When I first walked into the revenue cycle department of a midsize outpatient clinic in Raleigh, I expected to see stacks of patient charts and billing ledgers. What I found…
The Coming Storm in Healthcare Finance America’s healthcare system is heading toward a breaking point. By 2030 the US will face a shortage of more than 86,000 physicians. Hospital margins…
Oregon Health & Science University Hospital is a 576-bed teaching hospital, biomedical research facility and Level I trauma center located on the campus of Oregon Health & Science University in…
As the healthcare industry changes, there needs to be a shift from a growth perspective to an efficiency perspective. Most hospitals had their highest case mix index (CMI) during COVID,…
A physician private practice with a good handle on its revenue cycle can bring in more dollars and adapt more quickly to external forces such as lower payment rates. It…
A recent AMA study found that in 2018, for the first time, employed doctors outnumbered those that owned, or had an ownership stake in, a practice. For independent practices, this…
Improving revenue cycle management is a key focus for hospitals and health systems as they navigate the shift to value-based care and patients take on more financial responsibility for their…
When Donella J. Lubelczyk, RN, BSN, ACM-RN, CRC, CRCR, entered her job as director of revenue cycle at Catholic Medical Center in Manchester, New Hampshire, she got a surprise when…
Accurate, efficient revenue cycle management is essential to maintaining positive cash flow in a healthcare facility. Maintaining positive health care finances requires that claims processing and payments are effectively managed…
I often get the question, “What should my monthly numbers be?” My first response is, taking into account collections among other things affecting their practice, “What are your minimum requirements,…
Reimbursement for evaluation and management (EM) services is often the most challenging for primary care physicians and their billing staff. The most common EM codes are based on location, patient…
One of the things we are worried about is how ICD-10 implementation affects reimbursements for healthcare providers. And since Oct. 1, we've saying it's too early to tell. That's mostly because…
Poor documentation, decrease in productivity among main ICD-10 challenges thus far. Leading up to the healthcare industry’s transition to the ICD-10 coding set on Oct. 1, 2015, there seemed to…