The health of an organization’s revenue cycle depends not only on the accurate performance of employees in their respective roles, but also the understanding of how their roles impact others up and downstream, and therefore the quality and speed with which a claim gets processed. One area that has incredible impact on a claim’s processing […]
Category: Custom Services
Pulse Check: Are You Connected to Your Organization’s Mission, Vision and Values?
Happy Anniversary to the Pulse Check Blog! This week marks the 1-year anniversary of the blog series. I hope you’ve enjoyed reading the posts as much as I and my colleagues Noelle, Sam, and Andrew have enjoyed blogging. Hospitals and Medical Groups are facing complex challenges in an ever-evolving healthcare industry. Creating a network community […]
Reimbursement & Regulations: SNF ABNs, Terminated Providers, More
After April 30, 2018 it will be mandatory that all skilled nursing facilities use the new advance beneficiary notice of non-coverage form created by the CMS. The new form can be accessed here, and there is nothing stopping organizations from using it right away. This form is to be used in instances when it is […]
Pulse Check: Ensuring Eligibility
As you well know, you aren’t getting reimbursed if you bill the wrong payer, and front-end staff have even more pitfalls to avoid in ensuring they have the correct insurance information. Insurance verifiers, schedulers, and registrars need to be fully aware of why gathering insurance information from patients is important. Especially so staff do not […]
Pulse Check: Educating Patients on ED Point-of-Service Collections
Recently, the question of putting up signage in the ED to educate patients on point-of-service collections surfaced. There is a lot of debate over this topic and whether it violates EMTALA or should even be done in the first place. For the purposes of this blog, I will review a couple strategies when considering putting […]
Pulse Check: Revenue Cycle Resolutions
It’s a new year! While your organization’s initiatives may not have changed when the ball dropped, you can be sure that your employees are feeling a burst of motivation as they start 2019, an eagerness to tackle the tough to-dos and an energy to learn, grow, and achieve. Perhaps you’re feeling it too! Let’s capitalize […]
Reimbursement & Regulations: ACA Repeal Edition
As I’m sure you all have heard by now, a federal judge in Texas ruled on Friday, December 14th, that the entire Affordable Care Act was unconstitutional because the individual mandate had been reduced to zero. Some believe this will be reversed on appeal. Others feel validated by the ruling. While the law remains intact […]
Pulse Check: Price Transparency
Now that the CMS has stated that prices for all items and procedures must be posted online, it is important to ensure patients understand what these prices mean to them. We’ve seen healthcare organizations be effective creating a financial assistance committee that can partner with the community to determine the most efficient way to communicate […]
Pulse Check: Reduce Turnover Through a Compensation Review
Recently, I have been hearing the same question from revenue cycle leaders across the country, “How do we reduce staff turnover?” Staff turnover will continue to be an issue until leaders invest in understanding the underlying issues. What is below the surface that is causing my employees to leave? Revenue cycle leaders need to understand […]