Healthcare Revenue Cycle Management

  Medical coding is an in-demand profession at healthcare organizations across the country. Despite the surging demand for medical coders, however, many people do not understand how medical coding works. Today, we’re explaining what medical coding is, how it works, and how a medical coder adds value to an organization. What is Medical Coding? Medical coding traces its origins all the way back 17th century recordkeeping in England. During this time, clinics kept crude records for each patient, using specific numbers and ‘codes’ to track the treatment received by each patient. Today, the American Academy of Professional Coders (AAPC) defines medical coding as, “the transformation of healthcare diagnosis, procedures, medical services and equipment into universal medical alphanumeric codes.” In other words, medical coders translate important medical information into simple codes to document medical records and inform accurate medical billing. Thanks to a standard coding system, medical...

  Smart medical organizations do everything in their power to maximize revenue – from implementing new technologies to minimizing unnecessary costs. Today, we’re highlighting some of the unique strategies America’s top healthcare organizations are using to maximize revenue by Revenue Cycle Management Consulting Services They Get E/M Coding Right The evaluation and management (E/M) patient visit is a crucial part of any healthcare organization. Good healthcare organizations can maximize revenue by understanding how to properly document and code E/M patient visits. Proper documentation and coding does more than just boost revenue; it also reduces the stress of audits and boosts the efficiency of staff. A July 2019 article  published in Medical Economics  highlighted four ways healthcare organizations can boost revenue by getting E/M coding right, including: Ensure the E/M code supports the specific patient encounter.  Not every patient with asthma, for example, will j...

  A good case management service providers in Healthcare, optimizes multiple aspects of your operation. Today, we’re highlighting some of the most important advantages of hiring a case management service provider in Healthcare.   Improved Processes at Every Stage The first and most important benefit of a case management service is that it improves processes at every stage of your operations. A well-designed case management system implemented by a knowledgeable team is a guaranteed way to improve internal processes. Customizable dashboards, for example, allow an organization to create a system that works for its unique needs. Instead of shoe-horning an outdated solution into your organization, a well-designed case management dashboard can improve organizational efficiency significantly. Many organizations use customizable dashboard to highlight items that need immediate attention, for example, and keep patients flowing at an optimal rate.   Meaningful and Efficient Inform...

  The American Association of Professional Coders (AAPC) is America’s largest medical coding training and credentialing organization for healthcare contract coders. Today, we’re explaining the importance of hiring a licensed medical contract coder for your organization.   Affordable Coding Without Compromising on Quality Sometimes, outsourcing a job to a remote worker leads to issues with quality or security. Medical organizations, of course, cannot afford to compromise on quality or security. That’s why good licensing is crucial. Good licensing ensures your outsourced medical contract coders meet a certain minimum set of requirements for quality and security. At the same time, these outsourced specialists cost significantly less than in-house employees. Your organization is saving money with no discernable drop-off in quality. That’s a net win for any organization.   Multiple Licensing Specializations Are Available Some licensing requirements are too broad to be genuine...

  Rural hospitals face considerable challenges  throughout the country. While some rural hospitals thrive in challenging situations, others falter.   Today, we’re highlighting some of the best success stories of rural hospitals across America , including situations where ingenuity, creativity, and flexibility saved small hospitals in rural settings.   Rural Hospital in Beatrice, Nebraska Specializes in Healthcare for Older Adults   Rural areas of America tend to have older populations than urban areas. This increases challenges for rural hospitals.   It’s hard enough running a small, rural hospital. These challenges increase with older populations who have larger, more complicated healthcare needs – and who also tend to be Medicare patients.   Despite these challenges, a small hospital in Beatrice, Nebraska  is thriving  by implementing a seemingly obvious solution: they’ve invested in aging healthcare , allowing them to specialize in the spe...