by admin | Sep 4, 2018 | Denials, Denials Management, Health Care Finance, Hospital Revenue Cycle, Medical Billing, Revenue Cycle KPI's
Two metrics important to the discussion of creating claims most likely to be immediately reimbursable are Clean Claim Rate (CCR) and First Pass Rate (FPR). Though sometimes confused for one another, these are separate statistics, each worthy of optimization....
by admin | Jul 10, 2017 | Accronyms, Acronyms, BCBS, Billing Systems, Billing Terms, Insurance Claims, Patient Billing
Blue Cross Blue Shield Enhanced Ambulatory Patient Grouping (EAPG) methodology for calculating reimbursement for outpatient procedures http://www.okoha.com/OHA/Hotline/2015/April15/Taking_charge_of_the_EAPG__Improve_your_negotiations_with_BCBS.aspx Share...
by Ed Slingsby | Jul 2, 2017 | Denials Management, Health Care Finance, Hospital Revenue Cycle, Revenue Cycle Performance
Read this report from the Advisory Board on ways you can improve revenue cycle performance now. Hospitals leaving $22M on the table Share...
by admin | Mar 15, 2017 | Health Care Finance, Insurance Claims, Learning, Medicare, Medicare Terms
https://qpp.cms.gov/ Share...
by Ed Slingsby | Sep 24, 2015 | Health Care Finance, Medical Billing, Patient Billing
http://www.hfma.org/Content.aspx?id=32027#.VgNfflVcR_w.mailto Financial assistance programs IRS rules on hospital FAP’s Share...
by admin | Jan 1, 2015 | Denials Management, Financial Statistics, Revenue Cycle KPI's, Revenue Cycle Performance
Click to access PNC%20SW%20Ohio%20HFMA%20Presentation.pdf Using KPIs to Accelerate Revenue Cycle Performance Click to access PNC%20SW%20Ohio%20HFMA%20Presentation.pdf Measurement • We’ve all heard it: you can’t manage what you don’t measure. – Measurement aids in...
