Topics: Revenue Cycle Management, Surgical Charge Structure, Denial Management, Chargemaster Management Software, Chargemaster Management
As the healthcare landscape evolves, many hospitals and health systems are upgrading from old legacy systems to new EHR (Electronic Health Record) and patient accounting systems. While these conversions promise improved ...
Topics: Revenue Cycle Management, Surgical Charge Structure, Denial Management, Chargemaster Management Software, Chargemaster Management
The chargemaster is a critical database that lists every procedure, service, supply, and medication provided in a hospital along with its corresponding charge. Accurate chargemaster management is essential for hospitals to ensure ...
Topics: Revenue Cycle Management, Surgical Charge Structure, Denial Management, Chargemaster Management Software, Chargemaster Management
Has your revenue cycle team examined the charge capture processes for your surgical services, including supply management? Just as your ancillary charge master is managed and maintained on a regular basis, the clinical surgery ...
Topics: Revenue Cycle Management, Surgical Charge Structure, Denial Management, Chargemaster Management Software, Chargemaster Management
Managing a hospital’s chargemaster is no small task. As the backbone of revenue cycle management, it must remain accurate, compliant, and up-to-date amidst the ever-changing landscape of healthcare regulations and payer ...
Topics: Contract Negotiation, Denial Management
In the dynamic landscape of healthcare, negotiating contracts with insurance payors is a critical skill for providers. These negotiations determine the reimbursement rates for services, which directly impact the financial health ...
Topics: Contract Negotiation, Denial Management
According to Becker's Healthcare, as of Quarter 3 of 2022, "economists have classified 2022 as the worst financial year for hospitals in decades," as the profit gap between payer and provider continues to widen. Figure 1.1 Note. ...
Topics: Revenue Cycle Management, Denial Management
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 ...
Topics: Revenue Cycle Management, Denial Management
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 ...
Topics: Contract Negotiation, Denial Management
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 to ...
Topics: Denial Management
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 ...
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