Case. Study. For more information contact Kirk Reinitz tel:
|
|
- Francis Holmes
- 8 years ago
- Views:
Transcription
1 41
2 Introduction Many radiology practices operate like Radiological Physicians Associates, Inc. (RPA) of Fairmont West Virginia used to operate. Like most radiology practices RPA depends on their coding, billing and collections infrastructure to support physician compensation, expansion and other efforts that the group initiates. Yet, in RPA s case, as with many radiology practices, the coding, billing and collections infrastructure was not performing at optimal levels. Success depended on implementing a new billing solution that would incorporate best business practices to create an exceptional coding, billing and collections process. Sam Merandi, RPA s Administrative Vice President was tasked with developing a better billing alternative for RPA. RPA was established in 1968 and is now a 17 member radiology practice. The new billing alternative had to consider the unique characteristics of RPA and address the many issues the group faced. RPA was not satisfied with their billing vendor and decided early on that they would either bring the billing function in house or change to a new billing vendor Merandi and the group performed an extensive search of all available options. He knew the key was finding the right partner and a company that would bring a lot to the table, but also be flexible enough to complement RPA s unique business model. After an extensive market evaluation Merandi selected ADVOCATE. He and the group liked what ADVOCATE had to offer Merandi checked ADVOCATE s references and visited several current clients in person. The feedback was overwhelmingly positive. ADVO- CATE was selected and the transition began 60 days later. Once on board, the first thing ADVOCATE did was develop a timeline for the transition and provide a projection of how much revenue RPA should generate. 42
3 RPA performs more than 360,000 procedures a year at 28 different practice locations. The transition in billing services was the major concern of the RPA physicians. They were not going to tolerate a dip in collections during the billing transition. ADVOCATE spent the two months prior to the contract effective date planning the execution of the billing transition. One week prior to the contract effective date, ADVOCATE was on site visiting each location and meeting with hospital administrative and IT staff. The billing transition was flawless. Collections were up in the first month after the transition. ADVOCATE improved collections and enhanced reporting on every aspect of the business. ADVOCATE integrated their proven approach to coding, billing and collections and accomplished truly superior results. ADVOCATE was able to achieve these results by applying their unique management approach and system tools on day one. These tools are designed to go right to work and closely monitor third party payer processes to ensure proper adjudication and payment of claims. These specialized systems are then continually monitored to determine if the market and payer behavior has changed. During the first three months ADVOCATE successfully accomplished the following: Managed the work flow from all 28 locations Improved collections Improved hospital & patient relations Lowered costs and administrative headaches Reduced the billing lag from service date to claim file date Reduced the billing lag from file date to payment date Increased the accuracy of charge entry Improved claims follow-up procedures Reduced claim denials 43
4 ADVOCATE emphasized to the physicians that proper coding correlates directly with the quality of information provided by the radiologist in their dictated report. ADVOCATE went right to work and provided the radiologists with feedback on report format and content suggestions on specific cases as learning tools and reinforcement. Without feedback many radiologists assume all is well. The opposite is true, without feedback you do not know where the problems are or how bad the problem is. ADVOCATE s process improved charge capture and reduced coding ambiguity RPA radiologists had never received this type of feedback in the past. The communication between the billing staff and the radiologists has reduced denials and improved charge capture significantly. ADVOCATE emphasized during the sales process that unless a practice performs regular procedure count verification to audit the capture of billing data, practices will lose billable exams and revenue. When ADVOCATE began billing, they also began to regularly verify that 100% of all exams performed by a radiologist were billed. They electronically compared data from their billing system with data from the hospitals RIS system. ADVOCATE found that in the past, 4% to 5% of RPA procedures were not billed because the data transfer was flawed. ADVOCATE immediately addressed the issue with the hospitals to refine the data transfer. The benefits derived from ADVOCATE s denial management system include: accelerated cash flow, reduced write-offs and improved management information. Accelerated cash flow results from developing prevention rules that eliminate recurring initial denials caused by demographic data issues or missing information. Without this reporting your practice is flying blind. The statistics compiled from the denial management system are used to continually improve the process. ADVOCATE also verifies that contracted payers are actually paying what they agreed to. ADVOCATE s systems can accept a reimbursement schedule for each of our con- 44
