First time clean claims are a leading indicator of a practice’s revenue cycle management maturity. Medicare defines clean claims as those that have ”no defect, impropriety, lack of any required substantiating documentation—including the substantiating documentation needed to meet the requirements for encounter data—or particular circumstance requiring special treatment that prevents timely payment.” In other words, processing…
Given the complexity of revenue cycle management (RCM), many medical practices choose to partner with an RCM company for their billing needs. RCM companies are designed to maximize revenue for medical practices. While there are perks to keeping your billing staff in-house, outsourcing your RCM allows for a team of experts to dedicate their time…
Many organizations we work with have identified and perpetuated a cycle of unbilled encounters by letting them go unchecked. Often, this happens when a doctor sees a patient and doesn’t mark their notes complete or lock it to signify that the encounter is ready to be billed. You’ve got the cost, you’ve done the work,…
Many offices opt for a “free” clearinghouse solution to manage their revenue, which can create a blind spot. The solution is INTEGRATION. The inefficiencies and the time that it takes to manually track claims, remits, rejections, and denials are all easily automated with the unique integrations offered from Ero Health and TriZetto Provider Solutions,…
Released January 12, 2021 from UnitedHealthcare Stay informed about COVID-19 Latest COVID-19 news from UnitedHealthcare – Temporary cost share waivers for testing and testing-related visits extended in accordance with the national public health emergency period. Thank you for your continued commitment to patient care and your ongoing response to COVID-19 cases. We wanted to advise…
Webinar: December 10 @ 1:30 PM CST What steps is your practice taking to prepare for the new year? Join eClinicalWorks and TriZetto Provider Solutions for an informative session discussing how integrated solutions can streamline processes and help your organization’s bottom line improve in 2021. Register here: https://bit.ly/2VqyFKq #eclinicalworks #2021goals
RevCycleIntelligence, October 7, 2020 – By Jacqueline LaPointe The new CPT codes allow providers to report nucleic acid assays that allow a single test to detect both COVID-19 and other seasonal viruses, like the flu. In response to the COVID-19 pandemic, the American Medical Association (AMA) is adding two new codes to the Current Procedural…
AMA releases 2021 CPT code set AMA Press Release, September 1, 2020 CHICAGO— The first major overhaul in more than 25 years to the codes and guidelines for office and other outpatient evaluation and management (E/M) services was included in today’s release of the 2021 Current Procedural Terminology (CPT®) code set published by the American Medical Association…
Hillcrest Internal Medicine Shares Their Thoughts on Partnering with RCM360 Developing trusted partnerships that empower healthcare providers to confidently provide care while driving business success is at the heart of what we do. It’s so nice to hear the positive feedback from our partners at Hillcrest Internal Medicine. Read the full Testimonial here. Hillcrest-Recommendation