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

Revenue Cycle Management Resources

4 Steps to Better ROI

Learn tactics to meet your financial goals, bringing you closer to success. Healthcare technology can and should improve financial performance. athenahealth has compiled four key steps to take your organization to the next level.   Download white paper

The Medicare Advantage opportunity: how payers and providers can capitalize on this growing segment

Enrollment in Medicare Advantage (MA) health plans is quickly growing, and providers and payers alike have an opportunity to capitalize on this growing segment. This white paper outlines the industry landscape and considerations for payers and... Download white paper

The 2018 MACRA Checklist To Boost Your MIPS Score

Avoid billing penalties with simple patient engagement changes. Download the list of 2018 MIPS Measures and learn which tools help maximize your reimbursement. Take charge of MACRA and patient engagement for your clinic. 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 longer... 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

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 necessity... Download white paper

Payers that Engage Members See Better Health Outcomes, Savvier Spending

With many payers focusing resources on a small percentage of chronically ill patients, a large portion of the member population remains unmonitored and engaged. Patient engagement programs that are scalable, multi-layered, and tech-enabled to... Download white paper

The Giant eBook for Adding Occupational Medicine to Your Urgent Care

Many urgent care clinics today are choosing to add additional service lines to increase profitability. One of the best performing add-ons over the last few years has been occupational medicine (OccMed). Because OccMed ensures a consistent flow... Download white paper

Urgent Care Quarterly: Coding Trends 2013-2017

This issue of Urgent Care Quarterly explores coding trends over the last five years as they relate to urgent care. Through a deep dive into ICD-10, CPT, and E/M coding data, it provides insight into the trends and what they mean for... Download white paper

7 Common Missteps in Urgent Care Coding and Billing

7 Common Missteps in Urgent Care Coding and Billing illustrates the connection between treating patients, encounter documentation, and billing, and demonstrates the ways common mistakes can have a huge impact on urgent care revenue. This... Download white paper

Post-Care Collections: A Proactive Guide

As a healthcare provider with few opportunities to discuss payment with patients before you render services, you know how difficult it can be to collect after the fact. Studies show the likelihood to collect drops 20% once the patient leaves... Download white paper

How Much Money are You Leaving on the Table by Not Offering CCM Services?

Participating in the CMS Chronic Care Management program is the right thing to do to improve your patient' long-term health outcomes. But success can be a challenge using existing staff and simply adding more to their workflow.  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

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 reporting... Download white paper

eGuide: Should physicians assign their own codes? The practical guide to striking a coding balance

Intended for ambulatory and outpatient facilities, we leveraged 3M coding experts and multiple medical industry publications to answer the questions: who should be selecting evaluation and management (E/M), Current Procedural Terminology (CPT)... 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 data,... Download white paper

Data Shows HPV Vaccination Rates on the Rise

First licensed for use in 2006, the vaccine for HPV has met more resistance from parents of pediatric patients than any other recommended vaccine except the MMR vaccine, report providers from the network. A 2010 survey of parents of more than... Download white paper

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