If you run a healthcare practice, remaining financially viable should be a top priority. An economically sound practice will allow you to provide your patients with the best possible care and treatment and invest in future growth. A significant contribution to the financial health of practices today is implementing revenue cycle management (RCM). Revenue cycle…
Utilization review, or the process of reviewing an episode of care, is often necessary to justify charges and payments to an insurance company and can also be valuable in determining the best course of action to care for a patient. Encouraging complete documentation and oversight is paramount to running a successful practice. The system of…
An upcoming internal financial audit can make even the most experienced provider a little bit nervous. You want to be properly prepared for it, of course, and although an outside perspective can quell those fears, it can be nerve-wracking to have someone new come to take stock of your processes. The reality, however, is that…
Healthcare revenue leakage is an all-too-common and pervasive beast and operates among billing departments all over the nation. This is partly due to the fluctuating nature of payer regulations, but it can also be affected by the sheer complexity of the entire billing and audit process. However, solutions do exist, even if they can be…
Every behavioral healthcare facility makes crucial decisions regarding how to best care for its clients each day. These choices can drastically impact how a practice operates, how patients feel about their choice of provider, and how smoothly revenue flows within a company. One of the most significant decisions made is whether or not to outsource…
At first glance, billing for healthcare seems like a relatively straightforward process. After all, every medical practice and facility in the world goes through some sort of process to make sure their billing audits are complete, and cash flow properly watched over every day. Even those outside of the billing department, such as physicians, counselors,…
