Accurate specialty coding is vital to your organization’s financial health. In this webinar, our industry experts dive into the unique coding challenges and solutions for both hospitals and physician practices.
Clinical Documentation Improvement (CDI) is a strategic initiative to enhance the accuracy and completeness of clinical documentation in patient records. By improving documentation, CDI supports better quality of care and appropriate reimbursement. It also enhances compliance with regulatory standards.
Medical billing isn’t glamorous, but healthcare providers don’t get paid without it, and patient care will suffer. Yet billing errors are everywhere, slowing payments and adding unnecessary stress. The good news? You don’t have to live with them.
Understanding what constitutes fraudulent billing prevents healthcare providers from undermining their revenue integrity and exposing their organizations to compliance violations. The greatest financial threat to healthcare providers is medical billing fraud.
Managing Accounts Receivable (A/R) in healthcare is a complex and ongoing challenge. The nature of payer systems means delays, denials, and inefficiencies that impact patient care.
According to the American Hospital Association (AHA), 78% of healthcare organizations report worsening experiences with commercial payers. Additionally, 84% noted rising costs of complying with insurer policies, and 95% said staff were spending more time on prior authorization processes. That’s why it is important to understand the root cause of these denials to not only quickly resolve them, but also avoid them altogether.
Discover how to optimize revenue cycle performance and drive financial success with this exclusive webinar. Gain expert insights into key revenue cycle challenges, best practices, and innovative solutions designed to enhance operational efficiency and maximize reimbursements.
Internally managing revenue cycle management (RCM) presents significant challenges for healthcare providers. Having staff available to navigate the complex world of insurance billing and coding while also having people on hand who will keep up with regulations and compliance isn’t enough.
The importance of accurate medical coding cannot be overstated. Aside from getting proper reimbursement for services, the impact on compliance, data integrity and clinical quality indicators, reinforces that coding in the healthcare ecosystem is non-negotiable.
Employers face rising healthcare costs, and unplanned inpatient readmissions only add to the financial strain. This white paper explores how HR and benefits managers can take a proactive approach to reducing readmissions through comprehensive care management strategies.
There are always unknowns about what the year ahead holds for healthcare providers, especially in years when there is a change in presidential leadership and a new administration.
Billing is the lifeline of physician practices, and every dollar lost to inefficiency or error is a dollar that could support patient care. Gaps in billing processes, frequent denials, and staff shortages can derail financial stability, making it harder to keep operations running smoothly.
There are two aspects of the healthcare industry that perpetually challenge providers: the complexity of the healthcare landscape and the dynamic nature of payers.
Streamline prior authorization and enhance patient care with actionable strategies. This on-demand webinar covers ways to reduce administrative burdens, speed up authorizations, and improve payer-provider communication.
In this webinar, our expert panel explores strategies to improve coding, billing, and denial prevention using technology and real-time analytics.
Discover key takeaways from our recent webinar on the intersection of clinical authorizations and revenue cycle management.
Explore insights on modernizing and optimizing revenue cycle management in healthcare. See how to improve each stage in the cycle.
Provider organizations must address denials head-on. This means aggressively shoring up the appeals process to make it as efficient and effective as possible.
Learn how accurate documentation boosts regulatory compliance, enhances patient outcomes, and ensures optimal reimbursement.
In this podcast, Ronnie Simpson, VP of Clinical Revenue Integrity at Conifer Health Solutions, dives into the mid-revenue cycle in healthcare.
Download the complete Navigating the Heart of Healthcare Revenue: A […]
Download the complete Navigating the Heart of Healthcare Revenue: A […]
Download the complete Navigating the Heart of Healthcare Revenue: A […]
Download the complete Navigating the Heart of Healthcare Revenue: A […]
Download the complete Navigating the Heart of Healthcare Revenue: A […]
The processes that encompass the mid-cycle—coding, CDI, revenue integrity, and health information management—are vital to a provider organization’s financial health.
CDI is no longer just a process of adding notes to the electronic health record; it has become a more strategic initiative with far-reaching implications.
Physicians can help CDI teams by providing a level of clinical acumen that CDI specialists may not possess.
Download the complete Precision in Practice: Mastering Front-End Revenue Cycle […]
Download the complete Precision in Practice: Mastering Front-End Revenue Cycle […]
Discover how to uphold financial strength amid Medicare fee schedule cuts and commercial fee impacts, manage rising costs, and more.
