Ask the Experts: Payment Posting Schedule
It is my understanding that payments and adjustments must be allocated evenly/individually based on the insurance payment itself. Can you share any documentation that states how payments are to be posted to charges on a compliance level?
Driving Effective Patient-Provider Matching With Robust Provider Data
Healthcare organizations need to effectively match patients with providers to be able to both attract consumers and coordinate care.
Understanding the Many Coding Changes Related to the FY18 IPPS
What are the big coding changes for the FY18 inpatient prospective payment system?
Increase Cash Flow by Giving Your Business Staff Meaningful Work
The pillars of strong revenue cycle operations are creating meaningful work, developing knowledge, removing obstacles, and advancing analytical capabilities. Revenue cycle leaders can achieve these goals by integrating payer and claims data and applying algorithms to optimize staff efforts.
Virtual Work Drives Productivity at Cleveland Clinic
Since initiating its remote worker program, Cleveland Clinic’s revenue cycle department has experienced a 13 percent increase in productivity.
Hospital’s Tax-Exempt Status Revoked for Lack of Community Health Needs Assessment
The IRS stated that a rural hospital had failed to conduct a proper community health needs assessment and make it widely available to the public. The hospital’s tax-exempt status under section 501(c)(3) was revoked retroactively.
Ask the Experts: Inpatient Versus Outpatient Health Plan Billing
Is it legal to charge an inpatient for outpatient services provided by another facility?
Prioritizing Accounts Helps Sanford Health Lift Patient Payments by $2.1M
Scoring and segmenting patients according to their propensity to pay, combined with using an automated dialer, can significantly improve the productivity of patient account teams.
The Top 5 Drivers of Missing Charges
Staff engaged in revenue integrity and charge audits should carefully monitor five key categories that are most common reasons for missing charges.
ICD-10 Denials and Payment: Understanding the Relationship
Proactive, established processes to prevent denials and better manage appeals minimizes citation risks while promoting optimal, timely payment and compliance.