In the world of healthcare revenue cycle management, claim denials remain one of the most persistent challenges. At HealthRecon Connect, we understand these challenges intimately. This blog explores why denials are a top RCM concern and how we help healthcare providers mitigate their impact.
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Understanding healthcare costs is difficult for everyone, including patients. So what can providers do to ensure they comply with price transparency regulations and make pricing easy and accessible? It's all about time and resources. https://ow.ly/rUeH50R109x #pricetransparency #healthcarecosts
How healthcare providers can address challenges with hospital price transparency data | Clarify Health
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System Chief and Regional Chief Medical/Quality Officer
Sharing my thoughts after speaking at Becker's Healthcare Revenue Cycle HIT Conference last week regarding clinicians' understating of the healthcare revenue cycle to improve organizational efficiency and healthcare system sustainability. By bridging the gap between clinical expertise and financial processes, clinicians can streamline administrative tasks and play a crucial role in shaping value-based care models. Follow https://lnkd.in/e8kRTVf5
The Imperative of Revenue Cycle Comprehension for Clinicians in the US Healthcare System
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Efficient and accurate re-credentialing is a cornerstone in maintaining high standards of healthcare delivery. Discover how Verifiable streamlines re-credentialing, reducing administrative burdens, enhancing accuracy, easing compliance, and ultimately improving patient outcomes: https://bit.ly/3xitXVn
Keeping Up With Provider Re-Credentialing Requirements
verifiable.com
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As the United States shifts from prioritizing fee-for-service reimbursement to value-based care, measuring the quality of care is becoming increasingly important. However, within our complex healthcare system, tracking quality is no easy feat. The following article by Forbes calls for standardization in quality metrics. It describes how claims data, chart-abstracted data, and patient survey data are used to analyze quality, but how difficult, time-consuming, and costly it is for hospitals to make sense of the results from these different sources. Learn more below. #qualityimprovement #claimsprocessing #healthcarecosts https://lnkd.in/dA8xjQYS
The Crushing Cost Of Tracking Healthcare Quality—One Hospital’s Story
forbes.com
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Timely claims submission is of paramount importance in the healthcare industry, playing a crucial role in the financial health and operational efficiency of healthcare providers. #medicalbilling #outsourcemedicalbilling #medicalbillingservices #outsourcemedicalbillingservice #medicaltranscription #outsourcemedicaltranscription #paymentposting #outsourcepaymentposting #claimsubmission #outsourceclaimsubmission #denialmanagement #outsourcedenialmanagement #insuranceverification #eligibilityverification #insuranceeligibilityverification #outsourceeligibilityverification #outsourceinsuranceeligibilityverification #outsourcehospitaltranscription #outsourceradiologytranscription #outsourceradiologystattranscription #emr #emrdataintegration #emrdatamaintenance #emrdatamanagement #ehr #ehrdataintegration #ehrdatamaintenence #ehrdatamanagement https://lnkd.in/dFXPGe5X
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Verifiable brings a new level of security and compliance to the re-credentialing process, a vital aspect in managing sensitive healthcare provider data and adhering to regulatory standards. Learn more 👇
Efficient and accurate re-credentialing is a cornerstone in maintaining high standards of healthcare delivery. Discover how Verifiable streamlines re-credentialing, reducing administrative burdens, enhancing accuracy, easing compliance, and ultimately improving patient outcomes: https://bit.ly/3xitXVn
Keeping Up With Provider Re-Credentialing Requirements
verifiable.com
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CEO | Healthcare | Printing & Mailing | Patient Statements | Patient Payments | Medical Billing | HITRUST
By understanding the key developments shaping the future of healthcare billing, organizations can optimize their revenue cycles, enhance patient satisfaction, and position themselves for long-term success. MailMyStatements #BillingCyclePlus #RCM #PatientBilling
8 Healthcare Billing Trends for 2025 - MailMyStatements
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From claim denial rates to patient collection percentages, we've outlined the metrics that truly matter for unlocking revenue success. Whether you're a healthcare provider or an RCM professional, understanding these KPIs is essential for making informed decisions and driving sustainable growth. Read the full blog to learn more: https://hubs.li/Q02qsd1p0 #HealthcareFinance #RCM #KPIs #RevenueGrowth #HealthcareManagement #FinThrive
Key Healthcare RCM KPIs for a Strong Bottom Line | FinThrive
finthrive.com
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Is your news feed flooded with information about the Change Healthcare hack? (Read about it here if you haven't heard yet: https://lnkd.in/etEsiRwF) Our Chief Product Officer, Max Anfilofyev shares solid advice for healthcare organizations affected by the cyberattack. As we all know, this isn't the first time our industry has been affected by cyberattacks, and it won't be the last. As our friends and colleagues begin to pour into Orlando for #HIMSS24, this will surely be a hot conversation topic. Let's continue to share our expertise, support each other, and always work to make healthcare better. https://lnkd.in/esSrFE9C
Chief CareBot | Scaling Patient Care 8x with AI | Chief Product Officer @ DR | Connect to scale with AI
Steps for healthcare orgs to deal with the halted claims processing because of the Change Healthcare hack in March 2024: Short-term Solutions: - Apply for Temporary Funding Assistance from Optum - no fees, interest, cost - expected to start receiving funds within 3-5 days after applying - any provider who receives payments from payers processed by Change qualifies - payment based on average weekly disbursements prior to the hack https://lnkd.in/edX3e8wK - Use another claim clearinghouse. Some report being able to start processing claims through Optum's another clearinghouse, Intelligent EDI (iEDI), within 24 hours https://lnkd.in/e_DVN-Eb. - Contact your MAC to get up to 30 days of accelerated/advanced Medicare Part A/B payments https://lnkd.in/ecv5AaE8 Medium-term Actions: - Diversify your billing services to minimize reliance on a single provider. - Push your EHR/PMS vendor to connect to multiple clearing houses for enhanced resilience and efficiency. - Build a cash cushion or secure a line of credit that you can tap in case of disruptions - Negotiate with payers for better terms in light of current challenges. Long-term Strategy: Accelerate your transition to Value-Based Care (VBC) - VBC's monthly per patient payments offer more stability and less reliance on the volume of claim submissions. Stretch Goal: Lobby your politicians to create a federal healthcare payment clearinghouse similar to FedNow service implemented by the Federal Reserve Board. The challenges we face today, much like the ashes from which the Phoenix rises, lay the groundwork for a stronger, more adaptable future in healthcare. As we navigate these times, let's discuss and share our paths towards rebirth, resilience, and a sustainable healthcare ecosystem. If you know any organization struggling because of the halted claims processing, please share the post with them. If you your organization has deployed other steps to deal with the halted claims processing, please leave in comments. Together we can weather the storm.
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