5 tracts and then report monthly, on a claim-by-claim basis, if the payer is living up to their end of the bargain. This is the practice s protection against improper claim payment. ADVOCATE understands that no two practices are alike and has developed the ability to produce custom reporting that can be generated in a matter of hours in many cases. ADVOCATE enhanced our own understanding of our practice with their concise monthly management reporting. This real-time access to data has proven to be invaluable. We review all aspects of the practice with ADVOCATE on a monthly basis. We discuss the detailed reports and address trends and develop modification to our management approach that improves our management effectiveness. ADVOCATE was the best decision RPA ever made. The transition was flawless and every aspect of the billing and coding process was improved from day one. ADVO- CATE came in and did what they said they would do. Collections are up, management reporting is enhanced, administrative costs were decreased and the physicians are extremely pleased. If you are looking to improve profitability and need a business partner you can count on to support your practice goals, look no further ADVO- CATE has the experience and proven track record to help you reach your goals. No one knows radiology better than ADVOCATE. For more information contact Kirk Reinitz kirk.reinitz@radadvocate.com tel:
A Guide to Radiology Practice Revenue Management and Performance Evaluation
A Guide to Radiology Practice Revenue Management and Performance Evaluation Introduction Most poor revenue performance confronted by radiologists and radiology business professionals originates from weaknesses
More informationProtect and Improve Profitability in Your Practice. Positioning Your Organization for a RAC Audit
Protect and Improve Profitability in Your Practice Positioning Your Organization for a RAC Audit 2011 Annual Educational Seminar March 9, 2011 Presented By: Cindy Tipton-Cain, Exec. Director Physician
More informationBILLING COMPANY STANDARDS
BILLING COMPANY STANDARDS ASSESSING PRACTICE VALUE OF OUTSOURCING Cost Saving Efficiencies gained Improved collections Compliance Once a decision to out source is made the following due diligence should
More informationRevenue Cycle Management: It Takes a Village. Problem Statement
Revenue Cycle Management: It Takes a Village AHRA 38 th Annual Meeting August 24, 2010 Patricia R. Blank, Executive Vice President, InSight Imaging Nancy Walker, Executive Director, RCM, Insight Imaging
More information12 16 Memorial Physician Network Billing Cycle Audit Report
O FFICE O F T HE C ITY A UDITOR C OLORADO S PRINGS, C OLORADO 12 16 Memorial Physician Network Billing Cycle Audit Report September 2012 O FFICE O F T HE C ITY A UDITOR C OLORADO S PRINGS, C OLORADO 12
More informationHFMA MAP Keys Patient Access Measure:
HFMA MAP Keys Patient Access Pre-Registration Rate Trending indicator that patient access processes are timely, accurate, and efficient Indicates revenue cycle efficiency and effectiveness N: number of
More informationGive Your Revenue Cycle a Boost Techniques to Improve Collections for Your Physician Practices
Give Your Revenue Cycle a Boost Techniques to Improve for Your Physician Practices Presented by: Alta Partners, LLC Stan Kasmarcak Susannah Selnick Lacy Sharratt June 8, 2015 2015 Ohio Hospital Association
More informationRethinking Radiology Workflow Automating Workflow Processes
Available at: http://www.corepointhealth.com/whitepapers/rethinking-radiology-workflow Rethinking Radiology Workflow Automating Workflow Processes Executive Summary Imaging centers are targeting both internal
More informationCLINICAL DOCUMENTATION DRIVING PERFORMANCE IN THE NEW WORLD OF HEALTHCARE
CLINICAL DOCUMENTATION DRIVING PERFORMANCE IN THE NEW WORLD OF HEALTHCARE Patient CARE Financial Integrity HEALTHCARE S New REALITIES A host of critical imperatives from Meaningful Use and ACOs, to ICD-10,
More informationHow a Pre-Service Center at MetroHealth System Improved Satisfaction, Efficiency, and Revenue
How a Pre-Service Center at MetroHealth System Improved Satisfaction, Efficiency, and Revenue Craig Richmond The MetroHealth System Associate Chief Financial Officer & Vice President, Revenue Cycle Introduction
More informationCONNECTIVITY. Connectivity. Solutions. Insight. Electronic Remittance Advice. Technology Eligibility Verification. Challenges Providers Face
CONNECTIVITY. Real-Time Electronic Remittance Advice Technology Eligibility Verification Challenges Providers Face As physician groups face declining reimbursement, escalating operating costs and rising
More informationThe Road to Performance. Evaluating Metrics and Benchmark Trends in the Revenue Cycle June 2012
The Road to Performance Evaluating Metrics and Benchmark Trends in the Revenue Cycle June 2012 1. philosophy 2. resources 3. framework 2 Confidential Services 3 Confidential Services 4 Confidential Services
More informationRevenue Cycle Assessment
Revenue Cycle Assessment Your Challenge Maintaining the status quo can be costly. As health care operating margins shrink, hospitals need to find efficient and innovative ways to capture and collect revenues.
