6 Astounding Facts on Healthcare Administrative Costs

Posted by Lindsey McCabe on Sep 20, 2018 11:30:00 AM

Healthcare administrative costs continue to surge in the U.S. making cost containment a stronger focus for healthcare leaders in 2018. In fact, here are six astounding facts on U.S. healthcare administrative costs:

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Topics: Revenue Cycle Process, Healthcare Administrative Costs, Cost Containment

E&M Coding Changes to Watch in 2019

Posted by Stephen Gorman on Aug 29, 2018 11:31:00 AM

Once a year, the Centers for Medicare and Medicaid Services (CMS) reviews the physician fee schedule for desired modifications to take affect the following year. This review process has begun for 2019.

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Topics: Revenue Cycle Process, EMR, Coding Knowledge, CMS, Medicare, Medicaid

2018 WRUG: What We Learned

Posted by Bobby von Bremen on Aug 20, 2018 10:17:30 AM

The opening remarks by Kelly Robison, CEO of Brown & Toland Physicians, set the tone for this year’s WRUG (Western Region User Group for GE Centricity Business Users) summer/fall meeting. Kelly spoke passionately about the importance of supporting Physicians as the healthcare market evolves. Brown & Toland, with over 2,400 Physicians in the Bay Area, is focused on meeting Physicians where they want to be met, for example practicing independently, being employed, or a hybrid of the two. Population Health Management, Value-based Care and treating patients holistically, regardless of insurance coverage, were discussed in detail. Flexibility and proactivity were themes that echoed throughout the conference. 

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Topics: Revenue Cycle Process, Risk Adjustment, Value-Based Reimbursement, Population Health, HCC Coding, Claim Scrubber, GE Centricity, WRUG, Revenue Cycle

3 Ways to Survive Employee Turnover and Stay Profitable

Posted by Lindsey McCabe on Jul 19, 2018 8:34:30 AM

Employee turnover is one of healthcare’s biggest challenges. A study by Compdata Surveys discovered the average turnover in healthcare jobs in 2017 was 20.6%, up from 15.6% in 2010. With the complexity of Revenue Cycle Management (RCM) for healthcare organizations and the changing landscape of reimbursement models, a strong team is your life blood.

The amount of training and knowledge an RCM employee has can be extensive and expensive, not to mention the cost of hiring/training a new employee. A consultant and faculty member for the American College of Healthcare Executives, estimated the average cost of an employee is $60,000 and if an organization loses 20% of 3,000 employees with an average salary of $45,000, that totals to $27 million! On top of being understaffed, your department would still be responsible for maintaining cash flow, as well as tracking down and mitigating denials.

Overwhelmed yet? It's clear that employee turnover is extremely important to RCM success, so we’ve put together 3 tips on how to survive it.

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Topics: Employee Turnover, Revenue Cycle, RCM, Revenue protection, Employee Retention, Coding Knowledge

Top 3 Challenges in Shifting to a Value-Based Payment Model

Posted by Lindsey McCabe on Jun 19, 2018 10:30:00 AM

The shift from a fee-for-service reimbursement model to a value-based model is a not an easy one for providers; but it’s also a shift that’s not going away. According to a study by ORC international and McKession, payers estimate that in 2021, close to 60% of payments will be value-based. So it’s no surprise that more and more groups are defining what that transition would look like and identifying the challenges that could present themselves. Based on our research, here are the top 3 challenges we’re flagging in 2018 as you’re planning for your transition.

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Topics: HCC Coding, Value-Based Reimbursement, Revenue Cycle Process

You've Probably Already Used AI a Few Times Today

Posted by Lindsey McCabe on May 15, 2018 3:34:00 PM

When we think about Artificial Intelligence (AI) there’s a lot of hype and excitement. We often hear the questions, “How will AI affect us?” “How will it affect our jobs?” “Are we ready for it?” The monumental promise and arresting future AI holds is quite compelling, so much so, that it can often overshadow the already very real and practical uses of AI we benefit from every day. In fact, instead of us asking “What will we do when AI gets here?” the question we should be asking is “AI, what would I do without you!”

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Topics: Automation, Artificial Intelligence, Revenue Cycle, Revenue Cycle Process, Clean Data, AI

3 Reasons Why Artificial Intelligence is Critical to Optimizing Your Revenue Cycle Process Today

Posted by Lindsey McCabe on Apr 3, 2018 7:02:00 AM

There’s no question that Artificial Intelligence (AI) has transformed other industries. And a lot has been written about AI’s very promising future within the healthcare industry. But instead of focusing on what’s to come, let’s focus on what AI can do for you now. Optimizing your revenue cycle process with AI is more vital to your organization’s financial health today more than ever before. Here are 3 reasons why:

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Topics: Automation, Value-Based Reimbursement, Artificial Intelligence, Revenue Cycle

Value Based Reimbursement - Simplified - Part 3

Posted by Bobby von Bremen on Sep 1, 2017 12:10:36 PM

Part 3: Five Things Every Healthcare Organization Needs to Know about HCC Coding

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Topics: Clean Data, Revenue Cycle, Automation, Value-Based Reimbursement, HCC Coding, Risk Adjustment

Another Allscripts User Chooses RCxRules!

Posted by Bobby von Bremen on Jun 12, 2017 10:57:12 AM

We have exciting news to share - our Allscripts user base continues to grow.  RCxRules recently formalized a partnership with Heritage Medical Associates, a 135+ physician, Multi-Specialty group out of Nashville, TN.

RCxRules is providing Heritage with a robust, intuitive rules engine that sits at the front-end of the revenue cycle process - seamlessly integrating with their Allscripts Pro EHR and Allscripts PM systems.  RCxRules will automate the review, import and correction of charges before they enter PM. 

If you would like to learn how RCxRules can complement your Allscripts system(s), click here to schedule a brief overview.

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Topics: Clean Data, Revenue Cycle, Automation, HCC Coding

Value Based Reimbursement - Simplified - Part 2

Posted by Bobby von Bremen on May 12, 2017 3:54:05 PM

Part 2: Risk Adjustment—How Medical Groups Get Paid    

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Topics: Clean Data, Revenue Cycle, Automation, Value-Based Reimbursement, HCC Coding, Risk Adjustment