Key Performance Indicators (KPIs) are the numerical factor used to quantitatively measure performance. There are a variety of KPIs that are used across healthcare to measure real-time performance in areas such as business processes, financial assets, functional groups, and revenue cycle as a whole. KPIs can be used to view a snapshot of each area on an individual, group, department, … Read More
Do you want to keep your patients living in the past? If you’re still asking your patients to fill out printed patient forms by handing them a clip board and pen in your office, you are sending them back to the past. Maybe you’ve thought about converting to secure online patient forms, but you’ve likely had several reasons why your … Read More
July 2022 | Vol. 2 As leaders in Healthcare Revenue Cycle Management (RCM), MedCycle’s goal is to empower organizations by providing innovative best practice solutions. MedCycle identifies the root causes of the issues within your RCM processes. From provider credentialing and enrollment to insurance aging cleanup, medical billing, EMR builds and optimizations, RevCycle assessments, staff training, and education – our … Read More
Days in Accounts Receivable (A/R) is a key performance indicator used to determine your business health. Most commercial claims have a 90-day timely filing window, that clean claims must be submitted to insurance within.
By: Winona Thomas BS HCS According to Kaiser Health News, there has been a spike in retroactive denials for emergency department care and more patients are being caught in the middle of possibly becoming responsible for unresolved hospital bills. Healthcare providers along with healthcare payers are finding challenges with keeping up with the evolving government guidelines for correct claim submissions … Read More
Although Telemedicine has been around for years, it was really the COVID-19 pandemic that expedited the need for implementing these services rapidly and on a larger scale. According to Medicaid.gov “telemedicine seeks to improve a patient’s health by permitting two-way, real time interactive communication between the patient, and physician or practitioner at the distant site.” This can be accomplished via … Read More
By: Winona Thomas BS HCS The federal No Surprises Act establishes new requirements for healthcare providers, facilities, and providers of air ambulance services to protect consumers from “surprise” medical bills. What are the impacts to healthcare providers with this new act in place for 2022? Previously, when the provider office received a payment as an out-of-network payment from the payer, the typical … Read More
By: Mariellen Mezzacappa Have you increased the amount of Telehealth visits with your patients? If not, you and your patients may be missing out. Over the past two years, the COVID-19 pandemic has changed the landscape of patient care and increased the need for providers to utilize virtual healthcare services. Due to the Public Health Emergency (PHE) policy update, many … Read More
Since the first onset of Covid-19 vaccination mandate in May and June 2021, the VAX mandate has been an abrupt disruption in the lives of millions of Health Care workers.
The Biden-Harris Administration has mandated COVID-19 vaccinations for clinical and non-clinical health care workers employed by a certified Medicare or Medicaid-funded facility.
By: Ann Knutson, CPC-A Facility credentialing is a critical aspect of healthcare revenue cycle management. This is the process in which an insurance carrier evaluates a facility for approval to be ‘in network’ and a participating provider of specific healthcare services. According to the Minnesota Department of Health: “Credentialing is the process used to determine if an individual practitioner and/or … Read More