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Healthcare Revenue Cycle Management
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The Use of Modifiers in Medical Billing: Why They Matter and How to Get Them Right
Modifiers are one of the most important—and most misunderstood—elements in medical billing. They play a critical role in communicating the details of a service to payers, clarifying when procedures are distinct, altered, enhanced, reduced, or separate from one...
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Days in AR
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. 2022-06 MedConnex - Days in ARDownload
Revenue Cycle Impact Amid the Pandemic
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...
Top 5 Resources for Effective Telehealth Implementation
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...
Understanding the No Surprises Act: Implications & Compliance
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...
4 Ways Telehealth Has Changed the Landscape of Patient Care
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...
COVID-19 Vaccination Mandate for Health Care Workers
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.
Navigating Facility Credentialing Process in Minnesota
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...
5 Keys to Choosing an Outsourced Medical Billing & Coding Partner
Medical billing and coding is arguably one of the most important aspects of a practice. Quality care, of course, is a priority, but if you don’t bill for the care, your practice won’t succeed. One of the decisions every practice has to make is whether to keep their...
6 Key Benefits of Effective Revenue Cycle Management
By Ranadene Tapio, MBA, CMRS, CPCS As healthcare delivery gets more complex, patient reimbursement decreases, and patient demand increases, practices are forced to reevaluate their revenue cycle management (RCM) process. Some people underestimate the...
7 Tips for Patient Collections
Ranadene Tapio, MBA, CMRS, CPCS Collections aren’t the most glamorous part of running a practice. Perhaps the only thing worse than making collections calls is receiving them! Unfortunately, collections are necessary and if done correctly,...