The RCxRules Blog

Revenue Cycle
March 25, 2021 Medical Coding Software: 3 Things to Look for When Choosing a Vendor Medical coding software that improves reimbursement, compliance, and productivity is a priority for many medical groups. A recent survey of the …
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HCC Coding
March 18, 2021 Why Medicare Advantage Organizations Do Retrospective Chart Reviews to Improve RAF Scores (and What Medical Groups Can Learn from Them) Medical groups face many challenges when it comes to risk adjustment—particularly regarding providers and coding. We often hear that providers are …
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Revenue Cycle
March 16, 2021 How Crozer Health Improved Efficiency and Reduced Denials Crozer Health is a community-focused healthcare system in Delaware County, Pennsylvania. Since 2016, Crozer Health has been a part of Prospect …
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HCC Coding
March 2, 2021 3 Ways to Prioritize HCC Coding Review Opportunities in the New Year The start of a new year brings with it a new set of challenges for Population Health Managers. All previously captured HCC codes are now potential …
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Revenue Cycle
February 23, 2021 Does Your Claim Scrubber Meet Your HCC Coding Needs? As the healthcare industry shifts from fee-for-service to value-based care, revenue cycle and coding teams must adapt their processes and …
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Revenue Cycle
February 11, 2021 A New Level of Efficiency: How Peak Vista Eliminated Hours of Daily Claim Review Peak Vista is a nonprofit federally qualified health center in Colorado with 188 providers serving over 94,000 patients through 27 outpatients …
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HCC Coding
January 26, 2021 How This ACO Improved Coder Productivity and HCC Accuracy From Inefficient, Error-Prone, and Stressful to Smooth and Streamlined Arizona Community Physicians (ACP) is a leader in value-based care. Their …
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Revenue Cycle
December 22, 2020 Are You Billing Correctly for the New COVID-19 Vaccine? Here are 9 Ways to Ensure Proper Payment The COVID-19 pandemic has led to a rapid change of billing requirements and the development of new codes, making an already tough job for revenue …
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HCC Coding
December 3, 2020 Fewer Patient Visits Due to COVID-19 Means Fewer HCC Opportunities It is no secret that the COVID-19 pandemic has uprooted life in 2020. From rattling the economic landscape to transforming the way we gather with …
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