More informationInsurance Authorization Process Inefficiencies & Opportunities
Insurance Authorization Process Inefficiencies & Opportunities INTRODUCTION Medical practices, hospitals, and health systems are losing substantial money and business to inefficient and costly insurance
More informationRevenue Integrity Strategies
Agenda Discuss the key activities performed, risks and typical deficiencies that exist, and various process improvement strategies within the following revenue cycle components: Patient Access Utilization
More informationShellie Sulzberger, LPN, CPC, ICDCT-CM. Coding & Compliance Initiatives, Inc.
Shellie Sulzberger, LPN, CPC, ICDCT-CM Coding & Compliance Initiatives, Inc. My connection to coding and documentation My connection to clinical processes My connection to ICD-10 My connection to YOU Coding
More informationEFFECTIVE RADIOLOGY CHARGE RECONCILIATION ENSURES LOWEST RISK OF LOST REVENUE
EFFECTIVE CHARGE RECONCILIATION ENSURES EFFECTIVE CHARGE RECONCILIATION ENSURES Most radiology practices readily admit that charge reconciliation is an important process to perform in order to prevent
More informationTrusted Partners for. Revenue Cycle Solutions
Trusted Partners for Revenue Cycle Solutions for over 25 years! 44 Stelton Road Suite 315 Piscataway, NJ 08854 1.800.682.5749 732.752.7052 Fax: 732.424.0084 Revenue Cycle Management Outsourcing Ensuring
More information10/14/2015. Common Issues in Practice Management. Industry Trends. Rebecca Lynn Hanif, CPC,CPCO,CCS, CMUA AHIMA Approved ICD-10-CM/PCS Trainer
Common Issues in Practice Management Rebecca Lynn Hanif, CPC,CPCO,CCS, CMUA AHIMA Approved ICD-10-CM/PCS Trainer cpmresults.com Industry Trends cpmresults.com Patient Responsibility Patients are now responsible
More informationHelping Physicians Drive Better Practice Health
McKesson Business Performance Services Revenue Cycle Management Services Helping Physicians Drive Better Practice Health McKesson Business Performance Services Our staff of 7,000+ includes 500+ certified
More informationManagement Reporting Part I: Standard Reports and Measurements. by Patricia A. Kroken, FACMPE
Management Reporting Part I: Standard Reports and Measurements by Patricia A. Kroken, FACMPE Monitoring practice performance indicators at regular intervals enables physician and administrative leadership
More informationInSync: Integrated EMR and Practice Management System
InSync: Integrated EMR and Practice Management System From MD On-Line InSync Version 5.4 End-to-End Medical Office Software Suite It took me a long time to feel comfortable with purchasing an EMR system.
More informationPractice Name. Job Description Billing, Insurance and Coding Specialist
Practice Name Job Description Billing, Insurance and Coding Specialist Purpose: The job description of Billing, Insurance and Coding Associate is a written statement that identifies a job title and its
More informationSafeguarding the Revenue Cycle from ICD-10. January 22, 2014 James W. Akimchuk Jr.
Safeguarding the Revenue Cycle from ICD-10 January 22, 2014 James W. Akimchuk Jr. Safeguarding the Revenue Cycle from ICD-10 Most healthcare providers are focused on how to be prepared for the October
More informationWhat Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs
What Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs Don t just trust that your staff is maximizing time and revenue. It is up to you to monitor, analyze
More informationPreparing for ICD-10. What Your Practice Needs to Know
WRS Health Preparing for ICD-10 2 Executive Summary The healthcare industry is set to undergo an important change on October 1, 2014, when the mandatory adoption of the ICD-10 codes go into effect. The
More informationEMDEON REVENUE OPTIMIZATION SERVICES
EMDEON REVENUE OPTIMIZATION SERVICES TRANSFORM PREVIOUSLY WRITTEN-OFF PAYER UNDERPAYMENTS INTO REALIZED REVENUE Simplifying the Business of Healthcare Simplifying the Business of Healthcare Helping increase
More informationOur clients count on us, and we deliver.
