MedConnex July Newsletter

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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

The No Surprises Act Is Now In Effect

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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

Facility Credentialing Process in MN

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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

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

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