information in a trusted, secure environment.
Keep it simple. Good design often hinges on what’s left out as much as what’s included. An inviting, well-designed GUI is uncluttered, artfully edited, and free of unnecessary elements so that essential features get the spotlight. There’s typically no need for extensive copy on the home page of a payment portal. Users come to such sites with general working knowledge of expected functionality, so eliminate thick blocks of text and always go with standards of patient-friendly billing. The following example illustrates a simple, yet effective portal page.
Link: PFB page. Use new URL after new site launch.
INSERT EMDEON MYDESKTOPACCOUNT FILE SAVED IN JAN PFB FINAL FOLDER. Source: Emdeon, Nashville, Tenn. Used with permission.
Offer immediate and easy interaction. Make sure the login area of your payment portal is obvious and easy to click on from the main page, and build in prompts to encourage site users to sign in right away. It’s vital for users to login as quickly as possible so that users are primed and ready to access their accounts and make payments.
Communicate through layout and design. Use colors, graphic elements (static or animated), and text call-outs to influence visitor behavior. Draw attention to key, action-oriented information by formatting it in a brighter color and using a bold font. Include visual buttons to invite clicks. These buttons are known in the world of web design to prompt response. Give the page layout enough white space (areas without text or graphics) to ensure that your messaging remains uncluttered.
Mobilize your efforts. Each day, more people are accessing the Internet through mobile devices. Smartphones and tablet computers account for an ever-increasing percentage of web traffic, so be sure your site looks and functions as well on different screen sizes and in various operating systems as it does on a standard desktop or laptop computer. Ideally, your site should have mobile detection so that a mobile-optimized version of the site loads automatically depending on what device is accessing it.
Prioritize secure architecture. Build layers of security into your entire site design. It’s recommended to require authentications and go with a third-party verification service to provide constant assurance to users that their transactions and account information are protected. Include visual reminders of the secure measures you’ve taken to protect your site to give users subtle, constant certainty. Make privacy statements available, as well.
Employing these artful measures when designing (or redesigning) your patient payment portal will provide patients with the ease and convenience of online account status tracking and payments they’ve come to expect in this era of online commerce. Likewise, you’ll be able to capture more prompt, complete payments for your organization. And that’s a well-designed arrangement for everyone!
Emdeon Patient Pay Online is a self-service patient application that provides online billing and payment management. Patients can access their providers' websites and view, manage, and pay their accounts online.
Healthcare IT will play a critical role in helping providers capture data and transfer knowledge from every patient interaction - the basis for higher-quality care at reduced cost.
To mitigate liability associated with noncompliance
with HIPAA and the HITECH Act, healthcare providers should take five steps to
assess these risks.
Program milestones for the ICD-10 Program at UW Medicine provide clear direction and transition points to ensure everyone is progressing together.
In this business profile, Amy Gross, senior vice president of Key Government Finance, discusses the benefits of private placement transactions to support large-scale financing projects.
Patient financial engagement is more challenging than ever – and more critical. With patient responsibility as a percentage of revenue on the rise, providers have seen their billing-related costs and accounts receivable levels increase. If increasing collection yield and reducing costs are a priority for your organization, the metrics outlined in this presentation will provide the framework you need to understand what’s working and what’s not, in order to guide your overall patient financial engagement initiatives and optimize results.
In this business profile, Doug Polasky, executive vice president at Xtend Healthcare, explains the importance of having sound workflow processes in a consolidated business office to ensure optimal performance and reduce costs.
No two patients are the same. Each has a very personal healthcare experience, and each has distinct financial needs and preferences that have an impact on how, when and if they chose to pay their healthcare bill. It’s no longer effective to apply static billing techniques to solve the complex challenge of collecting balances from patients. The need to tailor financial conversations and payment options to individual needs and preferences is critical. This presentation provides 10 recommendations that will not only help you improve payment performance through a more tailored approach, but take control of rising collection costs.
TriMedx helps health systems control costs and uncover savings opportunities by optimizing the clinical engineering function.
