The RCxRules Blog

Bad Data, Evolving Payer Requirements, and Staffing Challenges: Overcoming Roadblocks in 2022

Bad Data, Evolving Payer Requirements, and Staffing Challenges: Overcoming Roadblocks in 2022

As we all know, 2021 was a tough year in healthcare. While hopeful things will start to improve in 2022, provider burnout remains an ever-increasing problem, and employees across the healthcare industry are overworked and overburdened. EMRs funnel a daily deluge of bad electronic billing data, and RCM teams struggle to keep their heads above water. Luckily, there are better ways to manage this workload—without increasing provider burden. Below are some of the biggest roadblocks we anticipate for 2022, and how to overcome them.

Managing Ever-Increasing Bad Electronic Billing Data

Providers didn’t go to medical school to become coders. Now, more than ever, providers should be focused on what they do best—providing excellent patient care. But this lack of provider focus on coding leaves RCM teams with a lot of errors to sort through. By leveraging artificial intelligence like the RCxRules Revenue Cycle Engine to clean data at the beginning of the process, teams can save countless hours of manual work.

Keeping Track of Payer Requirements

In today’s environment, payer requirements evolve at a whirlwind pace. Spreadsheets, email chains, and sticky notes on someone’s desk can quickly get out of control. And what happens if a key employee leaves? Hard-earned institutional knowledge could leave with them. That’s why it’s crucial to keep track of everything in a single place. RCxRules gives you one location to host your organization’s billing and coding knowledge, allowing you to keep up with ever-evolving payer requirements and make sure everyone on your team handles billing and coding issues exactly as instructed for every encounter.

Optimizing Staffing

The past year brought many challenges, including staffing shortages. Historically, the process to review charges for billing and coding accuracy has required extensive and expensive staffing. With RCxRules, you can get more work done with fewer staff members. Whether your team has been a victim of the Great Resignation, or you simply need to free up some of your staff to work on other projects, RCxRules identifies only those charges that require manual review, meaning your team can focus their efforts where they’re needed most.

To learn how RCxRules can work with you to identify critical areas where custom rules can automatically correct routine billing errors, set up a 1:1 meeting today.


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