6 Positive Impacts of Effective Revenue Cycle Management

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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 importance of effective revenue cycle management. RCM is the lifeblood of your practice. It determines almost all key performance indicators and practice health.   Along with the obvious indicators, … Read More

7 Tips for Patient Collections 

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 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, it will allow you to collect on accounts that have sat stagnant for months, sometimes years.    In our years of experience managing collections for small and medium physician practices, … Read More

Successful Insurance Claims Submission & Reimbursement

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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 patient? Do they know WHY the information they’re collecting is important?  We have found, that the first step in … Read More

Maximizing Revenue Cycle Efficiency

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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 that’s referred to as the front-end, middle, and back end. Unfortunately, most of the time there is little coordination between the three areas which can lead to more claim denials and lost revenue for … Read More

Reduce Your Denials With These 4 Tips

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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 isn’t going down. According to the American Academy of Family Physicians (AAFP), the average denial rate is between 5-10 percent. The result is the delay or cancellation of new practice initiatives that … Read More

Medical Necessity and the Revenue Cycle

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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, meet the standards of good medical practice in the local area, and aren’t mainly for the convenience of your … Read More