February 3, 2022
The RCM Pitfalls of Limited Visibility to Patients Prior to Service
by Developer | Revenue Cycle Management
Revenue cycle departments at diagnostics labs face some really daunting challenges when it comes to managing patient copays and billing. We wanted to get a better understanding for the pain points that they face on a day-to-day basis, so we commissioned a market research firm to conduct a series of interviews with revenue cycle executives from across a spectrum of lab services types. This is the first in a series of five blog posts that will reveal the findings from these interviews. You can also download the full report. Limited Visibility to Patients Prior to Service When you conjure up… Read entire article here
The prior authorization process is a textbook example of the law of unintended consequences. Created for sound reasons — as a utilization management tool for healthcare insurance companies to control costs and protect patients from surprise bills — it has unintentionally paved the way for a corresponding surge in administrative burdens, claim denials and rework. All of which have taken a toll on the revenues of healthcare providers. Not to mention the psyche of revenue cycle teams and patients. The obvious answer to reducing claim denials and ensuing denial write-offs is to prevent them from occurring in the first… Read entire article here
Imagine that you’ve been recruited to be part of a dance routine. You arrive at the first rehearsal and meet the other dancers. The instructor strides in and introduces herself, then describes in intricate detail how the dance will be choreographed. After several hours of practice, you are starting to hit your marks. When you arrive for rehearsal the next day, however, there is a new instructor. He incorporates some of the previous instructor’s choreography but it is by no means the same dance. He adds new material and changes some important sequences. You stumble through the new routine but… Read entire article here
