What trends are emerging in Revenue Cycle? How can you prepare? As healthcare delivery continues to evolve, providers struggle to keep up. As with most consumer services, providers need to figure out how to meet the needs of ...
All care provided within a health care institution has a cost and associated fee or payment. Managing the charging for and collection of such bills fall under the purview of the revenue cycle management team. The Healthcare ...
How do you know your services and procedures are paid accurately according to payor contract terms? Month after month, the question of net revenue and write-offs comes from the C-suite to the billing office and impacts all ...
An Automated Chargemaster Solution Equals An Improved Bottom line. The chargemaster (CDM) is the lifeline to your organization’s financial success. The CDM is a comprehensive data warehouse compiled of every procedure, service, ...
Many commercial payors have begun to scrutinize line item charges and disallow certain services, particularly on high-cost inpatient claims. Respiratory and other services have largely been targeted. In order to appropriately ...
PRICE TRANSPARENCY AND 835 PAYMENT DATA Have you evaluated your third-party payor contracts lately? Do you have any contracts coming up on renewal? Have you compared payments across payors for consistency and adequacy relative ...
The 835 and 837 transaction sets are two electronic documents vital to healthcare and commissioned by HIPAA 5010 requirements. They are an essential part of the hospital payment process, but one might not fully understand exactly ...
Chargemaster management can be a daunting task. In basic concept, the Chargemaster is a simple database storing a comprehensive list of charge codes for procedures, services, and supplies. Everything from prescription drugs to ...
835 PAYMENT ANALYSIS: DIAGNOSTICS AND CHECKUPS So do you really know what you are being paid? That is the burning question for many health care executives and revenue cycle leaders. You’re seeing that magic number each month in ...
MedCom has a strong history of providing services to improve chargemaster data and the charge capture process. Collaborating with other firms to offer services that extend beyond the reach of our expertise can enhance the value ...
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