Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Revenue Cycle Management Resources

ER Avoidance Case Study: Outreach Reduces Unwarranted Utilization, Save $706K

A large commercial health plan expanded its partnership with Carenet Healthcare Services to further reduce non-urgent ER visits and associated costs. For two years, Carenet had been conducting ER avoidance outreach to the plan’s members... Download white paper

7 Key Steps for Successful Member Onboarding and Relationship Cultivation

As the healthcare sector shifts toward a more consumer-directed marketplace with individuals wielding greater cost-sharing responsibility and decision-making power, it’s never been more important for health plans to establish a strong,... Download white paper

Infographic: Create a Financial Safety Net for your FQHC by Offering CCM Services

As the Baby Boomer generation ages, it is projected that they will impact the number of those 65 and older up to 75 percent. Meanwhile, the safety net intended to catch all of these people who will need care is beginning to fray—especially... Download white paper

Infographic: What Opportunities are in Your Self-Pay Balances

A significant amount of your self-pay and charity-care balances might be missed opportunities for revenue if patients become eligible for Medicaid after their initial visit. Once successfully enrolled, the Medicaid coverage they’re eligible... Download white paper

Education is Key to Improving Provider E/M Coding Accuracy

Errors in physician coding cost billions of dollars each year to the U.S. healthcare system. Such a large financial impact can be attributed to a relatively small problem: human error. This white paper delves into the details surrounding the... Download white paper

Analytics is the Answer to Compliant Coverage Identification

Uncover hidden patient coverage. How do you uncover reimbursement sources for patients presenting as self-pay? New, stringent anti-phishing regulations prohibit traditional eligibility searches, but you can’t afford more accounts slipping... Download white paper

Defining, Targeting, and Decreasing Low-Value Care

Targeting and curbing low-value care services represents a significant savings opportunity for payers. Low-value services make up a substantial portion of U.S. care costs—to the tune of ~$465 billion in 2017—and they’re driving... View webcast

2018 Predictions and Action Items for Healthcare Revenue Cycle Management

From health policy debates and new payment models to high deductible health plans and patient billing, healthcare organizations faced an abundance of revenue cycle management changes and challenges in 2017. Value-based reimbursement continued... View webcast

Infographic: Your Claims Management Solution Shouldn’t be the Topic of your Morning Coffee

Don't settle for claims management that is just fine. Read this infographic to see how you can revive your claim workflow and caffeinate your margins. Download white paper

Infographic: Achieving a Better ROI from Claim Status Checking

Monitoring the status of active claims is important in keeping small issues from turning into costly denials. But an even bigger problem is the amount of time wasted by staff members manually checking on claims that are proceeding to payment... Download white paper

Four Steps to Develop, Implement, and Operationalize a Bundled Payment Strategy

The paradigm shift to value-based reimbursement creates increasingly complex reimbursement scenarios for health plans. According to a “Journey to Value” study Change Healthcare commissioned, an overwhelming 97% of health plans and... Download white paper

Driving Forces in Today’s Payer Market

What’s Driving the Payer Market? Change Healthcare asked a few of their seasoned healthcare consultants to give some perspective on three of the main driving forces in the healthcare payer market today. Listen to what they have to say,... Download white paper

Physician Advisor Programs: A Pillar of Thriving Provider Organizations

Today, hospitals face growing pressure from government and commercial payers to manage their utilization of services and provide justification for clinical decision-making in line with evidence-based practices.  Physician advisor programs... Download white paper

Reinventing Claims Payment for a Value-Based World

The healthcare industry’s claims-payment system is frustrating to providers, payers, and patients alike. Inefficiency and a systemwide tendency for error wastes resources, worsens miscommunication and mistrust among all stakeholders, and... Download white paper

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