Revenue Cycle Management Resources
Practical guidance and analysis on the issues shaping revenue cycle performance and financial outcomes across healthcare.
Streamlined PLB Adjustments with Payment History and ICN
RCMS automated workflows and worklisting tools can increase efficiency, improve data accuracy, generate work queues and many other time-saving benefits. Identifying Provider Level Adjustments (PLB) within your ERA payments is just one example of how systems integration and workflow automation can be utilized to reduce and often eliminate manual data-entry tasks. ERAs and Provider Level Adjustments Provider level adjustments are…
Managed Service Providers (MSP) and HC Revenue Cycle Improvements
For many healthcare delivery organizations, working with a Managed Service Provider (MSP) for specific IT, workflow and data management needs is an important part of their infrastructure. MSPs come in many different shapes and sizes and can range from remote support for software as a service (SaaS) to the outsourcing of data aggregation processes. These business relationships can often transpire…
Correspondence & Third Party Follow Up for Revenue Cycle Management
RCMS Revenue Cycle Management Solutions cover a wide range of different patient billing areas where changes to manual work processes and the use of technology can have a significant impact on financial performance. In this article, we concentrate on three Post-Encounter areas that take place before payment processing, validation and bank reconciliation. These areas include: Correspondence Management; Third Party Follow…
Payment Processing and Data Validation Strategies for RCM Improvements
RCMS Revenue Cycle Management Solutions improve a wide range of different patient billing areas where changes to manual work processes and the use of technology can have a significant impact on financial performance. In this article, we concentrate on three more Post-Encounter areas, including: Payment Processing; Payment Validation; and Treasury Reconciliation. Payment Processing By capturing and routing correspondence through rules…