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Use key performance indicators (KPIs) to help ensure your claims are squeaky clean before they leave your practice. We all want to get paid for our work. For healthcare organizations, what prevents payment are claim denials from insurance companies. A revenue integrity program is the key to help avoid denials and to keep money flowing. […]
The post A Solid Revenue Integrity Program Begins With a Good Scrub appeared first on AAPC Knowledge Center.
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.
Quality reporting won’t pay off in 2020 for some eligible clinicians unless they do this. Eligible clinicians who achieved Qualifying Alternative Payment Model (APM) Participant (QP) status in 2018 should begin receiving their 5 percent incentive payment this month. More than 183,000 clinicians achieved QP status in the 2018 performance year of the Quality Payment […]
The post Thousands of Clinicians Stand to Lose 5% Revenue 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.
Technology still requires human input to ensure the integrity of automated front-end and back-end processes. Ten years ago, the healthcare industry was pushed into the digital world via the Health Information Technology for Economic and Clinical Health Act (HITECH); and while some healthcare professionals felt uprooted and/or poorly equipped for this change, others used it […]
The post Automate Your Workflow to Capture Lost Revenue appeared first on AAPC Knowledge Center.
Resolving credit balances can bring your organization out of the red and into the green. 6-Step Checklist to Recover Revenue Adjustments are correct Patient cost-sharing amounts are correct No duplicate payment postings Payments went to correct payers No charge entry errors Corrected claims are accounted for You may have encountered this situation: Your boss assigns […]
The post Turn Credit Balances Into Revenue Opportunities appeared first on AAPC Knowledge Center.
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.
Thank you!
Cheryl:confused: