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Tips to Improve Medical Coding Quality

The majority of patients require customer support provided by a real person; robots and applications are often disappointing or infuriating. The impact on the healthcare RCM (Revenue Cycle Management) is one of the things that is not expected to reverse any time soon or ever. Click here to learn more on changes in the healthcare system which have posed the biggest challenges to RCM.

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6 Revenue Cycle Management KPIs to Track

KPIs in RCM plays a pivotal role, as they help drive data-driven decision-making and creating business transformation projects. Whether you are running a physician practice or a hospital, adhering to the 6 KPIs listed below enables you to keep your revenue cycle in control. By Measuring and monitoring these KPIs, you will be able to extract the most out of your revenue cycle and find the much-needed cash to invest in technology and patient care.

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Top 5 Revenue Cycle Management Challenges in Specialty Healthcare

RCM for Specialty healthcare can be daunting to most healthcare organizations, considering the frequent changes in regulations. In addition, it can be complex as it requires attention to financial & administrative challenges that usually have a hyperbolic effect on its financial stability. This article brings you a few revenue cycle management challenges in Specialty Healthcare and a few tools & strategies to overcome them.

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Use Cases for applying Artificial Intelligence in the Revenue Cycle

Practitioners working on the healthcare revenue cycle need to be conscious of multiple state-specific rules and payer-specific nuances to be successful. AI can help simplify the complexities of today's revenue cycle. The usage of AI in RCM can be a gamechanger and help healthcare entities improve patient experience, improve collections, improve compliance, and reduce their RCM team members' workload. This article will help you understand the use cases for applying artificial intelligence in the revenue cycle.

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A Provider Credentialing & Contracting Checklist

A credential provider gets an increased number of patients through referrals from payers. Physicians/providers must credential themselves, i.e., enroll and attest with the payer's network and get authorized to provide services to patients who are members of the payer's plans. This article brings a few things that need to be checked off to ensure a hurdle-free credentialing process.

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Overcoming common issues in Accounts Receivable Management

Most Central Billing Offices (CBOs) and outsourced billing companies rely on dedicated accounts receivable calling to overcome their receivables' challenges. Running an AR calling team needs a solid understanding of the receivables patterns and diligent processes to follow-up and close underlying issues. In this article, we list some of the critical operational issues and solutions to overcome them.

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2021 E&M Changes

As of January 1, 2021, there will be significant changes to the office and outpatient Evaluation and Management (E&M) services (CPT ® codes 99202-99215) for both new and established patients. Practices, physicians, and staff must be aware of the modifications to ensure a successful transition next year and avoid any reimbursement disruption. Their clinical documentation systems (EHR systems) need to be adjusted accordingly as per the 2021 E&M changes.

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Event Round-up: Kareo Success Summit 2019

The 2019 Kareo Success Summit offered an opportunity to meet the owners and managers of billing companies that we serve.   Our CEO, Vinod Sankaran, was joined by our COO Melvin Miller, at the Kareo Success Summit, 2019.

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