Experts in Revenue Cycle Management For Medical Practices and Imaging Centers For over 20 years, we have forged successful partnerships with medical practices and imaging centers to improve their revenue
More informationIntelligent EDI Next-Generation Revenue-Cycle Management Capabilities All within the EDI Data Stream
White Paper Intelligent EDI Next-Generation Revenue-Cycle Management Capabilities All within the EDI Data Stream Optum www.optum.com Page 1 White Paper The health care industry s transition to the 5010
More informationCopyright 2013 Healthcare Sherpa. All Rights Reserved.
2 THE TIME IS RIGHT Most healthcare providers spend 15-20 % of practice revenue on billing and collection issues. HEALTHCARE SHERPA can cut that figure in half or more. And here s another number to consider
More informationRevenue Cycle Management Best Practices. Presenter: Rich Flaherty, VP of Sales
Revenue Cycle Management Best Practices Presenter: Rich Flaherty, VP of Sales RCM Best Practices Overview Patient engagement Front office processing Managing your provider s credentialing and enrollment
More informationJob Description Billing and Coding Associate
Practice Name Job Description Billing and Coding Associate Purpose: The job description of Billing and Coding Associate is a written statement that identifies a job title and its related principal duties
More informationUnderstanding Revenue Cycle Strategy How to Optimize Process and Performance
Understanding Revenue Cycle Strategy How to Optimize Process and Performance White Paper 1.800.4BEACON BeaconPartners.com BOSTON CLEVELAND SAN FRANCISCO TORONTO The revenue cycle can no longer be seen
More informationManagement Report Services. Staff Training and Education Services
Management Report Services Your management team will receive reports that are clear, well defined and serve as a tool for increased performance. These include a brief description emphasizing how the information
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationProven Practice Management and EHR Solutions
Proven Practice Management and EHR Solutions The Smart Choice to Enhance Office Productivity, Profitability and Care Quality Your small practice faces big challenges. Finding time and resources to prepare
More informationRevenue Cycle Management
UNITED COLLECTION BUREAU, INC. 5620 Southwyck Blvd. Toledo, OH 43614 866.209.0622 ucbinc.com The Business Case for Outsourcing Revenue Cycle Management Getting reimbursed for services rendered is more
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationEffective Revenue Cycles Are No Accident
Effective Revenue Cycles Are No Accident ICAHN Boot Camp October 10, 2014 Jerrie K. Weith, FHFMA, CMPE, CMOM Learning Objectives Characteristics of Best Performers Efficient Encounters = Revenue Cycle
More informationCLINICAL INFO SOLUTIONS IMPROVING THE BUSINESS AND DELIVERY OF HEALTHCARE
CLINICAL INFO SOLUTIONS IMPROVING THE BUSINESS AND DELIVERY OF HEALTHCARE The highest level of service and commitment Extremely well trained and knowledgeable staff Personal account representatives for
More informationdoes your organization have a central business processing office?
MARCH 2010 healthcare financial management Brian K. Morton Marc D. Halley does your organization have a central business processing office? AT A GLANCE > A central processing office (CPO) is an alternative
More informationRycan Revenue Cycle Management Solutions Overview. Target Audience: Evident and Healthland May 18, 2016
Rycan Revenue Cycle Management Solutions Overview Target Audience: Evident and Healthland May 18, 2016 Rycan Revenue Cycle Management Solutions (RCM) Overview Session Presenters: Jody Heard Industry Marketing
More informationAudit of the Medical Care Collection Fund Program
Department of Veterans Affairs Office of Inspector General Audit of the Medical Care Collection Fund Program VHA can significantly increase MCCF revenues. Report No. 01-00046-65 February 26, 2002 VA Office
More informationPresentation Agenda. Keith Lilek @ a Glance. Go Beyond Collections Starting Now! Keith Lilek, President 1-800-874-2848 klilek@arallegiance.
Go Beyond Collections Starting Now! Keith Lilek, President 1-800-874-2848 klilek@arallegiance.com 1 Presentation Agenda A Brief Background (About Us ) The A/R Management Landscape (About You ) The Reality
More informationHST Improves Productivity, Cuts IT Costs, Increases Revenue, and Cuts $284,000 in Operating Expenses with Ingenix CareTracker
HST Improves Productivity, Cuts IT Costs, Increases Revenue, and Cuts $284,000 in Operating Expenses with Ingenix CareTracker Highlights n Staff productivity has increased by 33%, allowing existing staff
More informationDecember 2011 PRACTICE CHECK-UP. XYZ Anesthesia Group. AdvantEDGE Healthcare Solutions www.ahsrcm.com info@ahsrcm.
December 2011 PRACTICE CHECK-UP XYZ Anesthesia Group AdvantEDGE Healthcare Solutions www.ahsrcm.com info@ahsrcm.com (908)-279-8120 AdvantEdge Healthcare Solutions Anesthesia Practice Check-Up I. Introduction:
More information6 Critical Impact Factors of Health Reform on Revenue Cycle Management
6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the
More informationEmpowering healthcare organizations with data, analytics and insight
Empowering healthcare organizations with data, analytics and insight Integrated patient access, claims and contract management and collections products and consultative services for redefining your healthcare
More informationPreparing for Medicare s Recovery Audit Contractor (RAC) Permanent Program: Are you ready?
Preparing for Medicare s Recovery Audit Contractor (RAC) Permanent Program: Are you ready? Presentation topics Premier Consulting Solutions (PCS) Background RevenueConnect RAC Overview The Demonstration
More informationEMDEON PATIENT ACCESS SOLUTIONS AND SERVICES
EMDEON PATIENT ACCESS SOLUTIONS AND SERVICES Healthcare is complex. Getting paid shouldn t be. While we offer many solutions and services, they are all are designed to do just two things. Collect patient
More informationPersonalized Specialized Right Sized
T h e C O R E P r o d u c t o f M e d i c a l B i l l i n g i s K n o w l e d g e Personalized Specialized Right Sized CORE Medical Billing is a privately held company located in High Point, North Carolina
More informationmaintaining revenue cycle health during IT change
REPRINT SEPTEMBER 2012 Patrick McDermott Jess Jones Larry Stuckey healthcare financial management association hfma.org maintaining revenue cycle health during IT change An electronic health record at one
More informationin The Institute of Internal Auditor's
Office of Internal Audit July 9, 2014 Dr. Kirk A. Calhoun, President UT Health Northeastt 11937 U. S. Hwy 271 Tyler, TX 75708 Dear Dr. Calhoun: We have completed the that was part of our Audit Plan. The
More informationTop Ten Questions. Time and Energy. Robin Bradbury 800-355-0410 robin@ereso.com
Robin Bradbury 800-355-0410 robin@ereso.com Top Ten Questions 1. What are the key measures for the Revenue Cycle? 2. How do you document and share this information with the Revenue Cycle staff? 3. What
More informationTop Performing PFS Sustaining Revenue Cycle Excellence. Greg West COO, Healthcare Resource Group
Top Performing PFS Sustaining Revenue Cycle Excellence Greg West COO, Healthcare Resource Group Competition target Why so few super bowl repeats Free agents turnover Rule changes laws and regs and industry
More informationRevenue Cycle Management Excellence Easily improving bottom line!!!!!
Revenue Cycle Management Excellence Easily improving bottom line!!!!! SN Academy Seminar 9 th May 2014 PRR 5/5/14 Revenue Cycle Management ; Are you doing it right? Are you earning what you deserve? Do
More informationWORKERS COMPENSATION CLAIMS ADMINISTRATION GUIDELINES (ADDENDUM A) AND WORKERS COMPENSATION CLAIMS AUDIT PHILOSOPHY AND EXPECTATIONS
Adopted: August 22, 2013 WORKERS COMPENSATION CLAIMS ADMINISTRATION GUIDELINES (ADDENDUM A) AND WORKERS COMPENSATION CLAIMS AUDIT PHILOSOPHY AND EXPECTATIONS Purpose WORKERS COMPENSATION CLAIMS ADMINISTRATION
More informationMPAG Product Offerings
Medical Practice Advisory Group, LLC Post Office Box 110452, Durham, North Carolina 27709 919-321-1656 (o) 919-606-2696 (m) 919-484-8150 (f) E-Mail: info@mdpracticeadvice.com www.mdpracticeadvice.com PRODUCT
More informationData Quality Assurance
CHAPTER 4 Data Quality Assurance The previous chapters define accurate data. They talk about the importance of data and in particular the importance of accurate data. They describe how complex the topic
More informationREVENUE CYCLE MANAGEMENT WHAT YOU MUST DO NOW TO SUCCEED!
