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

Revenue Cycle Management Resources

Creating a Patient-Focused Healthcare Revenue Cycle

Healthcare is becoming much more consumer-focused as patient financial responsibility rises and technology puts healthcare information in patient hands. Healthcare organizations are focusing on meeting the needs and demands of their patient... View webcast

The Economics of Inefficiency: What Are Missing Bills, Under-Coding, and Compliance Fines Costing You?

Hear how innovative healthcare organizations have achieved success dealing with common revenue cycle challenges.  Topics of discussion: Finding and dealing with missing bills and charges Training and simplifying medical bill coding Red... View webcast

Improve EDPS/RAPS Submission Rates and Recapture Revenue

Commonwealth Care Alliance, a not-for-profit, community-based health plan, improved their acceptance rates, reduced their error correction effort and reduced the encounter support burden on their IT staff by implementing the Babel Health ET... Download white paper

How to Align Quality Oncology Care with Appropriate Reimbursement

Payers and providers spend a substantial amount of time and resources managing authorizations for oncology treatments. In fact, authorizations are among the most manual and costly administrative transactions for both payers and providers. M... Download white paper

FAQs: Choosing an Oncology Treatment Preauthorization Vendor

When searching for a partner to improve your cancer program, it is easy to become overwhelmed with the options. In these Frequently Asked Questions, we respond to payers’ most pressing questions about an online, evidence-based, oncolo... Download white paper

How Health Plans Can Exceed Industry Standards in Member Cancer Care

Improving member care has numerous benefits to both the member and the health plan; and technology-driven solutions can simplify compliance with evidence-based standards. See how one health plan tackled streamlining treatment approval, perm... Download white paper

How Payers Can Save an Average of $25,579 Per Patient by Eliminating Unwarranted, Non-Evidence-Based Cancer Treatment

Evidence-based care leads to better clinical outcomes, but how does it affect your cost? A multi-year study performed in association with professionals from Abramson Cancer Center of the University of Pennsylvania and Johns Hopkins Carey Bu... Download white paper

The Interactive Guide to 3M™ Coding and Reimbursement System (CRS): It Started with a Tree

The interactive guide to 3M™ Coding and Reimbursement System (CRS) and 3M™ Coding and Reimbursement System Plus (CRS+). The goal of this document is to educate organizations on the history of the most widely used coding and reim... Download white paper

A Holistic Approach to Payment Accuracy Helps Drive Cost Savings

Our end-to-end payment accuracy portfolio leverages proven solutions to help payers address each stage of the payment process more effectively – from pre-submission through post-pay audit and recovery.  The cohesive approach help... Download white paper

Three Reasons to Consider Outsourcing Payor Enrollment

Enrolling providers in health plans can be involved and time-consuming: the volume of paperwork, rigorous regulations, and ever-changing processes can cause serious processing delays. The longer it takes to get providers enrolled, the longe... Download white paper

The ROI of Provider Enrollment Services: a Case Study

Find out how a middle-sized hospital system managing several hundred subscribers partnered with symplr’s Payor Enrollment Services experts to get over $2 million in backlogged billings submitted to payors. Download white paper

Infections with the highest impact on Medicare HAC penalties

Where do you start to improve your organization’s HAC scores? Addressing intestinal infections (C. diff.), antibiotic-resistant staph infections (MRSA) and other high-impact infections can have a huge impact on your HAC scores and get... Download white paper

Infographic: When it comes to HACs, how do you score?

A large U.S. hospital in the lowest performing 25 percent can face $1.1 million in lost reimbursement annually and it’s not much better for mid-sized hospitals. Beyond the financial penalty, poor HAC performance, in comparison to othe... Download white paper

Joint 3M/ACDIS Research Study: Advancing CDI Worklist Prioritization

As healthcare organizations move toward value-based care and seek to improve performance and overall financial health, clinical documentation improvement (CDI) programs are under intense pressure to ensure documentation supports medical nec... 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 slip... Download white paper

The Role of HCCs in a Value-Based Payment System

Hierarchical condition categories are such an important factor in the value-based care world. Effectively managing them makes a huge difference in reimbursement and helps providers successfully achieve high-quality care. Over and under repo... Download white paper

Infographic: Navigating the Coder Shortage

A breakdown of the current state of the medical coder shortage, and visual roadmap to help ambulatory facilities overcome avoidable backlog, denials and compliance risks. Using a combination of medical coding industry publications and 3M da... Download white paper

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 paymen... Download white paper

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