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 […]
Tag: HBI
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 […]
Pulse Check: HBI’s Revenue Cycle Prescription
When a patient presents with a problem to a physician, the physician takes necessary steps to diagnose the issue, treat it, and help the patient sustain a new normal. Perhaps we take preventative measures, like analyzing bloodwork, to uncover red flags that should be mitigated to ensure long-term health. A healthcare organization’s troublesome revenue cycle […]
6 Strategies to Improve Your Appeal Processes
HBI’s research in recent years has indicated a wide range of appeal outcomes among healthcare providers. For example, respondents to one survey noted first-pass success rates anywhere from 6% to 85%, with about half reporting between 40% and 65%. Such variation may be at least partially explained by the wide range of contributing factors, such […]
Pulse Check: HBI Takes PFS Onboarding to Higher Education Realm
HBI is proud to present a unique training opportunity for current and potential revenue cycle staff in the Los Angeles area. Offered through California State University Los Angeles and taught by real revenue cycle leaders at Cedars-Sinai, HBI created a semester-long curriculum that prepares students to work as a patient financial services representative in a […]
Pulse Check: Enhancing Effectiveness of Denials Representatives
Recently I was asked to discuss what skills make denials representatives more effective. A few important things came to mind. Smart Workflow To ensure that a representative is able to efficiently work denials and appeals, they should prioritize their worklists first by payer, then by patient type (IP or OP), and then by underpayment descending. […]
Pulse Check: Empower Your Employees through Customer Service Training
We usually think of restaurants or retail stores when we think of people providing customer service. Servers and store clerks try their hardest to accommodate the needs and wishes of their customers, making modifications to orders and fulfilling special requests, all while remaining cheerful, unflappable, and seemingly happy to serve the customer. I, myself, come […]
Pulse Check: HBI Gives Back
On August 22, 2018, HBI is having its first Volunteer Day! Instead of writing best practice research articles, bolstering our extensive e-learning library, or providing revenue cycle optimization and denial root cause analyses for our clients, for one day we’re shutting down our computers and heading out to serve our community in a different way! […]
Pulse Check: Are You Effectively Preventing Denials?
“Denials Management” and “Denials Prevention” – the two buzz phrases that trade places as the top initiative for revenue cycle directors nationwide every 18 months or so. Right now, HBI is hearing that FY2019 will be a “Denials Management” year. Hopefully those denials will be effectively managed and directors will switch back to a “Denials […]