Revenue Cycle Management

By Rosalyn Powers, VP RCM, Northwell Health In theory, managing accounts receivable (AR) is a straightforward business. Often this entails gauging the health of the aging, ensuring the timely follow-up of accounts, submitting quality appeals, or having a handle on ...
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By Shannon Fernandez, VP of Billing Services, Yakima Valley Farm Workers Clinic You likely receive several vendor emails daily highlighting the latest products promising to increase cash and reduce revenue cycle FTEs. Sifting through the onslaught of vendor options can ...
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By Jason Gottlieb, Director of Revenue Cycle Academy, NewYork-Presbyterian Hospital There can be 200 or more individual pieces of data submitted on every hospital claim. A small hospital will submit a few thousand claims per week. Over a year, more ...
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By Kris Seymour, Director, Revenue Cycle Transformation and PMO, WellStar Health System There has always been a link between healthcare and technology. At once not often spoken, is now undeniable. As technology advances, there are innovations in healthcare that are ...
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By Sheldon A. Pink, VP of Revenue Cycle, Luminis Health The healthcare revenue cycle technology space has significantly evolved over the past five years. Before the pandemic, there were many companies striving for automation, integration, reporting, and workflow efficiency to ...
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By Emily Goertz, VP of Revenue Cycle, UTMB Hospital margins are thin if any at all. After this last year with the ongoing pandemic, hospitals and health systems have seen an erosion in their operating margins. Unfortunately, outpatient volumes have ...
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By Kristin Milano, AVP, IS Clinical Systems – Revenue Cycle and Finance, Ochsner Health We are all tasked to do more complex work as we face staff challenges across the healthcare industry. Our team at Ochsner Health has been working ...
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By Kimberly Corriveau, Director of Revenue Cycle, Central Ohio Urology Group Healthcare revenue cycle is recovering from an extraordinary public health crisis and as the world changes to acclimate to these sudden changes, so are healthcare organizations.   This COVID-19 ...
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By Michael Kos, VP of Revenue Cycle, Memorial Health One of the leading healthcare organizations in IL, Memorial Health based in Springfield is a five-hospital, community-based, not-for-profit organization that provides a full range of inpatient, outpatient, home health, hospice, behavioral ...
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Labor shortages are one of the many adversities magnified during the COVID-19 pandemic. When combined with recent inflation, rising claim denial rates, increased regulatory scrutiny, and technology disruption, revenue cycle leaders are facing a perfect storm. AGS Health believes that ...
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By Christopher Ault, CRO, Cooper University Health Care The “Cycle” Endpoint Has Been Extended Search for a good definition of “Revenue Cycle” in healthcare and you will likely find something that reads: “The processes related to the intake, capture, billing, ...
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By Richard L. Childs, FHFMA, VP RCM, Atrium Health-Floyd Medical Center One positive thing we have learned from the global pandemic is that Revenue Cycle teammates and work can be very effectively accomplished in a remote work environment. I believe ...
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By Dale E. Hocking, CPA, VP & CFO, Jupiter Health, Inc I have been a CFO in healthcare for 30 years, I’ve seen a lot of revenue cycle issues that are new and a lot that are recurring and never ...
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By Jennifer Lange-Rebner, Director Revenue Cycle, St. Joseph Medical Center Revenue Cycle can seem like a complex, dynamic beast with Revenue Cycle leaders feeling the weight of their organization’s financial health sitting on their shoulders. How do organizations begin to master ...
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By Emily Goertz, VP Revenue Cycle, UTMB We all know that managing the Revenue Cycle is complex. We face new obstacles daily, even without the complexities due to COVID 19. Not only has COVID placed astronomical pressure on Providers to ...
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By Jenny O’Pry, VP RCM, Community Psychiatry + MindPath Care Centers Why open communication is vital during a time of growth The behavioral health specialty is a profession built on trust. After all, if a clinician doesn’t nurture a strong ...
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By Robin Damschroder, EVP & CFO and Steve Hathaway, SVP Finance & CRO, Henry Ford Health System At Henry Ford Health System, our Revenue Cycle leadership with support of the Revenue Cycle Transformation Consulting and Analytics team, utilizes an annual ...
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Healthcare information technology has had a long run of standardization and continuous improvement. Companies like EPIC, Cerner, and Meditech coupled with niche bolt-ons have made their mark optimizing most parts of the revenue cycle through technology. Although there is still ...
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By Nishaminy Kasbekar, Chief Pharmacy Officer, Penn Presbyterian Medical Center In November 2019, I was invited as a visiting speaker to China, including Wuhan. The populous capital of the Hubei province brought me many experiences of food, culture, and grandeur ...
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By Scott Dresen, SVP & CISO, Spectrum Health The COVID-19 pandemic changed health care dramatically almost overnight. Across the country, those health care systems hit hard early were in crisis mode, trying to manage the overwhelming influx of patients. Those ...
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By Cole Elmer, VP of Revenue Management, BJC HealthCare When the unprecedented COVID19 pandemic hit, BJC, like many other health systems, scrambled to take care of their most valuable assets…their people. We rapidly deployed IT resources in an attempt to ...
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By Emily Goertz, VP Revenue Cycle Operations, UTMB Health Revenue Cycle shops across the nation are constantly and consistently striving to make improvements to improve net revenue, reduce costs, and do more with less. This is a consistent theme we ...
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By Richard L. Childs, FHFMA, VP RCM, Floyd Medical Center The COVID-19 Pandemic has changed the workforce in healthcare in a variety of ways. Some will be short term and others are here for good. The clinical settings changes are ...
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By Kara Onorato, CFO, Unity Health Care Two years ago, I decided that my current position was no longer challenging enough. After working most of my 20 years of career in some governmental organization, I thought I would take the ...
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By Cole Elmer, VP of Revenue Management, BJC HealthCare Take a step back for a moment if you will…and let’s briefly evaluate your patient’s financial experience at your hospital: Do you have a single statement where you can see the ...
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By Derek Dudley, MHA, Sr. Director Revenue Cycle, Memorial Health System Prior to the onset of the current pandemic which has forced many of us to pivot to a remote workforce, we at Memorial Health System already had a large ...
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By J. Brett Tracy, Vice President of Revenue Cycle, Carilion Clinic The pandemic and subsequent school closures thrusted revenue cycle departments into a frenzy this past March. Staff worried about their children and themselves as they grappled with the fear ...
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By Marti Strand, VP Revenue Cycle, St Joseph’s Candler The number one problem in the revenue cycle is that we have a communication gap with insurance payers that make us feel like nobody’s listening. We communicate through data files, CARC, ...
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By Bashir Agboola, VP/CTO, Hospital for Special Surgery Since its introduction a little over a decade ago, there has been a mix of pessimism and measured enthusiasm about the prospects of the blockchain technology in the enterprise. Some business leaders ...
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Revenue is what keeps businesses alive. But why is good revenue health especially important for health care? Effective RCM not only helps practitioners maintain financial viability but also allows them to offer the best possible care. However, with rising regulations ...
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