Tag: Revenue Cycle Management

Pulse Check: Teaching Staff the Big Picture

By: Samuel DePaz
Date: November 28, 2018
Category: Custom Services
Filed under: Claim Resolution, key performance indicator, KPI, POS, Pulse Check, revenue cycle, Revenue Cycle Management, training, Workshops

In the past few months, I have been hearing a lot about organizations wanting to train staff on how to effectively resolve claims, interact with patients, have financial discussions with patients, and give holistic revenue cycle training. While training and resources around these are very important, many organizations struggle to connect these training opportunities with […]

Pulse Check: Bolstering POS by Engaging in Community Outreach

By: Samuel DePaz
Date: October 31, 2018
Category: Custom Services
Filed under: Collections, Point of Service Collections, POS, Pulse Check, reduce A/R, revenue cycle, Revenue Cycle Management

Recently, I have been hearing a lot about point-of-service collections being a top initiative within 2018 and heading into 2019 for providers. According to Healthcare Business Insights most recent benchmark, the national average of point-of-service collections as a percent of net patient revenue is 0.5%. This is down from 1.3% the prior month, giving organizations […]

Pulse Check: Reduce High Self-Pay Accounts Receivable

By: Samuel DePaz
Date: September 26, 2018
Category: Custom Services
Filed under: Pulse Check, reduce A/R, revenue cycle, Revenue Cycle Management, Self-pay

In one of our recent engagements with an organization our analysis determined that the organization had a large volume of highly-aged self-pay accounts. Based on further analysis, their self-pay vendor and bad debt vendor reflected collection rates in line with HBI’s latest benchmarks. In addition, we took a look at the hospital’s charity care which […]

Pulse Check: Leveraging WOW’s with ED Bed-side Registration

By: Samuel DePaz
Date: September 6, 2018
Category: Custom Services
Filed under: ED Registration, Point of Service Collections, POS, Pulse Check, revenue cycle, Revenue Cycle Management

In a recent engagement, the HBI team observed front-end staff in the ED registering patients at the bed-side. One of the big items the team observed was that there were workstation-on-wheels (WOW) that were not being utilized within for bed-side registration. When staff were asked about not using the WOWs, they stated it was taking […]

Pulse Check: Ensuring System Logic and Process Flows are Working Together

By: Samuel DePaz
Date: August 9, 2018
Category: Custom Services
Filed under: NCCI Edits, Pulse Check, revenue cycle, Revenue Cycle Management, System Logic

Recently, the team was tasked with testing the logic of a billing system to ensure that it was catching all the NCCI edits needed on claims. In order to do this, the current process of NCCI edits needed to be assessed. Through this process, the team was able to flag different gaps within the system […]

Pulse Check: Reduce Medical Necessity Denials Through Strategic QA Processes

By: Sam DePaz
Date: May 9, 2018
Category: Custom Services
Filed under: denials, Medical Necessity Denials, Pulse Check, QA Processes, revenue cycle, Revenue Cycle Management

Recently, a client came to us with the following question related to medical necessity denials. They have been experiencing a large volume of medical necessity denials and were wondering the best course of action to take to reduce these denials. Medical necessity denials should be reviewed by the denials management team or quality assurance team. […]