REVENUE CYCLE MANAGEMENT WHAT YOU MUST DO NOW TO SUCCEED! AN eguide Overview The on-going financial success of home health agencies depends on their ability to effectively manage their revenue. While this
More informationBilling Department: Staffing & Structure for Sustainability
Billing Department: Staffing & Structure for Sustainability CPCA Billing Manager Conference May 2, 2012 8:30 am 10:00 am Presented by: Rebekah Wallace, CMPE, CPC, MCS-P Overview ~ Obstacles for a Successful
More informationData Migration - The Basics
IS DATA MIGRATION HOLDING YOUR COMPANY BACK? Danny Doobay, MBA, BA (Hons.) The SkeduleX Advantage Technologies Is Data Migration holding your company back? You are convinced that a newer, more powerful
More informationRobert H. Tessier Senior Reimbursement Consultant HBP Services, Inc
Robert H. Tessier Senior Reimbursement Consultant HBP Services, Inc CONSULTING SERVICES PROFESSIONAL FEES 11 Research Drive - Suite 2 Woodbridge, CT 06525 203-397-8000 www.hbpworld.com rtesssier@hbpworld.com
More information6/8/2012. Cloning and Other Compliance Risks in Electronic Medical Records
Cloning and Other Compliance Risks in Electronic Medical Records Lori Laubach, Partner, Moss Adams LLP Catherine Wakefield, Vice President, Corporate Compliance and Internal Audit, MultiCare 1 AGENDA Basic
More informationBILLING MANAGER INDICATORS: HOW DOES YOUR ORGANIZATION STACK UP?
CPAs & ADVISORS experience direction // BILLING MANAGER INDICATORS: HOW DOES YOUR ORGANIZATION STACK UP? OHIO ASSOCIATION OF COMMUNITY HEALTH CENTERS ~ 2014 ANNUAL CONFERENCE Wednesday, March 12, 2014
More informationPerformance Metrics for Urgent Care Alan A. Ayers, MBA, MAcc Content Advisor, Urgent Care Association of America Vice President, Concentra Urgent Care
Performance Metrics for Urgent Care Alan A. Ayers, MBA, MAcc Content Advisor, Urgent Care Association of America Vice President, Concentra Urgent Care A successful urgent care venture requires understanding
More information2013 Preparing for Your First 401(k) Plan Audit
Certified Public Accountants Business Consultants Acumen. Agility. Answers. 2013 Preparing for Your First 401(k) Plan Audit Introduction Your company is growing, and so is your 401(k) plan. But when a
More informationCash Run Fraud Protection & Global Payment Solution
Perform automated verification screening Gain 100% chargeback protection Mitigate exchange rate risk & fees Extend & localize payment options for target markets Company Introduction In September 2007 Cash
More informationMidwest Orthopaedic Center. Orthopaedic. EHR Case Study. Midwest Orthopaedic Streamlines Revenue Cycle with Integrated Suite of Pulse Solutions
EHR Case Study Orthopaedic Midwest Orthopaedic Center Midwest Orthopaedic Streamlines Revenue Cycle with Integrated Suite of Pulse Solutions pulseinc.com Pulse Complete EHR 13 board-certified physicians.
