When searching for ways to improve your internal revenue cycle, it can be difficult to know where to begin. And in the fast-paced world of healthcare, you might not have even thought about taking the time to pause and look introspectively at your operations as a way to improve the revenue cycle.
The role of the pharmacist in the healthcare industry has been expanding over the past decade, from simple medication fulfillment to crucial patient aftercare, education, and administering vaccinations. 2015 has already seen big changes within the healthcare industry and we predict that the role of the pharmacist will only expand more.
Revenue Cycle Management (RCM) is on the mind of many, if not all, hospital administrators and executives. With the roll out ICD-10 and the changes to reimbursement models, new RCM solutions are becoming critical for hospitals hoping to survive through 2015.
A recent study showed that for the 10th year in a row, financial challenges are #1 on hospital CEO's list of concerns. More than healthcare reform, government mandates, and patient safety, the constant battle to be financially stable is the what keeps the healthcare C-suite up at night. So what factors are contributing the the financial worries? Let's take a look.
Many hospitals are currently asking themselves, "How can we improve our revenue cycle in 2015?" This topic is also one many C-suite executives are facing in 2015, which is proving to be another year of vast changes. Financial departments will have to stay on top of contract management, as well as planning for shifts in how payments are received. Today, we've put together a list of 5 ways healthcare providers can reboot their revenue cycles and stay ahead of those changes that impact the bottom line.
When it comes to hospital and health system revenue cycles, there are many strategies you can approach to help put things on a positive trajectory. Whether they are changes small or large, they all impact the organization's financial standing. But today, we've pulled together only the very best tips for increasing profitability.
It might seem painfully obvious, but when it comes to denial management, the best way to avoid denied claims is to make sure that your claims are correct and, therefore, won’t be denied. Thinking that’s easier said than done? Well, if you have the right information — and the right tools — it doesn’t have to be.
2014 was another year big year for healthcare. As we continue to move toward a more patient-centered and transparent healthcare system, so too continue the changes to our payment models, insurance coverage and commitment to patient outcome measures. While there were many changes to keep track of, three things seem to have defined the progress made in the scope of revenue cycle improvement.
There are few aspects of healthcare that are more controversial, confounding and frustrating than payment reform. It’s hard to imagine that there was ever a time when patients just paid the doctor for their services. Since that payment method created economic disparities in access among the rich and the poor, several reforms later we find ourselves somewhat on the opposite end of the spectrum: more patients than ever can have access to care, but the process for compensating physicians hasn’t been able to keep up. Doctors are rendering services without receiving payment - and their practices can’t sustain on that type of arrangement!
Denials are bad news for your revenue cycle. And research shows that unfortunately, denials happen more frequently than you might think. About 25-30% of all healthcare claims are rejected or denied. Each time a claim is denied, it means more staff resources, more time, and more financial resources are required to fix them.