As organizations continue to face unprecedented healthcare staffing shortages, leaders increasingly look to revenue cycle management outsourcing for relief. In fact, healthcare leaders say outsourcing is their top strategy to combat these challenges. Why outsource revenue cycle management? If you don’t have enough staff, you can’t submit accurate and timely claims, and as many chief financial officers say, ‘No money, no mission.’ Without cashflow, it becomes difficult to provide high-quality patient care. It’s a harsh reality, but it’s true.

The right team and resources on your revenue cycle management (RCM) team are crucial to financial success. But managing your billing processes efficiently can be a challenge, especially when your medical billing team faces unexpected staff shortages, peak workloads, or gaps in expertise. That’s where hourly medical billers come in – a cost-effective, flexible solution that keeps your operations running smoothly, without the burden of full-time hires.

Revenue cycle management takes up a significant amount of time and resources in healthcare finance and one of the most challenging areas is claim denial management which directly impacts a hospital's ability to optimize reimbursements. Understanding key terms associated with denial management is not just beneficial; it's essential for enhancing financial health and operational efficiency.

Regular optimization of your revenue cycle is crucial for maintaining financial stability and driving growth. By assessing your revenue cycle processes and workflows, you can uncover performance issues and discover actionable solutions that enhance your bottom line. If you're concerned about your hospital's revenue cycle performance and suspect there are opportunities for improvement, a comprehensive assessment could be the key to unlocking hidden revenue potential.

A significant percentage of hospital revenue cycle departments are grappling with medical billing staff vacancies. The hiring process to fill these positions can be lengthy and cumbersome, causing considerable strain on existing teams. Managers must juggle posting job openings, sifting through applications, evaluating candidates' skill sets, and conducting interviews—all while ensuring their departments continue to function effectively despite being short-handed.

It’s a mantra we’ve all heard before: You get what you pay for. The idea is that saving more on the front end sometimes ends up costing you in the long run. When it comes to revenue cycle management (RCM), this couldn’t be truer. While it may be tempting to hire less expensive novice medical billers, doing so may negatively affect your revenue integrity (i.e., your ability to get paid accurately and completely for the services you provide). When you hire a medical biller with less experience, you save money on their salary, but you may lose money on the back end through claim denials, underpayments, and write-offs.

Improving the front-end registration process in hospitals is essential for reducing insurance claim denials, which can significantly impact a hospital's revenue and operational efficiency. Here are some evidence-based strategies to optimize the front-end process and minimize claim denials.

Managing revenue recovery has become a crucial aspect for healthcare providers and institutions. The complexities of claims and the frequency of denials can significantly impact the financial health of medical practices and hospitals. However, with a strategic approach and deep expertise, it is possible to navigate these challenges and ensure that earned reimbursements are recovered efficiently.

Positive operating margins may be difficult for rural hospitals to achieve. However, leveraging a central billing office—or CBO—and other revenue cycle management (RCM) best practices can help these organizations thrive financially.

Healthcare organizations are increasingly turning to outsourcing their Revenue Cycle Management (RCM) to enhance financial performance and operational efficiency. This strategic shift not only aims to mitigate the rising costs associated with in-house medical billing teams but also to leverage the expertise, experience with EMRs and EHRs and efficiency improving technology provided by specialized vendors.

Retaining skilled employees is crucial for any industry, but it holds particular importance in healthcare. It’s tough to find the right people for the right seat in your workforce. Once you have those employees you need to have a strategy for ensuring the investment you made hiring and training them continues to add for your organization.

Price transparency regulations aimed to promote patient empowerment also create unintended negative consequences for today’s rural hospitals. Here’s how revenue cycle management teams can navigate requirements with greater ease.

In the complex ecosystem of healthcare, managing the flow of revenue is a critical task that ensures the sustainability of care providers and the institutions they work for. Revenue Cycle Management (RCM) is a term that might sound daunting at first, but it's essential for anyone involved in healthcare administration to understand its intricacies and impact.

In the complex world of healthcare, revenue cycle management (RCM) is a critical aspect of a hospital's financial health. RCM involves the management of administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. While it may not always be in the spotlight, RCM is an essential component for hospitals to ensure financial sustainability and provide high-quality patient care. In this blog post, we will explore the challenges hospitals face with revenue cycle management and highlight the importance of effective RCM practices.

“The current climate makes prioritization of an efficient revenue cycle department paramount,” says Jeneisa Sudbrink, CRCE, Chief Operations Officer at InlandRCM. “These and similar statistics serve as a wake-up call for today’s rural healthcare leaders who must think about ways to promote financial sustainability. That means looking specifically at the effectiveness of revenue cycle management [RCM] within the organization.”

A Central Billing Office (CBO) tackles many challenges in medical billing, significantly boosting your hospital's financial performance. By handling front-end edits and proactively managing denials, CBO experts ensure that claims are accurate, compliant, and promptly processed. This approach minimizes claim denials and delays in reimbursements, reducing financial strain on your hospital.

Experienced medical billing professionals play a crucial role in ensuring the smooth operation of financial processes. Working across various settings such as hospitals, doctor's offices, and insurance agencies, these specialists are essential in navigating the complexities of insurance claims and reimbursements. With the healthcare sector expected to see an 8% growth in demand for skilled billers by 2029, the significance of experience in this field becomes increasingly apparent.

In today's fast-paced world, the allure of remote work is undeniable. The freedom to manage your own schedule, avoid the daily commute, and work from the comfort of your home is a dream for many. Among the myriad of remote career options available, medical billing stands out as a particularly appealing choice.

Today’s healthcare organizations face countless challenges in terms of achieving financial sustainability. Increased Medicare Advantage claim denials, annual Medicare payment cuts, and ongoing commercial payer coverage restrictions are just a few examples. What’s one of the most significant challenges that plague all providers regardless of their payer mix?

Medical billing and coding are important components of the healthcare revenue cycle management cycle. They involve two main processes: the translation of healthcare services into billable codes and the preparation and submission of claims to insurance companies for reimbursement.