More informationPhysician Health Care Provider. Quick Reference. CIGNA HealthCare 2006
& Physician Health Care Provider Quick Reference CIGNA HealthCare 2006 1 Contents Provider Value Proposition 3 Overview 4 Electronic Services 6 Working with Us 17 Contact Information 21 2 Confidential,
More informationWORKERS COMPENSATION INFORMATION. Soc. Sec.# Address Marital Status: Single Married Divorced Widowed Email: Home Phone: Cell Phone: Work Phone:
WORKERS COMPENSATION INFORMATION PATIENT INFORMATION Name: Birthdate: Soc. Sec.# Address Marital Status: Single Married Divorced Widowed Email: Home Phone: Cell Phone: Work Phone: Preferred Pharmacy: Tel
More informationREVENUE CYCLE MANAGEMENT (RCM) Bob Strickland Consultant R Strickland & Associates LLC
REVENUE CYCLE MANAGEMENT (RCM) Bob Strickland Consultant R Strickland & Associates LLC REVENUE CYCLE MANAGEMENT WHAT S THE BIG DEAL? Productivity = Efficiency + Effectiveness How much input (cost) is needed
More informationMedical Billing. You need to streamline your Medical Billing today! Copyright Pradot Technologies Private Limited. India. United States of America
Medical Billing Are you aware that a part of all medical practice income is lost on account of Under Pricing, Inaccurate Coding, Missed Charges or Unreimbursed Claims? Have you ever felt that the charges
More informationAllscripts MyWay. Simple, Complete, Affordable Solution for Smaller Medical Practices. Industry Needs: Key Benefits: Key Features:
Allscripts MyWay Simple, Complete, Affordable Solution for Smaller Medical Practices Information technology is a powerful enabler for healthcare providers that can deliver advanced capabilities to boost
More informationFinancial Disclosure. Teri Thurston does not have any relevant financial relationships with any commercial interests
Financial Disclosure Teri Thurston does not have any relevant financial relationships with any commercial interests Transitioning to ICD-10 Planning the Journey for Implementation 2 Brief History of ICD-10
More informationNovaPRO - One Complete RIS/PACS System
NovaPRO - One Complete RIS/PACS System Pioneering Radiology Revenues: The NovaPRO Business Growth Model A NEW RADIOLOGY WORKFLOW: PIONEERING NEW REVENUE SOURCES By: Denny Phillips Advances in PACS and
More informationMAXIMIZING COLLECTIONS
MAXIMIZING COLLECTIONS Janice Rutter, Director, Support Services, Merge Healthcare Jon Neal, Ph.D., Vice President, InstaMed Mark Snow, Vice President, RevSpring (formerly PSC Info Group) Tracy Sanders,
More informationAccelerating your Revenue Cycle: From Patient Encounter Through Account
Accelerating your Revenue Cycle: From Patient Encounter Through Account Resolution Anders Health Care Webinar Series July 17th, 2013 Jerrie K. Weith, FHFMA, CMPE Chastity D. Werner, RHIT, CMPE, NCP Learning
More informationBusiness Service and Process Outsourcing. Metropolitan Business Solutions
MBS Business Service and Process Outsourcing Who We Are! A provider of business service and process outsourcing committed to enhancing our clients profitability reducing the cost of business operations
More informationThe Physician-Owned Management Services Organization
The Physician-Owned Management Services Organization By Joe Laden A Management Services Organization (MSO) is a legal entity created to provide management and administrative services to other organizations.
More information7 Ways to Enhance Your Radiology Group's Revenue Cycle
7 Ways to Enhance Your Radiology Group's Revenue Cycle Introduction Every radiologist would prefer to be reading charts than spend time thinking about their practice s revenue cycle management processes.
More informationThe ROI of IT: Best Billing Practices
The ROI of IT: Best Billing Practices 1 R O S E M A R I E N E L S O N M G M A H E A L T H C A R E C O N S U L T I N G G R O U P The information and materials provided and referred to herein are not intended
More informationEHR s-new Opportunities for the Confident Coder
EHR s-new Opportunities for the Confident Coder Angela Jordan, CPC Chair AAPCCA Board of Directors Manager Coding and Compliance EvolveMD amjordan.cpc@gmail.com Objective EHR basics Basic knowledge of
More informationFrequently Asked Questions about ICD-10-CM/PCS
Frequently Asked Questions about ICD-10-CM/PCS Q: What is ICD-10-CM/PCS? A: ICD-10-CM (International Classification of Diseases -10 th Version-Clinical Modification) is designed for classifying and reporting
More informationICD-10: Ready or Not?
