Topics: Revenue Cycle Management
Revenue Cycle Management (RCM) is a critical process in the healthcare industry, especially within hospitals. It encompasses the entire financial lifecycle of a patient’s interaction with a healthcare provider, from appointment ...
Topics: Contract Negotiation
In healthcare today, charges are increasing, reimbursement is tightening, and pricing has become available for the public. Charges must be simplistic and straightforward for consumers to understand. Headlines highlight patients ...
Topics: Revenue Cycle Management
A study summarized on yahoo!finance indicates that the future of Health Care Revenue Cycle Management may include increases in outsourcing. “The study, entitled PatientPay 2022, found 63% of respondents indicated they were ...
Topics: Revenue Cycle Management
Hospital margins depend highly on the type and volume of services they perform. Historically, the hospital was the only place to go for healthcare services. However, today a variety of stand-alone specialty locations can meet ...
Topics: Surgical Charge Structure
4 Key Elements to Establish Effective Surgical Charges Charge Setting in the Operating Room Perhaps one of the most enigmatic locations in the hospital for setting charges is the Operating Room (OR). The same procedure can vary ...
Topics: Contract Negotiation, Denial Management
According to Becker's Healthcare, as of Quarter 3 of 2022, "economists have classified 2022 as the worst financial year for hospitals in decades," as the profit gap between payer and provider continues to widen. Figure 1.1 Note. ...
Topics: Revenue Cycle Management
What it IS The patient-centric revenue cycle considers the patient's experience throughout the billing process. This includes an upfront understanding of the cost and transparent and timely communication regarding the balance due ...
Topics: Revenue Cycle Management, Chargemaster Management Software
What trends are emerging in Revenue Cycle? How can you prepare? As healthcare delivery continues to evolve, providers struggle to keep up. As with most consumer services, providers need to figure out how to meet the needs of ...
Topics: Revenue Cycle Management, Denial Management
All care provided within a health care institution has a cost and associated fee or payment. Managing the charging for and collection of such bills fall under the purview of the revenue cycle management team. The Healthcare ...
Topics: Revenue Cycle Management, Denial Management
How do you know your services and procedures are paid accurately according to payor contract terms? Month after month, the question of net revenue and write-offs comes from the C-suite to the billing office and impacts all ...
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