Tagged with Revenue Cycle Management

How to Automate Your Practice’s Workflows to Free Up Time & Focus on Your Patients

Workflow automation in healthcare supposes an opportunity for medical practices to improve care delivery. Automating some processes can positively impact providers, patients, administrative staff, and healthcare organizations.   Automation in healthcare can lead to multiple benefits for your practice, such as decreased manual efforts, reduced errors, increased capacity, and speeding up administrative processes. Automating your…

Want to Confirm a High-Level ED Code? Examine the Note

Marie Franklin, MBA. CPC, National Director of Coding, Education, and Audit, AdvantEdge Healthcare Solutions, informs readers in the tci Newsletters ED and Coding Reimbursement Alerts E/M, Want to Confirm a High-Level ED Code? Examine the Note provides the information you need to avoid upcoding your ED services.  To read the considerations for ED coding to…

“Flip’n Surgeons” –Calculating the Utilization Rate of Surgeons Who Flip Operating Rooms

By Joe Laden, Vice President Client Management                 Surgeons who “flip” ORs have two simultaneous operating rooms allocated to them and, therefore, have two anesthesiologists or two anesthesia care teams in these ORs.   For a very busy surgeon, this is usually good for the surgeon, hospital, and the anesthesiology group.   However,  some surgeons would like to…

To Hold, or Not to Hold – That is the Question. Delaying Claim Filing to Avoid Deductibles.

By Joe Laden, Vice President Client Management Effective collection of patient insurance deductibles is an increasing problem for anesthesiologists.  Anesthesia claims are usually ready to file a few days after the date of service and can typically reach insurers before claims by the hospital and the surgeon. If the anesthesia claim hits the payer first…

Your Anesthesia Net Collection Ratio – Can it be 100%?

 By Joe Laden, Vice President of Client Management The short answer:  “Yes, but probably not.” Typically, the Net Collection Ratio (NCR) is calculated as Payments / (Charges – Contractual Adjustments). If contracted payers paid all your charges with nothing left to patients or secondary payers, the Net Collection ratio would be 100%, assuming that all…

Finding Creative Solutions for Hiring in a Full-Employment Economy

By Barbara Lewis, Director of People Services Hiring staff in a full-employment economy can be challenging even at the best of times. In the revenue cycle management industry, this can be especially difficult when one needs to hire medical billers. As we all know, the medical biller position is a critical function in the revenue…

2021 Proposed Changes for Evaluation and Management Services

By Marie Franklin, MBA, National  Director of Coding, Education, and Audit The proposed new rules for 2021 will focus on medical decision-making or time as the determining factor when selecting the appropriate level for service rendered for all physicians for evaluation and management. Currently, Medicare has not made Medical Decision Making (MDM) as one of…

CMS has Published the Physician Fee Schedule for 2020. The Time to Get Ready is Now.

By David Nicholson, Executive Vice President CMS has issued its final rule for the 2020 Medicare physician fee schedule, effective January 1. With the added complexity to billing and coding for physicians, how you manage the revenue cycle process for the practice is more important than ever.  For your convenience, I have summarized the major…

Some Healthcare Costs Are Going Down. Are yours?

By Joe Laden, Vice President of Client Management Overall healthcare costs have been rising over the years, due to factors such as the aging population and increased use of medical technology. The administration of healthcare reimbursement to providers accounts for a significant portion of healthcare costs, and some of these administrative costs have been decreasing…

Infographic – AdvantEdge Healthcare Solutions – Pathology

AdvantEdge Healthcare Solutions is a national top 10 medical billing company that is a leading vendor to pathology practices across the country for billing, coding, and revenue cycle management services since 1967.  If you have questions about how AdvantEdge can improve your pathology practice billing and coding so that you are collecting every dollar that…

Infographic – AdvantEdge Healthcare Solutions – Radiology

AdvantEdge Healthcare Solutions is one of the nation’s best radiology billing, coding, and revenue cycle management vendors for radiology practices across the country. To learn how AdvantEdge can be your  billing and coding vendor, call us at 877-501-1611 or email us info@ahsrcmstg.wpengine.com    

Data Mining Anesthesia Billing Data for Improved Practice Performance

By Joe Laden, Vice President of Client Management All billing companies and in-house billing operations provide a package of standard reports.   They are generally financial reports designed to report cash flow and illustrate the performance of the billing entity However, data collected for billing can provide a wealth of information for the practice beyond the…

The Healthcare Landscaping is Changing – Billing Services are the Safe Bet

By Brice Voithofer, Senior Vice President  Through continuous process improvement (CPI) successful companies constantly re-evaluate their business process to assure they are running their business in the most effective, efficient, and innovative manner. Medical practices are no different and must adapt to the ever-changing landscape to survive long-term. Companies that thrive are the ones that…

The Secret Ace up Your Sleeve – Using Your Anesthesia Billing Vendor for Stipend Negotiations

By Joe Laden, Vice President of Client Management Many anesthesiology practices rely on financial support from their hospital. This is commonly due to poor payer mix, underutilization of operating rooms and/or intensive in-house call requirements. Requests for hospital financial support must be backed up with solid information showing that anesthesia personnel costs based on hospital…

Customer Service Should be an AdvantEdge in Your Practice

We all know the importance of customer service as it relates to patient experience and satisfaction with physician services in today’s healthcare environment.  Patients rank their satisfaction with the physician services in surveys by the practice, in the CMS Fee-For-Service CHAPS survey, and by other private survey companies like J.D. Powers, for example. Patients will…

Infographic – AdvantEdge Healthcare Solutions – Behavorial Health

AdvantEdge Healthcare Solutions is a national top 10 medical billing company and the nation’s largest revenue cycle management solutions for behavioral health practices and organizations since 1987.   If you have questions about how AdvantEdge can improve your behavioral health billing so that you are collecting every dollar that you’re legally and ethically entitled, please call…

Anesthesia RCM Specialty Challenges

By Joe Laden, Vice President Client Management Anesthesia billing and coding is an array of unique and complex specialty requirements not found in other medical specialties.  Though many billing and coding companies claim experience and expertise in anesthesia billing, the truth, when compared against actual performance, tells a different story. Given the unique aspects of…

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