Revenue Cycle Management

The Status of ICD-10: An Insider’s View

Nena Scott provides a look at the progress of ICD-10 18 months out. 

Nena Scott April 26, 2017

Developing a Mobile Revenue Cycle

Jeff Wood presents payment ideas for appealing to the tech-savvy patient. 

Jeff Wood April 24, 2017

The Financial Truth About ICD-10 Coding Accuracy: Two DRGs to Watch

A new study reveals growing concern for ICD-10 coding quality with special emphasis on two inpatient DRGs―cardiac defibrillator implants and anterior/posterior spinal fusion―that can result in significant revenue loss.

Eileen Dano Tkacik April 18, 2017

Coding for Antibiotic Resistant Infections

What are the ICD-10 coding guidelines related to superbug infections and medication resistance?

Christi Roberts , RHIA, CCA, AHIMA Approved ICD-10-CM/PCS Trainer April 18, 2017

Strategies to Assist Uninsured Patients

Wooster Community Hospital reaches out to uninsured patients with package pricing and Medicaid application assistance.

Julie A. Jacob April 18, 2017

Why Health Plans Are Easing Preauthorization

In an attempt to build cooperative working relationships with physicians, some health plans are trying to reduce the burden of preauthorization.

Lola Butcher April 11, 2017

Avoiding the Costliest Denials

Eligibility, outpatient medical necessity, and case management authorization continue to be three of the costliest denials. To avoid the negative effects of these types of denials, it is critical to implement an improvement process based on data.

Laura Ramos Hegwer April 10, 2017

Ask the Experts: Self-Pay Accounts

Has anyone placed self-pay unpaid accounts with a third-party agency at day 90? If so, was it beneficial or detrimental?

HFMA April 10, 2017

Electronic Claim Processing Can Save Millions of Work Hours

If providers fully adopt automated processes for claim transactions, a minimum of 1.1 million hours of administrative work could be saved per business week each year, according to a 2016 CAQH study. 

HFMA April 10, 2017

Finding Common Ground on Physician Documentation

Revenue cycle teams looking to improve physician compliance with documentation requirements should identify how better documentation supports physician priorities. 

Lola Butcher April 6, 2017
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