Interested in hearing how proactive revenue cycle management approaches can minimize possible negative effects of healthcare legislation, namely ACA, ICD-10 and EFT/ERA standards? Check out this exciting newsletter from Orbograph.
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The HFMA conference brochure pretty much tells it all, “What Now?” The healthcare industry continues to evolve and converge around several critical pieces of legislation including ACA, EFT/ERA electronification and ICD-10. HFMA sessions look very interesting as they address many revenue related topics!
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It’s a tough world out there for healthcare providers who are typically scrounging for 15-20% of their claims revenues which are either denied or incorrectly processed. ICD-10 is slowly approaching (10-1-2014), and with the number of codes jumping to 68,000 from the mere 14,000 of ICD-9, it made me wonder how much more difficult the billing and reconciling process may become for providers and patients as there are significant risks in this new process.
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Let’s say that a financial institution (FI) wants to provide a medical lockbox processing solution to its existing healthcare provider customers and/or prospective customers outside its geographic branch locations. Ideally the system would process both insurance payments as well as patient payments. In order to get into this business, particularly capturing and scanning EOBs, the FI will need to follow the rules and regulations around HIPAA/HITECH; a potentially daunting and intimidating process!
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No pun intended, but New Orleans + Orbograph Client Conference = “a hurricane of check and healthcare processing”! The Orbograph Hurricane began on Wednesday evening, April 10th, with a wonderful opening reception. Nearly 70 attendees filled the reception hall to interact and listen to a local New Orleans Jazz band. A classy and jazzy way to start!
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Did you see the press release this week announcing our conference agenda with a star-studded line-up of presenters and topics? Join us for our Check and Healthcare Payments Automation Jazzfest where you will be blown away with an ensemble of content, networking activities and entertainment!
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The HITECH Act has stimulated the adoption of Electronic Health Records (EHR) and Health Information Exchange (HIE) solutions. Additionally, the delays in the ICD-10 compliance deadline has opened a window for healthcare providers to assess their existing Revenue Cycle Management (RCM) platforms.
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Third-party medical billing companies employ nearly 20,000 people nationwide and process more than 17 million claims per month, representing more than $18 billion per year, according to statistics provided by the Healthcare Billing & Management Association (HBMA), a trade association representing third-party medical billers.
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Every service performed by a healthcare provider should result in a payment for a service provided. Unfortunately in the healthcare industry, this is often not the case as billions of dollars are written off every year. A patient’s inability to pay, lack of desire to pay, confusion over responsibility to pay or having insurance deny payment are several of many factors which a provider must deal with. Increasing revenue and decreasing denials starts by ensuring a system is in place to fully clear each patient.
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Healthcare costs are increasing at a rate of 5-6% annually. As an industry expands, normal cost increases can be absorbed year after year, but healthcare is an inefficient and politically charged animal. In this political season, government officials proclaim gains in waste reduction, but it’s hard to determine what impact fraud and waste has on the overall system. Unfortunately, the numbers are so large now, something needs to be done.
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