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The 9 Steps of Healthcare Revenue Cycle Management Explained

Hospitals are now able to collect payment from the payers (commercial and governmental) according to the terms agreed upon during payer contract negotiations. The … See more

Actived: 7 days ago

URL: https://blog.pmmconline.com/blog/revenue-cycle-management-explained

Revenue, Cost, Productivity and Quality: The Four Modern Day …

WebAll across the modern day healthcare landscape in hospital and healthcare system boardrooms, the four main topics discussed on a regular basis by executive …

Category:  Health Go Health

Top 3 Benefits of Healthcare Revenue Cycle Management

Web3) Negotiate Favorable Payer Contracts. Contract negotiations benefit the revenue cycle because it provides opportunities for hospitals to understand which areas they would like …

Category:  Health Go Health

What Does Machine Learning Mean for the Healthcare Revenue …

WebAccording to Healthcare Business Insights, research shows that roughly 30-40% of denials are caused by registration errors, representing as much as 0.5% in lost …

Category:  Health Go Health

Healthcare Revenue Cycle Blog by PMMC

WebThroughout 2022, 53% of hospitals had negative margins, according to the American Hospital Association, and even those projected to end the year with positive margins are …

Category:  Health Go Health

4 Key Metrics You Should Track In Hospital Contract Management

WebThese are the 4 metrics: 1. Are all contracts up-to-date? The first performance metric should be monitored monthly. Although you’re probably thinking a 2-3% annual …

Category:  Health Go Health

How to Maximize Reimbursement with Contract Management …

WebIn fact, reimbursement variances often occur at a rate of 7% - 12% of all claims and after the rebilling and appeal process. This translates bottom-line impact of …

Category:  Health Go Health

The Ultimate Guide to Your Next Chargemaster Review

WebThis action plan is designed to help guide the way and ensure your next Chargemaster review is successful! 1. Understand Your Hospital's Market Position. …

Category:  Health Go Health

3 Reasons Why Hospitals Should Use Analytics to Drive Payer …

WebThe use of prospective contract modeling analytics unites the entire financial services team around the same data, shared across all functions. This cohesion …

Category:  Health Go Health

5 Methods of Hospital Reimbursement

WebHere are the five most common methods in which hospitals are reimbursed: 1. Discount from Billed Charges. This offers the provider the lowest level of risk with the …

Category:  Health Go Health

Consumerism in Healthcare: A Look to the Future

WebPopulation MedMalRx outcomes and reduce costs with our population health analytics. Bundled Payments Enhance success with bundled payments by …

Category:  Health Go Health

Improving Payer Contract Negotiations: Managed Care Experts …

WebJohn Collier: Hospitals need to be reaching out for any specific COVID-19 payments. In fact, 395 hospitals out of about 6,000 received part of the $12B payment. …

Category:  Health Go Health

Top 5 Revenue Cycle Management Providers PMMC

WebExperian. Experian is the largest company out of these 5 listed, but improving healthcare is only part of the services they offer. Experian provides hospitals, clinics, and …

Category:  Health Go Health

Healthcare Revenue Cycle Blog by PMMC Greg Kay

WebBy: Greg Kay February 13th, 2024. The Centers for Medicare & Medicaid Services’ (CMS’s) initial price transparency rule went into effect on January 1, 2021. While January 1st, …

Category:  Health Go Health

What We Learned (Part 2): 8 Points on Narrow Networking That …

WebThis webinar has taught us a lot about a program in the healthcare industry commonly referred to as narrow networks.We learned about the pros and cons for …

Category:  Health Go Health

How to Negotiate with Payers – Tips from a Managed Care Expert

WebCurrently serving as the Executive Director - Managed Care for The MetroHealth System and ACO Executive of MetroHealth Care Partners, Susan Mego’s …

Category:  Health Go Health

No More Surprises: Maximize Estimates to Educate Patients and …

WebAs patient responsibility continues to grow, point-of-service collections become increasingly important. According to a recent HFMA article, two-thirds of patients …

Category:  Health Go Health

Healthcare Revenue Cycle Blog by PMMC Collin Quinn

WebMr. Quinn has worked in the healthcare arena for over 14 years with experience spanning healthcare billing and operations, release of medical information and health information …

Category:  Medical Go Health

7 Tips to Maximize Reimbursement with Hospital Contract …

WebMake sure you have had a Chargemaster review in the last two years. Make sure you assess all electronic processes that affect reimbursement and make automation …

Category:  Health Go Health

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