Revenue Cycle Management
6 Crucial Steps to Sustaining Revenue Cycle Growth in 2025
As the year comes to a close, you’re likely taking stock of where to focus your revenue cycle efforts to collect more revenue and sustain growth once we turn the page on 2024. Regardless of whether you operate a small practice or a large provider health system, you have an ongoing goal to bill more…
Read MoreMeasuring RCM Success: 3 Proven Strategies for Evaluating the Effectiveness of Your Current Revenue Cycle Processes
In today’s competitive healthcare environment, understanding the effectiveness of your practice’s revenue cycle process is crucial for maintaining financial health and operational efficiency. Whether managing small practices or large healthcare systems, a well-optimized revenue cycle can significantly impact your organization’s bottom line, ensuring you collect more revenue faster and sustain growth.1 Yet many practices face…
Read MoreHow Business Intelligence Transforms Healthcare Practice Revenue
Informed decision-making is a key component of revenue cycle success in any healthcare organization, from laboratories and urgent care centers to behavioral health and orthopedic practices. However, making the smartest business decisions requires full disclosure to all of your practice data. The challenge for many practices is accessing the most up-to-date information about financial performance,…
Read MoreHow to Maximize Billables From Telehealth Visits
Telehealth visits have exploded in popularity since the COVID-19 pandemic, with post-pandemic utilization holding steady at a higher rate than pre-pandemic levels.1 What began as a stop-gap measure to continue providing care during nationwide lockdowns has quickly become a mainstay in the U.S. healthcare system. However, practices offering telehealth now face a new challenge: driving…
Read MoreMitigating the Revenue Cycle Impacts of the Change Healthcare Cyberattack
The explosion of healthcare technology utilization over recent years has inevitably led to the rise of rampant cyberattacks. From 2018 to 2022, the number of healthcare data breaches skyrocketed by 93%.1 However, the worst was yet to come. In early 2024, the industry suffered a data breach on an unprecedented scale, generating a disastrous chain…
Read MoreCommon Obstacles in Orthopedic Billing That Undermine Revenue Generation
Orthopedic practice revenue relies on accurate and timely revenue cycle management (RCM). However, correctly coding and billing for orthopedic services rendered can be complex, even for the most experienced billing teams. From deciphering complex coding rules to keeping pace with new regulatory and billing requirements, orthopedic billing teams face countless barriers to revenue at each…
Read MoreNavigating the Complexities of Behavioral Health Billing: Best Practices for Revenue Capture and Reimbursement
The line between medical billing and behavioral health billing is often blurry, with billable charges for each episode of care varying widely based on the services rendered, service provider, payer, and treatment plan. Without a proactive approach to behavioral health practice revenue cycle management (RCM), practices take on significant revenue leakage that can quickly snowball…
Read More5 Steps to Streamlining Your Billing Process for Patients
In today’s rapidly evolving healthcare landscape, medical practices are faced with the challenge of managing an increasingly complex patient billing process. As patient volumes and regulatory requirements continue to grow, healthcare providers are seeking innovative ways to streamline their billing operations and simplify patient invoicing. According to a 2023 survey from Bain & Company and…
Read MoreA Practice Roadmap for Orthopedic Revenue Cycle Management
Revenue cycle management (RCM) is the backbone of practice success. However, the revenue cycle is notoriously difficult to manage and optimize in orthopedic practices, with threats to revenue growth hiding around every corner. Shielding your bottom line from revenue loss is no simple task, but the best place to start is an end-to-end assessment of…
Read MoreHow Leveraging an RCM Partner Can Improve Patient Satisfaction in Orthopedic Practices
For orthopedic billing teams, revenue cycle management (RCM) requires far more oversight than the standard medical claim. Unlike other specialties, orthopedics is notorious for shifting fee schedules and coding changes. A 2022 report from the Centers for Medicare and Medicaid Services (CMS) calculated more than $131 million in projected improper payments in the orthopedic surgery…
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