Some of the themes that will drive revenue cycle market momentum in 2023 and beyond are technology, investments, efficiency, patient experience, underpayment recovery, and coding automation. We are seeing a new wave of consolidation, invention, and innovation at the tail end of a long period of adversity due to COVID-19 and an already challenging economic
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When claims go unpaid for an extended period of time, healthcare CFOs must make the difficult decision to write them off. Delays in accounts receivable follow-up reduce the likelihood of being paid, so the speed of response of follow-up is critical. While the revenue cycle team manages reimbursements, healthcare providers must focus on providing high-quality
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Patients are taking on more financial responsibility as consumerism rises. The increasing popularity of high-deductible health plans (HDHPs) is a clear indication of this trend. As a result, it is critical to clearly understand the patient’s responsibility for upfront payments and coverage. This article emphasizes the significance of verifying patient eligibility and benefits. What
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As healthcare providers face multiple challenges, such as rising labor shortages and declining reimbursements, they must maximize revenue cycle recovery. Claim denials, a major source of revenue loss for healthcare practices, are on the rise across all payer types. Coding-related denials are a significant source of denials. A thorough and focused denial management medical billing
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Hospitals and medical billing company systems now face unprecedented inflation as the industry’s financial and operational leaders struggle to find the funds for care delivery and administrative procedures. They must outsource RCM tasks and pick partners who can provide trained and certified resources because of inflationary pressures and a subpar revenue cycle. How the
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Revenue cycle management (RCM) is the process used in healthcare to monitor and collect money from patients. Revenue cycle management starts when a patient is scheduled for a clinical visit and ends with the final payment for the healthcare services provided. The revenue cycle is “all administrative and clinical functions that contribute to the capture,
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Now is the time for US hospitals and medical billing services providers to consider how to become profitable. They are experiencing some of the worst margins since the pandemic began, according to a Kaufman Hall report. A perfect storm has formed as a result of the rising cost of caregiving, economic unpredictability, the effects of
READ MOREIntroduction:
Organised and efficient Team leading Manager, supporting corporate level officers and senior management personnel with demonstrated expertise in financial and operational leadership. Adroit professional exemplifies multi-disciplinary managerial skills in process procedure and policy improvement initiatives. Accomplished in workflow optimization techniques implementation which increases productivity, reduces labour, and maintains business integrity and quality of service.
Skill:
Extensive Client Coordination., Conducts business analysis to create value, Provide Support in creating or enhancing the business, Develop and manage strategic partnerships to grow business, Provide Insights or Conduct Studies related to Market or Business Operation related problems, Provide assistance in operating and handling the business, Develop and structure concepts, strategies, automating and scaling the business
Expertise:
Developed and implemented favourable pricing structures balancing firm objectives against customer targets., Education Coordinated innovative strategies to accomplish marketing objectives and boost long-term profitability., Reached out to potential customers via telephone, email and in-person inquiries., Worked with existing customers to increase productivity of services.
Introduction:
Having 10 years of experience in the Medical Billing Industry & up to date with Government, Commercial, Automobile & Workers Compensation Payer guidelines throughout the U.S.
Strong knowledge of claims procedures and coding, account receivable/collection, Denial Management, Credentialing/EDI Enrollments and Revenue Cycle Management. Experienced in Electronic Claim (5010) Loop and Segment Editing, Creating Paper to Electronic Claims (EDI 837), Resolving EDI Rejections through Practice Management & Clearing house, creating invoices, customized provider reports, Auditing, processing insurance & patient payments, and pursuing past-due balances through unique & proven RCM process and Data Management.
Skill:
ICD-10-CM, CPT, Coding Guidelines, Diagnosis Coding, Compliance, Facility/Professional Coding, Complete Revenue Cycle Management, Telehealth or Virtual Visits, Provider Education, CMS-1500, Upper hand in almost every top PM/EMR/EHR Software used, and many more...
Specialties:
Behavioral/Mental Health, Neurology, Family/Internal Medicine, Infectious Diseases, Pulmonary & Sleep Medicine, Pain Management, Physical/Sports Medicine and Rehabilitation (Physiatrist), Chiropractic, Podiatry, Radiology, and much more.
