Medical Billing / RCM | Practice Management
Simplifying Denial Management: A Single Step-by-Step Guide Denial management often appears complex and daunting within the revenue cycle, cluttered with over-complications and excessive details.
The recent updates to the Clinical Laboratory Improvement Amendments (CLIA) by the Centers for Medicare & Medicaid Services (CMS) represent a significant overhaul, with implications that extend deep into laboratory management, personnel qualification, and operational compliance. Understanding these changes in-depth will be crucial for laboratory directors to navigate the new regulatory landscape effectively.
Learn why patient engagement is a necessity and how you can master it within your practice.
As we embark on the second quarter of the year, it's an opportune moment to reflect on the financial projections and challenges that shaped the healthcare landscape in Q1. At the beginning of the year, medical group practice leaders identified finance/revenue cycle management (41%) and staffing/HR (29%) as primary focal points for 2024, according to a Jan. 2, 2024, MGMA Stat poll. This underscores the pressing need for strategic approaches to address financial pressures and optimize revenue cycles in the healthcare industry.
In the intricate world of healthcare administration, revenue cycle management (RCM) stands as a critical process that ensures financial stability and operational efficiency for healthcare providers. As the landscape evolves, many healthcare organizations are considering outsourcing RCM services to streamline operations and enhance profitability. However, like any strategic decision, outsourcing RCM comes with its own set of pros and cons that necessitate careful consideration.
Healthcare practice owners and managers are reviewing their budgets and projections amid signs of emerging financial challenges they expect to endure during a slumping economy. Medical organizations that have been taking their billing software and services for granted will be paying closer attention to changes they can make to maintain their bottom line.
When your medical office was just starting up, it made sense to handle all billing internally. But as your enterprise grows in size and perhaps in scope, too, you might find that inefficiencies are creeping into the workflow. Or, perhaps your staff is finding it difficult to stay on top of code changes and updates to billing protocols.
As we enter the new year, you and your staff must be feeling some excitement (and maybe a bit of trepidation) as you anticipate the achievements to come. Perhaps you have new goals to reach in terms of improving your bottom line, or adding additional services to attract more patients (and retain your current loyal patients).
As managers, owners and principals at cardiology practices plan for the coming quarters this year, the flow of revenue will be a major consideration. Accordingly, they will be looking at revenue cycle management or RCM trends to help prepare for 2024. With that in mind, here are cardiology RCM trends that appear to be emerging this year.
Maybe when you first opened the doors of your practice, it made good financial sense to handle billing internally. But now, as your business grows in size and perhaps scope, billing has been growing more complex too. With so many moving parts to keep track of to ensure a good flow of revenue, many practices find it prudent to outsource this task.
If you don’t know what’s happening inside your practice in the back office in terms of billing and accounts receivable, how can you expect to determine the status of your organization? Are you meeting your financial goals or falling short? And depending on whether the answer is “yes” or “no,” how will you make a plan to either continue with the improvements or to stop a downward trend in profits?
