Tips & Trends in
Healthcare Revenue Cycle Management
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Leading Through Change with Confidence
Change is no longer an occasional disruption. It’s the constant backdrop of today’s workplace. New systems. New expectations. New pressures. And often, leaders are expected to guide their teams through it all while still delivering results. Yet when change hits, most...
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Successful Insurance Claims Submission & Reimbursement
By Ranadene Tapio, MBA, CMRS, CPCS Does your office experience a rejection rate in insurance denials that’s higher than you’d like it to be? Does your front-desk and billing staff know the type of information that’s important to obtain when registering a...
Maximizing Revenue Cycle Efficiency
By Ann Knutson, CPC-A The healthcare revenue cycle includes all administrative and clinical functions that involve capturing, managing, and collecting the provider’s/facilities revenue. The cycle includes three distinct parts of the practice/facility...
Reduce Your Denials With These 4 Tips
By Ranadene Tapio, MBA, CMRS, CPCS Your practice seems to be doing everything right. You have a team in place, you’ve established your Revenue Cycle Management (RCM) process and you’re submitting claim after claim – but your denial rate...
Medical Necessity and the Revenue Cycle
By Ann Knutson, CPC-A According to the Center for Medicare & Medicaid Services (CMS), medical treatment or supplies provided by a physician is considered medically necessary when they "are proper and needed for the diagnosis or treatment of your medical condition,...