Revenue Cycle Management

Revenue Cycle Management

How a Revenue Cycle Partner can Help Your Practice Reduce Rate of Denials

How a Revenue Cycle Partner Can Help Your Practice Reduce the Rate of Denials

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According to a recent Healthcare Information and Management Systems Society (HIMSS) survey, 76.1% of healthcare leaders say denials are their greatest challenge within RCM if you want to reduce rate of denials. Denied, rejected, resubmitted and underpaid claims can cost your practice as much as $100,000 per month according to the AMA. This is precisely […]

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How to Deal with Disruption Due to Prior Authorization

How to Deal with Disruption Due to Prior Authorization  

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Prior authorization (PA) is time-consuming and fraught with administrative and financial burdens for physicians and their staff, typically requiring extensive communication and follow-up for disruption due to prior authorization. A recent American Medical Association survey revealed that physicians and their staff spend an average of 13 hours each week completing PA requests. On an annual basis,

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The process of Provider Credentialing consists of many moving parts

The Process of Provider Credentialing Consists of Many Moving Parts

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The primary purpose of provider credentialing is to ensure that healthcare providers have the required training and experience to provide the highest level of care to patients. But often undertaking the entire process in-house can be high-risk and overwhelming to staff. What can providers do to improve verification and validation of professional’s qualifications?  Understanding the

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Important Revenue Cycle Metrics Your Practice Should Measure

Important Revenue Cycle Metrics Your Practice Should Measure

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Awareness of the financial health of your practice is the key to reducing leakage and accelerating revenue to make strategic decisions and implement effective changes. Here are quantifiable KPIs that you can utilize to assess the health of your revenue cycle metrics. Make sure to measure and observe them at intervals since improvements in each of

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How to understand patient responsibility and not lose out of revenue

How to Understand Patient Responsibility and Not Lose Revenue

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In a recent survey of more than 130 hospital leaders conducted by Becker’s, healthcare providers indicated that their largest challenge to revenue earnings was patient financial responsibility.    “As many patients opt for High Deductible Health Plans (HDHPs) physicians are observing an increase in Patient responsibility balances.”   What is patient responsibility?   Responsibility for paying medical bills

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7 Quick tips to Optimize Revenue for your Urgent Care

7 Quick tips to Optimize Revenue for your Urgent Care

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There’s no denying it, revenue for your urgent care centers are popular for owners, practitioners and patients alike. With a typical wait time of 30 minutes or less care is provided not just quickly, but affordably and efficiently – the market is projected to grow to  $26 billion in 2023. But mistakes made in urgent

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How Intelligent Automation for patients can Help you Serve More Patients

How Intelligent Automation can Help you Serve More Patients

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As a healthcare practitioner, it’s important that you are paid on time for the services rendered. While it may seem like a simple ask, it’s unfortunately not so straightforward.  Revenue Cycle Management is a labyrinth of strict requirements, rigid timelines, and complex regulations. Then when you add in operational inefficiencies, labor shortages, and an ever-evolving

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How Intelligent Automation can Reduce Costs and Staffing Shortages  

How Intelligent Automation can Reduce Costs and Staffing Shortages  

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The great resignation coupled with growing competition for skilled workers has led to staffing crises for numerous industries with intelligent automation. With the highest number of resignations being recorded in the tech and healthcare industries, providers are grappling with the execution of administrative duties with Intelligent Automation. However, with its ability to alleviate administrative burden

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Revenue cycle partnerships: Simplifying Healthcare 

Revenue Cycle Partnerships: Simplifying Healthcare 

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The maze-like world of health care can be challenging to navigate. Presently, the industry is faced with unprecedented road-blocks, and the fact that the people who are trained to provide care have to deal with them is a waste of precious resources for revenue cycle partnerships.   EMPClaims values the role of healthcare practitioners and aims

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