Blogs

Blog Article By Vickie Bridge and Cheryl Nicholson Coding backlogs can create havoc on accounts receivables (A/R). Just as patient visit volumes fluctuate so do the number of patient accounts that need coded. Reduce coding backlogs with a consistent, proactive approach to managing discharged not final coded (DNFC) accounts. The root cause of coding backlogs can come from a variety of sources. As you analyze the coding workflow [...]

Many providers think administering Medicare Annual Wellness Visits (AWV) is simple and easy.  In reality, numerous providers continue to struggle and face challenges with developing the patient’s five-to-ten-year personalized prevention plan as required by Medicare.  Medicare requires the personalized plan to be developed during the initial AWV and updated annually during the subsequent AWV.  Challenges may derive from having deficient workflows, incomplete AWV templates, and confusion with understanding the Medicare AWV requirements.  [...]

Provider volumes for medically necessary and preventive care visits dropped dramatically at the start of the COVID-19 pandemic.  Volumes for medically necessary visits have largely rebounded because of the  relaxed telehealth and in-person visit guidelines, and providers have an opportunity to regrow preventive visit volumes as well.  In response to the COVID-19 Public Health Emergency (PHE) issued on March 1, 2020, the Centers for Medicare & Medicaid Services (CMS) expanded access to telehealth [...]

Do you feel like you have too many reports?  Do you feel like your teams measure the same things in different ways?  Revenue Cycle reporting and analytic solutions can take many shapes and sizes in today’s healthcare industry.  Some organizations leverage comprehensive reporting solutions that have the capability to provide self-service reporting and analytics tools while others rely on manually generated reports and queries from an IT group. Regardless of the approach, [...]

Vendors are an integral part of every revenue cycle solution. From software/technology to outsourcing/AR management – and everything in between. In an ideal world – vendors would run autonomously and produce expected results without management or oversight. Unfortunately, this is not the case – and if not managed effectively, can end up being costly from several angles: resources and time, patient satisfaction / customer service, and financial performance. While vendor management is a [...]

Some people view an interim leader as a stop gap between an outgoing revenue cycle leader and the next leader to fill the permanent role; someone to manage the day-to-day and maintain performance. We would contend that, in the Revenue Cycle space, interim leaders should also have the experience and skillsets needed to rapidly identify and execute changes to improve performance.  Despite the need for interims to drive value, many times interim revenue cycle [...]