Clinical documentation plays a vital role in creating a complete picture of an individual’s health that clinicians need to develop effective care plans.
Join Conifer’s very own, Deepali Narula, Chief Operating Officer, and Becker’s Healthcare as they discuss the biggest challenges in RCM today.
We’ll provide proven methods of transforming your approach to front-end revenue cycle management, beginning with scheduling and continuing through the entire patient access process.
This article will explore the impact of training and development on building an optimally performing patient access team.
Outsourcing all or a portion of the revenue cycle allows providers to achieve optimal revenue efficiencies with lower costs and less overhead.
For hospitals, health systems and physician practices, delivering excellence in care and providing the best outcomes for patients drive what you do. However, there is a financial side to healthcare, and it’s highly complex.
Conifer Health polled provider organizations to discover their concerns and answer their top coding questions.
Compliance management in the mid-cycle can help improve financial viability for hospitals and health systems.
In these challenging times, hospital revenue cycle leaders must do all they can to ensure timely, accurate high-risk charge capture.
This white paper highlights six top operational midcycle challenges, and proven methodologies and best practices that can help.
Discover the mid-cycle compliance challenges for hospital systems and proven strategies to help ease the burden of compliance and avoid unnecessary revenue loss.
This blog post covers the four areas hospitals should be focused on to achieve mid-cycle best practices and protect their bottom line.
Telehealth regulations are shifting, and providers need a strategy to navigate the changes. Learn about what’s changing and what’s staying the same.
Effective mid-cycle processes can optimize reimbursements, elevate productivity, and drive down costs—all vital for a healthy bottom line.
This webinar will dive into the major coding challenges in a physician practice environment and the strategies needed to address them.
Hospitals need sophisticated technologies to better understand payer behaviors that impact the revenue cycle. Predictive analytics and AI is a great place to begin.
Specialty coding has become increasingly challenging and nuanced. Discover what these challenges are and how to know when it’s time to outsource.
Many factors can impact the health of a hospital’s bottom line, and coding quality is one of them. Discover how to fix the common coding challenges for hospitals.
More than 40% of denials are caused by coding issues. Here are five of the most significant coding challenges across physician practices.
Does Your Practice Have a Coding Problem? Outsourcing can help. Learn how Conifer Health can improve coding accuracy, decrease denials, and increase productivity.
The quality of a hospital’s revenue cycle processes directly impacts the health of its bottom line. Learn four opportunities to Improve Mid-Cycle Revenue Operations
Preventing downstream challenges is to successful revenue cycle operations. Experts dress key solutions to the challenges found in mid-cycle revenue operations.
Revenue cycle leadership is changing. Here are five skills today’s revenue cycle leaders need to drive financial prosperity in a post-pandemic ecosystem.
Take a deeper dive into understanding the key measurements that determines the health of any physician practice. The seven primary metrics outlined in this eBook establishes a guideline that follows the top revenue cycle KPIs practice leaders should be tracking.
Health systems and provider organizations are facing enormous challenges. In a recent poll, providers ranked five of their most pressing issues, which were staffing (58%), expenses (20%), revenue (17%), technology (2%), and other (2%).
Learn strategies to implement to ensure a successful mid-revenue cycle program. Experts discuss the crucial link between the mid-cycle and quality/compliance, artificial intelligence, and more.
Conifer Health asked webinar attendees about their biggest revenue cycle concerns. This blog tackles those concerns and provides proven, real-world tactics that can be put in place today to help.
Learn how Conifer’s technology-enabled solutions solve hospital and health systems’ most challenging revenue cycle issues while optimizing financial performance.
Listen to Conifer’s KPI expert, Patti Peets, as she discusses the top KPIs for medical practices to focus on to build a foundation for success.
Physician practices are facing unprecedented challenges. The impact of these challenges puts added pressure on practices that were already struggling to maintain financial viability before the pandemic.
Physician focus should be on providing quality patient care, not chasing finances. As your partner, Conifer takes the guesswork out of revenue cycle management.
One of the challenges hospitals face in this new patient-as-payer reality is that revenue cycle was designed around payer reimbursement, not patient payments. In this article, Conifer discusses five solutions to this challenge.
Key Performance Indicators are like a road map to success for your practice, but it can be difficult to know where to focus your efforts. The best revenue cycle strategy delivers optimal KPIs faster and with little effort while improving productivity.