This white paper, written by Apex Vice President of Solutions and Services, Carrie Romandine, discusses the importance of patient segmentation and messaging specifically related to the patient revenue cycle. Applying strategic messaging that is tailored to each patient type will not only better educate consumers on payment options specific to their billing needs, but it will maximize the amount collected before sending to collections. Further, targeted messaging should be applied across all points of patient interaction (i.e. point of service, customer service, patient statements) and analyzed regularly for maximized results.
A leader from McKesson discusses how healthcare reform is forcing hospitals and health systems to take a different approach to capacity management and patient flow.
This white paper, written by Apex President Patrick Maurer, discusses methods to increase patient adoption of online payments. Providers are now seeking ways to incrementally collect more payments due from patients as well as speeding up the rate of collections. This white paper shows why patient-centric approaches to online payment portals are important complements to traditional provider-centric approaches.
Emad Rizk, MD, president and CEO of Accretive Health, discusses the uncertainty facing hospitals and the transitions affecting revenue cycle management.
Increased electronic engagement between healthcare providers and patients provides significant opportunities for improving revenue cycle metrics and encouraging patients to access EHRs. This article, written by Apex Founder and CEO Brian Kueppers, explores a number of strategies to create synergy between patient billing, online payment portals and electronic health record (EHR) software to realize a high ROI in speed to payment, patient satisfaction and portal adoption for meaningful use.
Jim Bohnsack, vice president, solution & corporate development for Conifer Health Solutions, explains how the company helps healthcare providers leverage data to deliver better outcomes while optimizing reimbursement for all payment arrangements.
Faced with a rising tide of bad debt, a large Southeastern healthcare system was seeing a sharp decline in net patient revenues. The need to improve collections was dire. By integrating critical tools and processes, the health system was able to increase online payments and improve its financial position. Taking a holistic approach increased overall collection yield by 10% while costs came down because the number of statements sent to patients fell by 10%, which equated to a $1.3M annualized improvement in patient cash over a six-month period. This case study explains how.
Steve Scibetta, senior director of channel sales for Ontario Systems' healthcare product line, shares insights into effectively managing receivables.
With the ICD10 deadline quickly approaching and daily responsibilities not slowing down, final preparations for October 1 require strategic prioritization and laser focus.
Elena White, vice president of risk, quality, and network solutions for Optum, discusses how healthcare providers can leverage data and technology as they enable risk in their organization.
Read how Gwinnett Medical Center provides clear connections to financial information, offers multiple payment options for patients, and gives onsite staff the ability to collect payments at multiple points throughout the care process.
Somnia President and CEO Marc Koch, MD, MBA, explains how hospitals can drive transformative change in the perioperative experience for outstanding clinical and financial outcomes.
Read how Orlando Health was able to perform deeper dives into claims data to help the health system see claim rejections more quickly–even on the front end–and reduce A/R days.
PMMC President Roger L. Shaul discusses the effects of healthcare reform on revenue cycle management and how PMMC's products help clients adapt to a changing financial environment.
To maintain fiscal fitness and boost patient satisfaction and loyalty, healthcare providers need visibility into when and how much they will be paid–by whom–and the ability to better navigate obstacles to payment. They need payment clarity. This whitepaper illuminates this concept that is winning fans at forward-thinking hospitals.
Greg Burgess, Founder and Chief Product Officer at Burgess Group shares insights and opportunities for payment integrity in the rapidly changing healthcare IT landscape.
Financial services staff are always looking for ways to improve the verification, billing and collections processes, and Munson Healthcare is no different. Read about how they streamlined the billing process to produce cleaner bills on the front end and helped financial services staff collect more than $1 million in additional upfront annual revenue in one year.
Effective revenue cycle management can be a challenge for any hospital, but for smaller providers it is even tougher. Read how Wallace Thomson identified unreimbursed procedures, streamlined claims management, and improved its ability to determine charity eligibility.
Before launching an energy-efficiency initiative, it’s important to build a solid business case and understand the funding options and potential incentives that are available. Healthcare leaders should consider taking the steps outlined in the whitepaper to ease the process of gaining approval, piloting, implementing, and supporting sustainability projects. You will find that investing in sustainability and energy efficiency helps hospitals add cash to their bottom line. Discover how hospitals and health systems have various options for funding energy-efficient and renewable-energy initiatives, depending on their current financial structure and strategy.
