Revenue cycle management (RCM) is a critical component of running a successful and financially stable medical practice. However, with the complexity of medical billing and constantly changing payer rules, many healthcare providers struggle to manage their revenue cycle effectively. This results in lost revenue due to suboptimal reimbursement rates, denial rates, collection rates, and other […]
Billing, Healthcare, Healthcare Billing, Medical, Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Management Consulting, Revenue Cycle Optimization, Revenue Leakage, Robotic Process Automation
What is Payer Enrollment? Payer enrollment is a process by which healthcare providers enroll with insurance companies to receive payment for services rendered. This process involves completing an application, providing necessary documentation, and meeting specific requirements set by the payer. The payer may review the application and documentation to determine if the healthcare provider meets […]
Credentialing, credentialing process, Enrollment, Healthcare, Medical, Medical Credentialing, Payer Contracting, Payer Enrollment
For any medical practice, timely insurance reimbursement is essential for financial viability and supporting smooth practice operations. However, elongated claim payment cycles strain cash flow and necessitate borrowing to cover costs in the interim. Below, we explore techniques to accelerate payer payments and optimize the speed of the medical revenue cycle. Diagnosing Causes of Lagging […]
Cash Flow Cycles, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medical Billing Strategy, RCM, Reimbursement, Reimbursement Rates, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization
Revenue cycle management (RCM) is a crucial process in the healthcare industry, as it involves managing all aspects of healthcare billing and payment processes, from patient registration to payment collections. RCM is critical for healthcare providers to ensure that they receive timely and accurate payment for the services they provide, which is essential for financial […]
Healthcare RCM, Healthcare Revenue, Healthcare Revenue Cycle, Medical RCM, Medical Revenue Integrity, RCM, RCM Challenges, Revenue Cycle Management, Revenue Cycle Management (RCM), Revenue Cycle Management Concerns“Revenue leakage” describes circumstances wherein a healthcare provider has supplied care to a patient but doesn’t collect payment. In general, it happens when accounts receivable (AR) continue to be unpaid for too long and are inadvertently overlooked. The longer an account receivable remains outstanding, the less likely healthcare providers are to retrieve payment, even in […]
A/R, Healthcare, Healthcare Denials, Healthcare Reimbursement, Healthcare Revenue Cycle, Medical Billing, Medical Billing Denials, RCM, RCM Challenges, RCM Essentials, RCM Support
Your Revenue Cycle Management Status Healthcare providers faced a tidal wave of challenges at the beginning of the COVID-19 pandemic, many of which endure consequences today. It’s not surprising that the revenue cycle did not evade these challenges. The shutdown and transfer to a generally virtual care world presented substantial bedlam that the revenue cycle […]
RCM, RCM Challenges, RCM Essentials, Revenue Cycle Challenges, Revenue Cycle Management, Revenue Cycle Management Concerns, Revenue Cycle Management Issues, Revenue Cycle Optimization
Healthcare Practices Face RCM Challenges Healthcare providers of all shapes and sizes are struggling to fine-tune their revenue cycle to adapt to changes in the billing world. Constant changes to the healthcare system have brought about a variety of new challenges for providers and patients alike. This is particularly true for smaller practices who must […]
Healthcare RCM, Medical Billing, Medical Billing Software, RCM, RCM Practices, RCM Support, Revenue Cycle, Revenue Cycle Challenges, Revenue Cycle Management, Revenue Cycle Optimization