ICD-10: Ready or Not? Survey Results Provide an Overview of ICD-10 Implementation and Planning Status By Jerry Lear, CIA, CISA, and Kirra Phillips, RHIA, CCS CHAN Healthcare AHIA In only a few months,
More informationInformation Integrity in the Revenue Cycle! Order Entry, All Subsystems and The Charge Description Master
Information Integrity in the Revenue Cycle! Order Entry, All Subsystems and The Charge Description Master 2011 Our Philosophy: We are a firm believer in information integrity. Therefore we perform on or
More informationRevenue Cycle Management. A Primer for School Based Health Care Centers Presented By Jane Speyer, Senior Billing Manager OCHIN
Revenue Cycle Management A Primer for School Based Health Care Centers Presented By Jane Speyer, Senior Billing Manager OCHIN Discussion Overview The Revenue Cycle demystified: How do appointments turn
More informationHow to Leverage Data Analytics in Healthcare Auditing
Feature How to Leverage Data Analytics in Healthcare Auditing Unleash the power of the computer to vastly improve your audit reach By Scot Murphy, CFE, CIA, ACDA, and Tom Stec, CIA, ACDA Healthcare auditing
More informationHOW WILL BIG DATA AFFECT RADIOLOGY (RESEARCH / ANALYTICS)? Ronald Arenson, MD
HOW WILL BIG DATA AFFECT RADIOLOGY (RESEARCH / ANALYTICS)? Ronald Arenson, MD DEFINITION OF BIG DATA Big data is a broad term for data sets so large or complex that traditional data processing applications
More informationElectronic data interchange and proactive services for customers using revenue cycle management solutions from the Centricity portfolio
GE Healthcare Electronic data interchange and proactive services for customers using revenue cycle management solutions from the Centricity portfolio imagination at work Accelerate revenue cycle performance
More informationSession # 205 Implementing Sustainable Revenue-Cycle Workflows: CayHealth ACO and Intermountain Healthcare
Session # 205 Implementing Sustainable Revenue-Cycle Workflows: CayHealth ACO and Intermountain Healthcare DISCLAIMER: The views and opinions expressed in this presentation are those of the author and
More informationReducing Readmissions with Predictive Analytics
Reducing Readmissions with Predictive Analytics Conway Regional Health System uses analytics and the LACE Index from Medisolv s RAPID business intelligence software to identify patients poised for early
More informationHow To Use Therapysource
TherapySource is a complete clinical and administrative physical therapy software solution. It is a comprehensive therapy practice management software with the most advanced clinical documentation knowledge
More informationSAFEGUARD YOUR REVENUE IN AN ERA OF CHANGE
SAFEGUARD YOUR IN AN ERA OF CHANGE Regulatory, economic and technological changes have made running a hospital, urgent care center, or medical practice increasingly difficult today. The complexity of revenue
More informationBest Practices Guidelines On Imaging Clinical Decision Support Systems
Best Practices Guidelines On Imaging Clinical Decision Support Systems Preface In light of the evolving technological advances in the area of radiology utilization management, and specifically the emerging
More informationUniversity of Iowa Hospitals & Clinics: Using Payer Contract Management to Improve Reimbursement
University of Iowa Hospitals & Clinics: Using Payer Contract Management to Improve Reimbursement June 18, 2013 Mari Anne Ehler Associate Director, Patient Financial Services UI Health Care Cindy Lowe-Johnson
More informationMichael Orseno Director Regent Revenue Cycle Management Karen Franklin Client Manager ZirMed October 23, 2015
Revenue Cycle Best Practices to Increase Collections, Reduce A/R and Increase Patient Satisfaction Michael Orseno Director Regent Revenue Cycle Management Karen Franklin Client Manager ZirMed October 23,
More informationIndependent Insurance Eligibility Verification A Cost/Benefit Review for Immunization Billing
Independent Insurance Eligibility Verification A Cost/Benefit Review for Immunization Billing Developed for The Arizona Partnership for Immunization-TAPI 700 E. Jefferson Street, Suite 100 Phoenix, AZ
More informationHealthcare Industry White Paper Revenue Cycle Management
Cost reduction has been the focus of many healthcare providers for years. But in order to successfully fulfill core missions such as leading in medical technology, providing effective patient treatment
More informationAccounts Receivable Tool Kit (Excerpts from Realizing Your Viability The Tenets of A Successful Organization )
Accounts Receivable Tool Kit (Excerpts from Realizing Your Viability The Tenets of A Successful Organization ) o Components of an Effective Month-End Close Process o Procedure for Processing and Posting
More information