First, let's define what an EHR system is. An EHR (Electronic Health Record) System is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. One of the best parts of the EHR system is that it allows a patient’s information to be shared across all different types of healthcare settings.
In the beginning of 2019, Coronis partnered with a billing company with operational support. The billing company was struggling to scale and meet the needs of their clients. Managing attrition was also a big concern as they were unable to find qualified and experienced billing and coding staff in their area. Client AR was at an all time high and they simple did not have the manpower to keep up. Understandably, the company received a tremendous amount of pressure from clients to improve cash and decrease AR. All things combined made for a perfect storm and the billing company had to make changes and call in support in order to not only please clients but remain in business.
Productivity and utilization of authorized hours are key reporting functions when running a therapeutic practice. Your success as a company is dependent on these functions and when you are optimizing your therapeutic team, you expect to be reimbursed for the care provided. However, often insurance will deny visits for various reasons which will often require double the work for your administrative team. Below are 4 of the top denials reasons for pediatric behavioral health and how to avoid these denials.
Average (or less) is what we encounter when we call on new prospects. The sacrificial lamb of self-inflicted diminished cash is the only common theme to countless RCM companies that find themselves doing a mediocre job supporting their clients. They either lose interest, take for granted, or lose sight of their mission — to take care of the client. In these situations and countless others, the only thing to fear is fear itself, to quote FDR, and that’s largely why medical practices don’t make a change, even though they are slowing bleeding even though they don’t know where they’ve been cut.
Many pathology groups are missing out on potential revenue as a result of inefficient and ineffective processes. Most groups fail to evaluate their billing practices and results regularly which results in missed revenue opportunities.
Coding is challenging regardless of specialty and pathology is no different. Many groups fail to review coding or question why specific codes have been assigned. It’s not good enough to rely on what a hospital anatomic pathology lab technician or histotech or even a pathologists says is the “right coding” on any given AP case. Why? Two reasons: people make mistakes; compliance.
The use of Artificial intelligence(Ai) is becoming more common across many industries and healthcare is no exception. As providers continue to fight for every dollar billed, taking advantage of Ai capabilities allows providers to take a smarter approach to many functions of the revenue cycle. One key area we are going to see Ai used more is in AR.
Every specialty has its own unique set of billing challenges and cardiology is no different. In this post, we’ll outline the top 3 along with solutions to avoid these pitfalls.