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Healthcare business professionals from around the world came together at REVCON, a virtual conference by AAPC, Feb. 7-8, to learn how to optimize their healthcare revenue cycle from experts in the field. The conference featured 14 educational sessions divided in two tracks: one for medical billers and coders and the other for practice managers and […]
The post REVCON Wrap-up: Mastering the Revenue Cycle appeared first on AAPC Knowledge Center.
10 steps will help you prevent denials and maximize cash flow. Healthcare policies and rules are continuously changing, and it’s important to stay on top of what all insurance carriers are doing and how their changes impact your practice’s revenue cycle. This, as well as managing your accounts receivable (A/R), is the best way to […]
The post Establish a Healthy Revenue Cycle appeared first on AAPC Knowledge Center.
Part three: Learn the ins and outs of remittance processing, denials, and patient collections. Successful and efficient revenue cycle management (RCM) is key for all healthcare organizations, both large and small, to keep their doors open and continue to provide service to patients. In this three-part series, we broke down RCM into various components and […]
The post Simplify the Revenue Cycle Management Process: Part 3 appeared first on AAPC Knowledge Center.
Here are five healthcare organizations that entered into settlements to resolve billing fraud allegations in the past two months. You can . read the full story from Revenue Cycle E-Newsletter / Becker’s Hospital Review here.
1. Wisconsin health system will pay $ 10M to settle whistleblower case
2. Physician group will refund Medicare $ 829K to resolve improper billing case
3. Massachusetts hospital settles false billing case
4. Vibra Healthcare to pay $ 6M to settle 2016 whistleblower suit
5. Sutter Health to settle kickback lawsuit for $ 30M
The post Healthcare billing fraud: Five Latest Settlements – Revenue Cycle E-Newsletter appeared first on The Coding Network.
Learn how to speak the same language as your payer. Every part of the revenue cycle has an impact on reimbursement, as well as on each other. For example, it’s important for the person making the appointment to confirm whether authorization is necessary before services are rendered because the lack of authorization information at the […]
The post Use CARC and RARC to Improve Your Revenue Cycle appeared first on AAPC Knowledge Center.
MICHIGAN EAR INSTITUTE- ST. JOHN HEALTH SYSTEM Farmington, MI Medical Practice Business Assistant/Coder 2003-2010
Dual role as Business Assistant/Insurance Coder in an Audiology Practice.
Successfully managed dual role as a front office associate and a coder. Advanced in role to take on additional responsibility & tasks. Duties included: registering patients, billing intake, scheduling appointments, insurance verification, generalized receptionist duties. Key contributions:
Responsible for specialized coding.
Took on additional tasks to expand billing knowledge base.
ST JOHN PROVIDENCE HOSPITAL- SOUTHFIELD, MI FILE CLERK 2000-2003
Organize & Maintain clinic records in a Radiology office.
Responsible for obtaining patient results and coordinating physician-to-physician communication in an efficient fashion. Maintaining organized patient health information & preparation of patient charts prior to physician care. Key contributions:
Ensured that physicians received diagnostic testing results.
Gained advanced working knowledge in protection of Patient Health Information (PHI).
Education and Awards
DAVENPORT UNIVERSITY Livonia, MI MEDICAL BILLING DIPLOMA DAVID MACKENZIE HIGH SCHOOL Detroit, MI HIGH SCHOOL DIPLOMA
Awards and recognitions: Completed Medical Billing Diploma training with a 3.0 GPA,
Advanced training: In-depth on implementation of Patient Centered Medical Home (PCMH), advanced training in resolution of patient grievances, HIPPA training.
Michigan-based Trinity Health is replacing its current electronic health record (EHR) and revenue cycle management (RCM) platform while centralizing patient billing service centers, affecting hundreds of medical coders, billers, and others. The 22-state health system’s plan is to adopt Epic as a single EHR and RCM to standardize billing, share data, and cut costs. The […]
The post Trinity Health Centralizes EHR, Revenue Cycle appeared first on AAPC Knowledge Center.
Coding clean-up crew lays the groundwork to improve healthcare reimbursement through denial management. In large healthcare business offices, medical billers and coders are often in separate departments, with separate leadership. Although the medical billers are largely responsible for denial management, they often don’t have the necessary coding expertise required to properly work coding denials. This […]
The post Finding Revenue Cycle Inefficiencies Is a Team Effort appeared first on AAPC Knowledge Center.
We are happy to announce that beginning on January 25, you will be receiving the Revenue Cycle Daily Advisor. This free daily email newsletter combines editorial experts from HealthLeaders Media and HCPro to bring insight and news on every aspect of the revenue cycle covering topics such as Medicare reimbursement rules and regulations, value-based business models, clinical documentation improvement, health information management issues, patient privacy and security, updates to coding and billing rules, utilization review and case management challenges, and hospital and physician practice reimbursement and compliance.
Your current subscription to HIM-HIPAA Insider will be transferred to the Revenue Cycle Daily Advisor. The last issue of the HIM-HIPAA Insider is scheduled for today, January 18. Please watch for your issue of Revenue Cycle Daily Advisor starting next Monday. To manage your subscriptions, click here.