Health care is a dynamic mergers and acquisitions market with numerous hospitals and health systems contemplating or pursuing formal arrangements with other entities. These relationships often pose a strategic benefit, such as enhancing competencies across the continuum, facilitating economies of scale, or giving the participants a competitive advantage in a crowded market. Underpinning any profitable acquisition is a robust capital planning strategy that ensures an organization reserves sufficient funds and efficiently onboards partners that advance the enterprise mission and values.
The success of healthcare mergers, acquisitions, and other affiliations is predicated in part on available capital, and the need for and sources of funding are considerations present throughout the partnering process, from choosing a partner to evaluating an arrangement’s capital needs to selecting an integration model to finding the right money source to finance the deal. This whitepaper offers several strategies that health system leaders have used to assess and manage capital needs for their growing networks.
Announcements from several commercial payers and the Centers for Medicare and Medicaid Services (CMS) early in 2015 around increased efforts to form value-based contracts with providers seemed to point to an impending rise in risk-based contracting. Rather than wait for disruption from the outside in, health care providers are now making inroads on collaborating with payers on various risk-based contracting models to increase the value of health care from within.
Yuma Regional Medical Center (YRMC) is a not-for-profit hospital serving a population of roughly 200,000 in Yuma and the surrounding communities.
Before becoming a ZirMed client, Yuma was attempting to manually monitor hundreds of thousands of charges which led to significant charge capture leakage. Learn how Yuma & ZirMed worked together to address underlying collections issues at the front end, thus increasing Yuma’s overall bottom line.
Kindred Hospital Rehabilitation Services works with partners to audit the market and the facility’s role in that market to identify opportunities for improvement. This approach leads to successes; Kindred’s clinical rehab and management expertise complements our partners’ strengths. Every facility and challenge is unique, and requires a full objective analysis.
As the critical link between patient care and reimbursement, health information enables more complete and accurate revenue capture. This 5-Minute White Paper Briefing shares how to achieve cost-effective revenue integrity by your optimizing HIM systems.
Speedier cash flow starts with better CDI and coding. This 5-Minute White Paper Briefing explains how providers can improve vital measures of technical and business performance to accelerate cash flow.
Qualified coders are getting harder to come by, and even the most seasoned professional can struggle with the complexity of ICD-10. This 5-Minute White Paper Briefing explains how partnerships can help improve coding and other key RCM operations potentially at a cost savings.
The point of managing your revenue cycle isn’t just to improve revenue and cash flow. It’s to do those things effectively by consistently following best practices— while spending as little time, money, and energy on them as possible.
How Lucile Packard Children’s Hospital Stanford increased payments received within 45 days by 20% and reduced paper submission claims by 70% by using ZirMed solutions.
The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real‐world denial rates often range from 12 to 22 percent. Read about how predictive modeling can detect meaningful correlations across claims denials data.
Emergency Mobile Health Care (EMHC) was founded to be and remains an exclusively locally owned and operated emergency medical service organization; today EMHC serves a population of more than a million people in and around Memphis, answering 75,000 calls each year.
Since the Physician Quality Reporting Initiative (PQRI) introduction, CMS has paid more than $100 million in bonus payments to participants. However, these bonuses ended in 2015; providers who successfully meet the reporting requirements in 2016 will avoid the 2% negative payment adjustment in 2018, so now is the time to act! Included in this whitepaper are implications of increasing patient responsibility, collections best practices, and collections and internal control solutions.
Getting paid what your physician deserves—that’s the goal of every biller. Yet even for the best billers, achieving that success can be elusive when denials stand in the way of success, presenting challenges at every turn. Denials aren’t going away, but you can learn techniques to manage and even prevent them.Join practice management expert Elizabeth W. Woodcock, MBA, FACMPE, CPC, to: Discover methods to translate denial data into business intelligence to improve your bottom line, determine staff productivity benchmarks for billers, and recognize common mistakes in denial management.
Copyright 2016, Healthcare Financial Management Association.
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