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Key Considerations for Legacy AR Rundown Strategy

2024-04-09T06:59:39-04:00

OverviewSystem conversions necessitate extensive planning, design, resource commitment, and resource alignment. One of the key components of a successful conversion that sometimes gets underestimated or overlooked is the strategy for the legacy system accounts receivable (AR).  One of the first decisions likely to be considered when evaluating your legacy AR is the idea of conversion vs. pursuing an AR rundown strategy. This decision is likely evaluated around the criteria of legacy process and [...]

Key Considerations for Legacy AR Rundown Strategy2024-04-09T06:59:39-04:00

Patient Access: Opening the Front Door to the Revenue Cycle

2024-04-01T11:39:49-04:00

After 20 years working in all facets of the revenue cycle, I still believe that providing additional support and pay parity to Patient Access is where we need to focus more of our time, energy, and resources. Patient Access is truly our front door into our clinics and hospitals and the way into all other departments.Access employees are often the first impression makers for our patients and their families. As the first [...]

Patient Access: Opening the Front Door to the Revenue Cycle2024-04-01T11:39:49-04:00

Epic PB: Understanding and Improving Your Pre-AR (and the “Pre” Pre-AR You May Not Even Know About)

2024-02-14T06:54:59-05:00

Epic Pre-AR equates to unposted charges that are held in Charge Review work queues (WQs). Fluctuations in Pre-AR are common yet can have a significant impact on your actual AR days, gross revenue, cash flow, visit statistics, provider productivity/compensation, and even patient care if providers do not complete critical documentation and close encounters in a timely manner. In the most ideal world, clinic charges are documented, coded, and posted the same day the service [...]

Epic PB: Understanding and Improving Your Pre-AR (and the “Pre” Pre-AR You May Not Even Know About)2024-02-14T06:54:59-05:00

An Integrated Approach to a Case Management Denial Prevention Program

2024-02-06T07:23:36-05:00

Case Management (CM) plays a pivotal role in ensuring the Revenue Cycle (RC) operates efficiently and effectively by improving patient care and patient relationships, reducing denials, and enhancing the organization’s overall financial performance. Within the denial reduction scope, an effective Case Management department can pre-emptively address encounters that have a higher likelihood of medical necessity denials to ensure streamlined compensation.  According to Change Healthcare, their research shows nationally that medical necessity denials [...]

An Integrated Approach to a Case Management Denial Prevention Program2024-02-06T07:23:36-05:00

Navigating Net Revenue and Revenue Cycle Performance: Strategies for Alignment

2023-12-21T12:24:26-05:00

In the intricate dance of healthcare financial management, the connection between Net Revenue and Revenue Cycle performance is often overlooked or misunderstood. Finance teams may wield their analytical magic at month-end, declaring success or failure against budgets, while the Revenue Cycle, if engaged, grapples with specific encounter-level questions without full understanding of financial model mechanics. The result? A disjointed process that hinders a holistic and common understanding of performance. In this blog [...]

Navigating Net Revenue and Revenue Cycle Performance: Strategies for Alignment2023-12-21T12:24:26-05:00

Successfully Managing Your Remote Revenue Cycle Team

2023-10-11T20:49:49-04:00

The field of revenue cycle management in healthcare has been rapidly changing over the years leading to an increasing number of revenue cycle teams adopting alternative work arrangements. This trend was accelerated by the pandemic, which forced revenue cycle staff to transition to working remotely. While remote work offers advantages such as flexible schedule and potential money savings, it also presents challenges when it comes to managing a remote team. In this [...]

Successfully Managing Your Remote Revenue Cycle Team2023-10-11T20:49:49-04:00

Preparing for a Seamless EMR Transition: Essential Steps for Revenue Cycle Success

2023-10-21T16:52:25-04:00

Are you considering replacing your EMR system? Before diving into a new installation for your Revenue Cycle, it's crucial to explore several key prerequisites. While these topics often arise during the implementation process, addressing them beforehand can significantly streamline your EMR transition. While you don't need to finalize every detail before implementation, having a clear understanding of your current state, payer regulations, revenue cycle pain points due to your existing system, and [...]

Preparing for a Seamless EMR Transition: Essential Steps for Revenue Cycle Success2023-10-21T16:52:25-04:00

Implementing Epic Revenue Guardian

2023-10-24T11:53:15-04:00

Revenue Guardian is a module within Epic which identifies areas of opportunity to increase charging efficiency and more importantly, catch accounts with missing charges.  If your healthcare organization is using Epic’s Resolute Hospital Billing application and you do not have a robust Revenue Guardian solution you may be missing out on revenue.  To that end, there are many considerations when choosing to implement or improve your existing Revenue Guardian edits.  If you [...]

Implementing Epic Revenue Guardian2023-10-24T11:53:15-04:00

Managing Your Outsourced Revenue Cycle

2023-10-21T16:50:08-04:00

When healthcare organizations outsource their Revenue Cycle Management (RCM), they can “potentially” experience noteworthy cost savings and improved efficiency. Nonetheless, managing an outsourcing partner and achieving desired outcomes comes with its own set of challenges and oftentimes significant setbacks in performance.  There are several tactics organizations can implement to mitigate some of these risks. To maximize a successful partnership, healthcare organizations must establish Service Level Agreements (SLAs) that are clear, measurable, and [...]

Managing Your Outsourced Revenue Cycle2023-10-21T16:50:08-04:00
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