The RCxRules Blog

HCC Coding
October 7, 2021 Overcoming Common HCC Coding Challenges Part 3: Making the Case to Leadership to Expand HCC Coding Efforts The final installment in our blog post series on overcoming common HCC coding challenges tackles the issue of leadership buy-in. This …
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Revenue Cycle
September 21, 2021 Medical Coding Automation: A Coding Team's Secret Weapon As Artificial Intelligence (AI), Robotic Process Automation (RPA), and medical coding automation grow, medical coders and billing staff may be …
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HCC Coding
September 9, 2021 Overcoming Common HCC Coding Challenges Part 2: Understanding Payer Feedback and Turning it Into Action Next up in this series of posts featuring case studies that demonstrate how top-performing medical groups overcame common HCC coding challenges is an …
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Revenue Cycle
August 19, 2021 Keeping Pace: Surgical Specialty Requirements On top of the usual billing and coding challenges faced by all providers, specialty practices across the country have additional requirements to …
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HCC Coding
August 5, 2021 Overcoming Common HCC Coding Challenges Part 1: Limited Coder Staffing In our extensive experience working with population health teams, we’ve seen them grapple with several challenges when it comes to HCC coding. In …
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Revenue Cycle
July 15, 2021 A Revenue Cycle Guide for Private Equity Firms in Healthcare Private equity firms have taken on a significant role in the healthcare industry over the last decade. In 2018, the valuation of private equity deals …
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HCC Coding
July 8, 2021 Tips for Querying a Physician to Improve HCC Coding Accuracy What is a Physician Query? The American Health Information Management Association (AHIMA) defines a physician query as “a communication tool or …
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Revenue Cycle
June 22, 2021 The Key to Denial Management in Healthcare: Intervene on the Front End Denial management in medical billing and coding can be complex, but there are ways to simplify the process. As many as 65% of claim denials are never …
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HCC Coding
June 10, 2021 How to Use HCC Analytics to Improve Provider Education and Point-of-Care HCC Capture To improve point-of-care HCC coding capture among providers, most ACOs and population health teams rely on provider education programs. Successfully …
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