MGMA Article: Get proactive with payments – How medical groups can fearlessly revamp revenue cycle management

Revamping your RCM strategy means adopting a new outlook and approach centered on proactive behaviors — allocating more resources toward the front end of the revenue cycle.

Patient Payment & Financial Clearance Strategies

How a 70-physician specialty practice centralized RCM processes — 5 insights

As a result of our data and the relationship with our RCM vendor, MedEvolve, we have been able to improve functionality and process from the front desk to the back and everything in between. Having actionable data drives our training — it helps us examine why denials are happening and what processes need to be looked at. Data at all levels is really unearthing challenges that we would never have been able to find on our own because of the volume of information. If you don’t have a way to mine information and use it effectively, it’s useless.

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Five questions to ask before replacing your RCM system – no form

In this guide, we break down why denial rate stops being useful once a team is already hitting it and what to track instead. You’ll see how a claim that’s never denied can still take six touches and multiple people to get paid, why the industry’s own denial-touch benchmark is missed by a factor of three, and how one ambulatory surgery center management company cut denials 18% and labor dependence 30% by treating claims, denials, and cost as one connected problem.

Read More »

Five questions to ask before replacing your RCM system

In this guide, we break down why denial rate stops being useful once a team is already hitting it and what to track instead. You’ll see how a claim that’s never denied can still take six touches and multiple people to get paid, why the industry’s own denial-touch benchmark is missed by a factor of three, and how one ambulatory surgery center management company cut denials 18% and labor dependence 30% by treating claims, denials, and cost as one connected problem.

Read More »

Why Cost Per Successful Payment Should Replace Denial Rate

In this guide, we break down why denial rate stops being useful once a team is already hitting it and what to track instead. You’ll see how a claim that’s never denied can still take six touches and multiple people to get paid, why the industry’s own denial-touch benchmark is missed by a factor of three, and how one ambulatory surgery center management company cut denials 18% and labor dependence 30% by treating claims, denials, and cost as one connected problem.

Read More »

Why “Cost Per Successful Payment” Should Replace “Denial Rate” – no form

A team can spend 40 hours resolving 200 claims, watch 180 of them pay, and still report a comfortable 8 percent denial rate. That number doesn’t tell you what it cost to get there.

In this guide, we break down why denial rate stops being useful once a team is already hitting it and what to track instead. You’ll see how a claim that’s never denied can still take six touches and multiple people to get paid, why the industry’s own denial-touch benchmark is missed by a factor of three, and how one ambulatory surgery center management company cut denials 18% and labor dependence 30% by treating claims, denials, and cost as one connected problem.

Read More »

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