With the New Year fast approaching, resolutions for improvement are on everyone’s minds. If cleaner claims for faster reimbursement are at the top of your healthcare organization’s wish list, 2018 may be the perfect time to consider making a claims clearinghouse change. If your claims first pass rate is less than 99.6%, then your claims processing may be hindered by an under-performing editing [...]
Thrills and chills may be fun at Halloween, but not when staff is trying to process claims. Things that go bump in the night can be causing payment delays! Exorcise the ghosts in your revenue cycle—review these ghost busting tips and get the most from your RCM claim processing and clearinghouse solution.
Centers for Medicare & Medicaid Services (CMS) released Transmittal 3881 on Friday, Oct. 13, 2017 requiring the submission of data for lab tests processed with “unlisted” codes effective beginning January 16, 2018. Medicare Contractors (MACs) will report to CMS specific laboratory tests and associated claims data for any test paid under the Clinical Laboratory Fee Schedule (CLFS) as a Not [...]
Automation is a logic process existing in a living ecosystem. Smart automation, built on the knowledge and information available at the time of design, anticipates the future and accommodates the need for change. Healthcare organizations facing ever-changing industry regulation and payer requirements can benefit from revenue cycle oversight and change management control to keep RCM automation [...]
In Patient Financial Services (PFS) offices across the country, words like swamped, frustrated, and stressed can be heard as frequently as patient, billing, and coffee. The work is never-ending, with the rules ever-changing. In this world of chaos, when so many of your daily challenges are outside of your control, a claims management solution can help you avoid roadblocks, bringing order and [...]