Home/Tag: Revenue Cycle

Three Cash Collection Strategies to Prioritize for PDGM

2020-01-10T10:47:51-05:00Categories: Blog, Home Health|Tags: , , , |

As the Patient-Driven Groupings Model (PDGM) is approaching, organizations are currently focusing on how it will impact revenue cycle functions. To prepare financially prior to PDGM’s implementation date of January 1, 2020, home health organizations can focus on cash collections to be prepared for any loss or delay in cash flow due to the significant changes under the new model and identify risks that could cause potential delays across the revenue cycle.

PDGM: Expedite Turnaround to Bill Accurate Claims by Optimizing Order Management Process

2020-01-03T13:33:57-05:00Categories: Blog, Home Health|Tags: , , , , |

Home health organizations depend on their staff and tracking systems for a quick and efficient order management process. Order management is a key component within the revenue cycle process, as the collection of physician documentation is required to initiate any billing process. A bill cannot be generated without first obtaining all necessary orders.

Post Acute Transfer (PACT) Payment Policy – What’s New?

2019-12-04T15:34:11-05:00Categories: Blog, Health System, Hospital|Tags: , |

The Office of Inspector General (OIG) is reviewing payments under the Post Acute Transfer (PACT) policy again. Why? The OIG wants to ensure claims are properly paid by the MACs with the controls they have put into place through claim editing. The OIGs follow-up will determine whether

Patient Driven Groupings Model (PDGM) Readiness Series: Back Office Preparations

2019-12-02T20:44:04-05:00Categories: Blog, Home Health|Tags: , , , , , |

The Patient-Driven Groupings Model (PDGM), is the most significant change to the home health payment reform in the past 20 years. PDGM completely alters the methodology for calculating payments, and an example of this is the removal of therapy utilization as a component and the payment periods have been reduced from 60 to 30-days...

The Importance of Cash Flow Maintenance During Any Organizational Transition

2019-12-04T13:50:45-05:00Categories: Blog, Home Health|Tags: , |

Cash flow maintenance is paramount to sustaining any health care provider, especially through this era of rapid policy change and regulation. Organizations attempting to go through transitional phases such as process realignment and systems implementation are especially susceptible to reduced cash flow, both during and following these transitions...

Comprehensive Internal Audits: Achieving Revenue Cycle Compliance

2019-12-04T15:35:21-05:00Categories: Blog, Health System, Hospital|Tags: , , |

Implementing a comprehensive internal audit program will position a facility to actively respond to the ever-changing healthcare regulatory environment. Achieving effective and compliant healthcare functions cannot occur without well-defined and ongoing compliance auditing.

Six Essential Steps to Building a Payer Matrix

2019-12-04T15:01:59-05:00Categories: Blog, Home Health|Tags: , |

A well thought out payer matrix can become the central knowledge base of any revenue cycle department. It’s a resource that will serve many operational purposes and ensure that organizational knowledge is well distributed without being lost.

93% Decrease in Call Abandonment Rate Leads to $7.8 Million Revenue Increase Opportunity

2020-01-03T13:47:01-05:00Categories: Case Studies, Health System|Tags: , |

McBee developed a work plan for the implementation of a Central Business Office (CBO) scheduling call center. This engagement significantly improved the financial viability of the health system with a $7.8 million increased gross revenue opportunity. The call abandonment rate was decreased from 27% to 2% without increasing the number of full time employees.