Category: Custom Services

Pulse Check: Extending Coding Education Beyond the Coding Department

By: Noelle Wysocki
Date: February 13, 2019
Category: Custom Services
Filed under: Coding, denials, DRG, education, HBI, Non-coders, Pulse Check, RC Education, Revenue cycle, training

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 […]

Pulse Check: Are You Connected to Your Organization’s Mission, Vision and Values?

By: Elisabeth Callahan
Date: February 6, 2019
Category: Custom Services
Filed under: culture, employee engagement, Healthcare Mission, leadership, Mission/Vision/Values, MVV, Pulse Check

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

By: Andrew Minten JD
Date: February 1, 2019
Category: Custom Services
Filed under: ABN, ABNs, CMS, OIG, Reimbursement & Regulations, Skilled Nursing Facilities, SNFs, Terminated Medicaid Providers, Tracheostomy

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

By: Andrew Minten JD
Date: January 30, 2019
Category: Custom Services
Filed under: Insurance Eligibility, Insurance Verification, Medicaid Work Requirement, Medicare Secondary Payer, Pulse Check, registration

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

By: Samuel DePaz
Date: January 23, 2019
Category: Custom Services
Filed under: Claim Resolution, ED, ED Collections, Point of Service Collections, Pulse Check, Revenue cycle, Revenue Cycle Management, training

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

By: Noelle Wysocki
Date: January 16, 2019
Category: Custom Services
Filed under: customer service, denials, E-Learning, employee satisfaction, HBI, Learning, new year, Patient Satisfaction, Pulse Check, RCA, relationships, Rev Cycle, Revenue cycle

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

By: Andrew Minten JD
Date: January 4, 2019
Category: Custom Services
Filed under: ACA, Affordable Care Act, Bad Debt, emergency department, Medicaid, Medicaid Expansion, Obamacare, Patient Payments, Preexisting Conditions, Reimbursement & Regulations, Repeal

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

By: Andrew Minten JD
Date: January 2, 2019
Category: Custom Services
Filed under: CMS, financial assistance, Patient Experience, Payers, Price Transparency, Pulse Check

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

By: Samuel DePaz
Date: December 26, 2018
Category: Custom Services
Filed under: Claim Resolution, Compensation Review, key performance indicator, KPI, Pulse Check, Reduce Turnover, Retain Employees, Revenue cycle, Revenue Cycle Management, training

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 […]