The Importance Of Clinical Documentation Improvement (CDI)
Clinical Documentation Improvement (CDI) is a vital health care initiative that all medical facilities should be fully implementing. Learn why Clinical Documentation Improvement is so important to your organization; how not fully implementing CDI can harm your health care facility; and how Nearterm’s medical support staff can assist you with your clinical documentation needs, so…Read More
PCMH vs. ACO in Healthcare – Which is Best?
Many healthcare providers are facing the rising costs of providing medical care. These include drug, material, education, and other expenses. At the same time, insurance costs for patients are also rapidly increasing. Deciding how to provide medical care in the most efficient and cost-effective ways is becoming an increasingly complex healthcare management issue. In tandem…Read More
Why Is Revenue Cycle Management Important in the Healthcare Industry?
Revenue Cycle Management (RCM) plays an important role in the healthcare industry. Managing revenue is vital for any business but may not be the primary focus of healthcare providers. However, these providers need revenue to pay for medical supplies, salaries, equipment, and more. Healthcare costs are increasing with technology adoption in a time when an…Read More
What is Health Information Management & Why Is It Important?
Individuals involved in healthcare around the world acquire and generate a significant amount of personal health information about patients. The scope of health information includes not only personal information and private health data, but also associated payment forms and transactions. Clinical notes, pharmacy, and outpatient care records are also covered health information. As technology has…Read More
Top Revenue Cycle Key Performance Indicators
Healthcare organizations must manage their revenue cycle with an approach that balances patient care and quality. Due to increasing medical and drug costs paired with higher insurance premiums and deductibles, efficient revenue cycle management (RCM) is more important than ever. There are many indicators one could use to gauge the effectiveness of various elements of…Read More
What is a Healthcare Clearinghouse & Why Use One?
Modern medicine in the United States includes a complex relationship between healthcare providers and insurance payers. Technology plays a critical role in electronic data interchange (EDI) between payers and providers, but the wide variety of software systems used can make seamless connection difficult. The Health Insurance Portability and Accounting Act (HIPAA) addresses the importance of…Read More
Current Issues in Healthcare Administration and Management
There are many healthcare management challenges in the U.S. today. Some of these problems have evolved slowly overtime as a result of growing, complex, and diverse healthcare offerings. Rising costs in almost every area have been impacting hospitals and other healthcare providers as well as patient willingness to seek care. Regulatory changes have also introduced…Read More
“I promoted the best AR Specialist in our organization to a management position – oops!”
Here is a story from one of our clients that you may find interesting; Things were in good shape in our revenue cycle management process. Metrics and the Dashboard indicated that we were current in billing, follow-up, and cash application. Denials were under control. Days were low. Patient complaints were handled promptly. You get the…Read More
Every encounter we have with another person or a business results in an impression. An encounter may be conversation, email, voicemail, text, social media, appearance, hygiene and others. Some of the impressions we form based on these encounters are stronger than others and because people are all different, reactions vary. Some impressions are indelible and…Read More
Improving Denial Management in Healthcare & Medical Billing
When insurers deny medical claims, it takes a bite out of your revenue every year. Nationwide, this annual loss amounts to $262 billion, according to Modern Healthcare. As a matter of fact, insurers deny an average of 9 percent of claims overall, which means that your staff is engaged in a continual process of managing and appealing…Read More