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

Revenue Cycle Management Resources

Preparing the Healthcare Revenue Cycle for 2019

Healthcare is constantly evolving. New payment models are shifting the focus away from traditional fee-for-service, while innovative technologies are automating everything from patient registration to claims management and medical billing. ... View webcast

Consumer Study: Communication and Payment Preferences of Patients with High Balances and Past Due Accounts

As patient balances after insurance (PBAI) rise, so does delinquency and bad debt. With that in mind, we asked 1000 consumers how they would prefer to be contacted or reminded of a significant medical bill. Once notified, we asked how the w... Download white paper

eBook: How to Improve Revenue Cycle Management (RCM) with Visual Analytics

Today’s for-profit and not-for-profit healthcare providers face a regulatory environment filled with unprecedented changes and unforeseen cost pressure. Regulatory changes triggered by the Affordable Care Act (ACA) and the Accountable... Download white paper

eBook: Improve Your Top Line: Achieve Revenue Cycle Management Success with Visual Analytics

In the complex world of healthcare, providers and payers are in a constant push-pull that requires them to deliver superior services, while managing the revenue cycle proactively and efficiently. Dependencies are the norm, with numerous pro... Download white paper

Creating a Patient-Focused Healthcare Revenue Cycle

As consumers enroll in high-deductible health plans and out-of-pocket costs rise, aligning the healthcare revenue cycle with patient needs is key to collecting revenue and increasing patient volumes. Going paperless is critical to creating ... Download white paper

Key Considerations for Payers Moving to the Cloud

The healthcare industry is undergoing significant transformation in its use of hardware, software, and storage, with many leading institutions moving to the healthcare cloud to improve performance and at the same time cut costs by optimizin... View webcast

Infographic: Why are hospitals penalized for readmissions?

Why are hospitals penalized for readmissions? Some hospitals get hit harder than others. Large, safety-net hospitals, academic medical centers and non-profit hospitals are often on the penalty list. This infographic explores the often-untol... Download white paper

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

Infographic: Optimize Costs with Effective Medical Cost Management

As medical costs continue to rise, insurance providers can find it difficult to meet member and provider demands and stay within budget. In this case study find out how one provider was able to transform their organization with the help of ... Download white paper

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

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

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

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