by admin | Dec 30, 2019 | Billing Terms, Codes, Denials Management, Patient Billing
Changes coming in 2021 2020 looks to be a transition year on the payment front, as many programs and changes expected to go into effect this year have been delayed until 2021. These include new CMS-created primary care models and a streamlining of evaluation and...
by admin | Sep 4, 2018 | Denials, Denials Management, Health Care Finance, Hospital Revenue Cycle, Medical Billing, Revenue Cycle KPI's
Two metrics important to the discussion of creating claims most likely to be immediately reimbursable are Clean Claim Rate (CCR) and First Pass Rate (FPR). Though sometimes confused for one another, these are separate statistics, each worthy of optimization....
by admin | Jul 10, 2017 | Accronyms, Acronyms, BCBS, Billing Systems, Billing Terms, Insurance Claims, Patient Billing
Blue Cross Blue Shield Enhanced Ambulatory Patient Grouping (EAPG) methodology for calculating reimbursement for outpatient procedures http://www.okoha.com/OHA/Hotline/2015/April15/Taking_charge_of_the_EAPG__Improve_your_negotiations_with_BCBS.aspx Share...
by Ed Slingsby | Jul 2, 2017 | Denials Management, Health Care Finance, Hospital Revenue Cycle, Revenue Cycle Performance
Read this report from the Advisory Board on ways you can improve revenue cycle performance now. Hospitals leaving $22M on the table Share...
by admin | Dec 14, 2016 | Hospital Revenue Cycle
Overview There is a great demand today for accurate, useful information on health care quality that can inform the decisions of consumers, employers, physicians and other clinicians, and policymakers. This is increasingly important as the health care system moves...
by admin | Dec 5, 2016 | Hospital Revenue Cycle, Revenue Cycle KPI's
KPI’s from HFMA MAP Keys program MAP Keys are industry-standard metrics or KPIs usedto track your organization’s revenue cycle performance usingobjective, consistent calculations. http://www.hfma.org/MAP/mapkeys/ map-award-tables_061616-2 Share...
