Posts

Showing posts with the label medical billing accounts receivable

Is Accounts Receivable Outsourcing an Ideal Solution for Medical Practices?

Image
Accounts receivable, a crucial facet of maintaining a robust financial health for medical practices, necessitates a meticulous focus on detail and efficiency. The complexities inherent in managing accounts receivable in-house have prompted a growing number of medical practices to seek outsourcing solutions, recognizing the potential for a more streamlined and effective approach. In the subsequent exploration, we delve into the merits of medical billing accounts receivable outsourcing in medical practices, unraveling how this strategic decision can indeed be transformative for healthcare financial management. By understanding the unique advantages and specialized expertise offered by outsourcing partners, medical practices can harness the full potential of this solution to not only optimize their revenue cycles but also to ensure a resilient and financially sound foundation in the ever-evolving landscape of the healthcare industry. Understanding the Significance of Accounts Receivab

What is Accounts Receivable Management: Goals, Challenges, and Best Practices

Image
Accounts receivable management refers to the systematic approach healthcare providers employ to oversee and optimize the collection of outstanding payments. It encompasses a range of activities aimed at ensuring that healthcare organizations receive the full revenue they are entitled to, including timely follow-up on claims and resolving payment disputes. The primary objectives of accounts receivable management are to streamline revenue collection processes, reduce claim denials and improve cash flow. Efficiently managing accounts receivable is the bedrock of financial stability for any business. It serves as the linchpin for maintaining a seamless cash flow and safeguarding a robust bottom line.   However, in today's dynamic and fast-paced healthcare landscape, characterized by rapid transactions and ever-evolving market dynamics, accounts receivable management presents its unique set of challenges. These challenges, ranging from delayed payments to multiple bottlenecks, have th

2023 Revenue Cycle KPIs To Address Challenges From Denials In Medical Billing And Beyond

  Healthcare provider finance is moving into an entirely new era. As margins continue to be strained, CFOs are facing new challenges such as the   end of the public health emergency , staffing shortages, and millions potentially being thrown off the Medicaid rolls. This means that while some metrics of the past will serve you well, you will need to prioritize certain KPIs that will help you get through challenges in a world reshaped by COVID. HFMA has a challenge-based list of KPIs (MAP Keys) to prioritize in 2023 and beyond as you navigate a new world of change [1] . Denials and Self Pay Continuous coverage during the COVID-19 public health emergency required states to maintain their Medicaid coverage for most people, preventing them from terminating enrollees since March 2020. But as of April 1, 2023, states began reviewing enrollment eligibility to start the process of ending coverage for anyone found ineligible. One of the most significant expectations is that denial prevention (sp