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How to Discover Better Insurance Coverage, Together

Healthcare IT Today

Technology can help organizations identify more billable insurance coverage for self-pay patients, maximizing revenue, increasing efficiency and improving patient experience. Many healthcare providers find themselves wondering whether a revenue cycle management (RCM) partner would benefit their organizations.

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Turning Increased Ambulatory Volumes into Financial Strength: 4 Moves for RCM

Healthcare IT Today

For example, as outpatient services such as infusions outpace projections , and as the Centers for Medicare & Medicaid Services open the door to more outpatient procedures by moving 11 procedures off its “inpatient only” list, ambulatory providers must have the financial strength to make the investments needed to support growth.

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The Role of RCM in Health Equity

Healthcare IT Today

Involving revenue cycle management (RCM) is necessary for any comprehensive SDoH/health equity strategy. Reimbursement is also closely linked to quality because of the use of outcome measures by the Centers for Medicare and Medicaid Services (CMS) to determine a hospital’s overall quality, including: Mortality. Patient experience.

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HIStalk Interviews Gabriel Orthous, CIO, Central Georgia Health Network

HIStalk Interviews

One is the clinical focus, the EMR perspective of workflow and patient-centered focused around clinical things that have to occur. Usually those are part of a system of trying to identify CPT codes or ICD codes in order to get paid through a billing RCM model. You have dichotomies of political and revenue cycle. Absolutely.

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