Are you struggling between revenue cycle management and core practice?

1

• Are you struggling between revenue cycle
  management and core practice?

2
Are you struggling between revenue cycle
management and core practice?
How patients select health plans, choose their
health care providers and pay their health care
bills is undergoing a dramatic change in the
health care delivery system in the U.S. To
effectively manage the financial impact of that
change, its about time that your practice must
upgrade their revenue cycle management
capabilities. As small practices grapple with a
plethora of issues affecting their ability to
collect payments from patients and health
insurers having a professional medical billing
and coder like Medisys taking care of your
revenue cycle can reduce greater difficulties
ahead. Merging front and backend functions,
leveraging data, collecting payments upfront, and
automating prior authorizations are the primary
key factors to revenue cycle management
excellence. New trends, such as value-based
reimbursement and healthcare consumerism, also
continue to change the way care is paid for and
delivered. Organizations must respond to consumer
and market demands to keep their doors open. If
you are one of those still struggling between
revenue cycle management and core practice you
need to identify what needs change or improvement.
Medical Billing Services in Oregon
3
Are you struggling between revenue cycle
management and core practice?
Process The Claims Billing When followed by
strict adherence, the revenue cycle management
system will guarantee results. The procedure
involves claims submission, data collection, AR
processing, automation, specialist
prioritization, etc. Working with information,
structure, and discipline is what produces
reliable higher performance especially when you
have Medisys as your medical billing and coding
partner. Optimize Fill The Gaps In Existing
Revenue Cycle Capabilities The backbone of any
effort to improve healthcare revenue cycle
management performance is the ability to leverage
technology and services that are both flexible
and scalable given the growth in the number and
complexity with payers and the increasing need to
work directly with patients regarding their
financial responsibility. Claims
Transmission Clearinghouses are used to
electronically transmit claims to third-party
payers. Reports generated alerts the practice
provider in case if the claims were excluded by
the payers. The denials should be worked
immediately and if the errors were because of
the data entry or there are trends in the errors,
staff members should be informed about the errors
and necessary steps taken to implement processes
to avoid similar errors in the future.
Medical Billing Services in Oregon
4
Are you struggling between revenue cycle
management and core practice?
Promote Caring Contacts with your Patients Every
person who interacts with patients should have
the skills to do their job competently but with a
kind demeanor. Make it convenient and pleasant
for patients to do business with you. You will
receive better responses from patients if
processes are simpler. By having scripted
questions and responses for staff, you can
increase positive outcomes and provide good first
impressions for patients. Denial Management The
reasons for the denials can include incomplete or
inaccurate insurance information, lack of
pre-certification or prior authorization, not
capturing all of the tests or procedures,
diagnoses, and procedure coding errors or
omissions, past filing limits submission of
claims, or denial due to lack of meeting medical
necessity. Best practice is to trend and track
the denials at the time of posting the
payments. Healthcare practitioners and hospitals
should consult with their revenue cycle
management vendors like Medisys for tips to
success, subject matter expertise, and advice.
Medisys is a professional medical billing and
coder service provider who knows whats working
with all their clients. Partnering with a vendor
and tapping into their real-time knowledge will
pay big dividends.
Medical Billing Services in Oregon