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How to Discover Better Insurance Coverage, Together

Healthcare IT Today

Many healthcare providers find themselves wondering whether a revenue cycle management (RCM) partner would benefit their organizations. Streamline the billing process The right RCM partner will help providers optimize revenue by creating faster, easier processes to identify insurance coverage.

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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. Safety of care.

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HIStalk Interviews Gabriel Orthous, CIO, Central Georgia Health Network

HIStalk Interviews

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. But when you get into Medicare, ACO, or frailty, for example … frail patients who come in may be prescribed seven medications in seven points of care. That’s just one component.

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