3Genconsulting

  Home health aide visits have been plummeting in recent years, and the Centers for Medicare & Medicaid Services (CMS) has issued a request for information to understand what might be happening.  Here is a look at the request and what it could mean for any organization interested in home health billing [1]. How Home Health Aide Use Factors into Home Health Care Billing Home health aide services are part of case-mix adjustment. After a practitioner prescribes home health for a patient, the Home Health Agency Center (HHA) is tasked with assessing the patient condition, along with determining elements like therapy, skilled nursing care, medical social services, and also the need for home health aide services. This happens at the beginning of the 60-day certification period and must be done for every subsequent 60-day certification, something that directly intersects with home health billing guidelines. The case-mix adjustment to the national 30-day payment rate is determined using c

 With the expansion of practices and the rise in patient volumes, the complexities of managing billing and revenue cycles can escalate, resulting in inefficiencies and potential revenue loss. In these scenarios, outsourcing medical billing to a reputable company such as 3Gen Consulting emerges as a viable solution, offering a plethora of advantages while mitigating the hurdles linked with internal billing processes. As healthcare practices experience growth, the demands on their administrative staff intensify, particularly concerning billing and revenue cycle management. The complex nature of medical billing requires meticulous attention to detail, adherence to evolving regulations, and proficiency in coding practices. However, internal teams may struggle to keep pace with these demands, leading to errors, delays, and ultimately, financial setbacks for the practice.   Outsourced medical billing services to an experienced firm like 3Gen Consulting, healthcare providers can offload th

  Medical coding serves as the backbone of the revenue cycle management process, translating complex patient diagnoses, procedures, and treatments into standardized codes for billing, reimbursement, and record-keeping purposes. Given the critical role of medical coding consulting in ensuring accurate and timely claims processing, healthcare organizations are under increasing pressure to optimize their coding operations. To streamline coding processes while upholding high standards of accuracy and compliance, many healthcare providers, many are turning to medical coding outsourcing and offshoring solutions. Outsourcing involves contracting medical coding tasks to external firms, while offshoring refers to relocating these tasks to overseas locations with lower labor costs. In this blog post, we will explore the various benefits that healthcare providers can derive from medical coding outsourcing .   Moreover, from cost savings and scalability to enhanced efficiency, access to speciali

  In the healthcare industry, revenue cycle management (RCM) is a multifaceted process encompassing various financial activities, including medical billing, medical coding, and accounts receivable management. Compliance with regulatory standards and undergoing audits are essential components of revenue cycle management services, ensuring that healthcare providers adhere to legal and industry requirements. Healthcare organizations can rely on a revenue cycle management company like 3Gen Consulting to navigate these complexities and ensure compliance with regulatory expectations. This comprehensive guide delves into the significance of revenue cycle management compliance and audits, shedding light on the stringent requirements placed on providers and the pivotal role that a revenue cycle management company plays in supporting them. Furthermore, by understanding the importance of compliance and audits in revenue cycle management services, providers can proactively address regulatory cha

  Medical coding audits are critical to a healthy revenue cycle, but with all the options, it is difficult to know where to position the different types of medical coding audit services in your revenue cycle management optimization strategy. One of the most challenging can be the self-audit — an internal review that can be used with other medical coding audit services to optimize your revenue cycle results. What Are Self Audits? Self audits are a careful review of existing medical coding practices to help ensure compliance with medical coding and billing standards, rules, and regulations [1]. They can also be incredibly powerful tools of prevention. They allow providers to protect against lost revenue and billing issues by getting ahead of payer audits. They help you find payment, medical billing , and medical coding issues (including missed revenue), identify problems in patient care, flag opportunities for training, and get ahead of compliance issues. It’s important to view se

  Retrospective reviews of  risk adjustment coding  are foundational to the financial health and stability of Accountable Care Organizations (ACOs) and Medicare Advantage plans (MAPs). This is increasingly true as value-based contracts and their underlying details become more complex, coding requirements change, and the  demand for qualified  risk adjustment coders  increases. By focusing on retrospective reviews of   risk adjustment coding , you can position your organization for more accurate representation of your population and possibly better financial outcomes.  What is Retrospective Risk Adjustment Put simply,  retrospective risk adjustment  is looking back at past claims to ensure proper diagnosis coding. The benefit is that this process can reveal gaps in your diagnosis coding of chronic illnesses that could lead to decreased reimbursement in the future.  And while many ACOs and Medicare Advantage plans have a retrospective risk program, sometimes the plans themselves are inef

  Physician billing is a critical aspect of healthcare revenue cycle management, requiring precision and efficiency to minimize errors and maximize revenue. 3Gen Consulting offers comprehensive physician billing services designed to simplify the billing process and save valuable time for healthcare providers. Physician billing services provided by 3Gen Consulting are tailored to meet the unique needs of each practice, ensuring accuracy and compliance with billing regulations. Their team of experts is well-versed in the complexities of physician billing, equipped to handle medical coding, claim submission, and accounts receivable management with meticulous attention to detail. By partnering with 3Gen Consulting for physician billing services healthcare providers can reduce errors and streamline the physician medical billing process, allowing them to focus on patient care. 3Gen’s experienced team works diligently to identify and rectify any billing errors or discrepancies, ensuring prom