We’ve picked three of the most pressing challenges hospital revenue cycle leaders face and offer proven ways to turn each challenge into an opportunity for improvement.
Revenue cycle professionals can reduce costs and improve operations by implementing technology solutions.
According to a survey by Kaufman Hall, 75% of healthcare leaders say the Covid-19 pandemic has had an adverse impact on their revenue cycle operations, including increased payer denials and an increase in bad debt.
With staffing challenges and record-high denial rates, hospitals and health systems cannot afford to ignore mid-cycle processes.
Provider practices are facing increasingly difficult patient collections. Because of rising deductibles and increased patient responsibility, patients are now the third largest payer, just behind Medicare and Medicaid.
Until new legislation becomes law, providers need to do all they can to automate prior authorizations, standardize processes, maintain highly qualified staff and improve patient communications.
Even with the increased focus on automation, too many revenue cycle operational processes remain highly manual and resource-intensive. This is especially true for mid-cycle processes.
In this article, Conifer shares six guidelines to help physician practices achieve operational excellence in difficult times.
The effects of the COVID-19 pandemic will likely continue to impact healthcare systems for years to come. Implementing digital strategies will help relieve the burden on administration, physicians, and nurses, allowing them to focus on what they do best: patient care.
Hospitals need to do all they can now to make it easier for patients to access and pay for the services they need. If we wait for full compliance, it will never happen and hospital revenue cycles will continue to suffer.
Given current trends and payer behaviors, physician practices need to focus on greater effectiveness and efficiency within administrative functions. Automating processes and improving data insights offers physicians the ability to protect and grow revenue, even in these challenging times.
By leveraging technology to optimize operational efficiency, practices can improve performance, strengthen the patient experience and better care for their staff.
A shortage of clinicians isn’t the only staffing issue hospitals are experiencing. Revenue cycle teams have also been impacted.
Providers and payers must adapt to workforce capacity restraints, consumerism, evolving regulations, increased risk and vigilant financial management to solve new and complex problems.
Learn the benefits of outsourcing to complement, augment, or replace empty revenue cycle roles in this infographic from Conifer.
Outsourcing revenue cycle management can help mitigate the impact and bring greater productivity, lower costs, and improved outcomes.
Physician practices need a new revenue cycle approach to build financial strength and mitigate the impact of ongoing staffing shortages and expertise gaps.
Eligibility and Enrollment services optimization is more critical since the great resignation to prevent newly uninsured patients from increasing bad debt costs.
The healthcare industry has been hard hit by the Great Resignation. Outsourcing revenue cycle management benefits physician practices in a number of ways.
Four key areas where hospital revenue cycle leaders can address these issues with a more strategic approach.
Automating the prior authorizations can help reduce denied claims, decrease errors and streamline the process.
This article examines how organizations that adopt a three-tiered best practice approach to coding can improve reimbursement while maintaining coding quality and compliance.
This blog examines the value of a strategic partner when examining and executing cost-reduction strategies
After implement the No Surprises Act by the January 1, 2022, deadline, providers must now shift attention to refining their processes for what lies ahead.
Dartmouth-Hitchcock Health Achieves 101.6% of Cash Collection Goal
CMS Direct Contracting Can Improve the Health of Your Patients and Your Practice
This article explores why addressing patient concerns is critical to help achieve better health for patients and financial health for your organization.
This article examines how focusing on prior authorization is a necessary step in care delivery and is critical to mitigate denials.
Strategic partners may be useful to help engage consumers and increase health systems margin pressures for long-term sustainability.
A host of market-driven and regulatory forces are fundamentally challenging traditional acute care operating models.
Discover Why Hospitals Focused on Consumerism are Targeting the Mid-Revenue Cycle
Discovery The Transformative Impact of a Technology-Forward Revenue Cycle
Without a well-established clinical documentation improvement program in place, healthcare organizations’ risk rankings falling short of achieving clinical documentation integrity which underscores how critical accurately delivered and documented care reflects the well-being of individual patients and an organization’s financial health. Three reasons why implementing a CDI program can help you.
Without a well-established clinical documentation improvement program in place, healthcare organizations’ risk rankings falling short of achieving clinical documentation integrity which underscores how critical accurately delivered and documented care reflects the well-being of individual patients and an organization’s financial health. Here are three reasons why implementing a CDI program can prove beneficial to your healthcare organization.
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