Should You Offshore Medical Billing Patient Calls? A Strategic Analysis In today’s competitive healthcare landscape, medical billing companies and providers constantly seek ways to optimize operations while maintaining quality service. One strategy often considered is offshoring patient calls related to revenue cycle management (RCM). But is this approach right for your organization? This comprehensive analysis […]
How Data-Driven Medical Billing QC is Revolutionizing Revenue Cycle Management In today’s healthcare landscape, medical billing QC (quality control) is undergoing a revolutionary transformation—moving from traditional sampling methods to sophisticated data analytics approaches. This shift is not merely a technological upgrade; it’s fundamentally changing how billing companies ensure accuracy, compliance, and efficiency across their revenue […]
Revolutionizing RCM Reporting Options: Beyond End-of-Month Reporting In today’s fast-paced healthcare financial environment, traditional end-of-month reporting is becoming increasingly obsolete. Modern revenue cycle management demands flexibility, real-time insights, and a more nuanced approach to data analysis. This article explores innovative RCM reporting options that can transform how healthcare organizations view and utilize their financial data. […]
Medical Billing EOM Reporting: Why Real-Time Data Beats Traditional Closing In today’s rapidly evolving healthcare finance landscape, outdated processes can significantly hinder efficiency and growth. One particularly antiquated practice that persists in the industry is traditional medical billing EOM reporting. This end-of-month closing approach, often taking place anywhere from 3 to 20 days after the […]
eClinicalWorks Reporting: Data Challenges and Solutions Practice management systems offer various reporting capabilities to help healthcare organizations analyze their operations. While some systems provide limited options, eClinicalWorks reporting is considered above average in the industry. However, as someone who works extensively with healthcare data, I’ve encountered several frustrating issues with the eClinicalWorks reporting structure that […]
Specific Medical Billing KPIs You Should Use Should you use the medical billing KPIs recommended by industry organizations like MGMA, HFMA, or HBMA? Should you follow consultants’ advice or benchmark against other billing companies? The answer is surprisingly simple: no, you shouldn’t. Why Traditional Medical Billing KPIs Fall Short Most commonly recommended medical billing KPIs […]
Medical Billing Performance KPIs: Ignore Bad Industry Advice One of the most frustrating aspects of working in revenue cycle management is encountering guidance about medical billing performance KPIs that’s long on buzzwords but short on substance. Recently, I came across a whitepaper from Waystar called “Seven Steps to Sharpen Your Healthcare Revenue Cycle” that perfectly […]
How to Develop RCM KPIs That Actually Matter Many revenue cycle management organizations adopt KPIs because they believe they should be “data-driven” or because industry consultants tell them it’s necessary. But how often do we step back and ask: why are we tracking these specific metrics, and what purpose do they serve? An effective approach […]
RCM Acquisition Metrics Mergers and acquisitions activity in the revenue cycle management (RCM) space remains robust, with private equity firms and strategic buyers constantly evaluating potential targets. As someone who regularly works with PE groups and RCM companies pursuing growth through acquisition, I’m frequently asked about the most important RCM acquisition metrics to consider during […]
Great RCM Dashboards: Building for Success (Part 2) In our previous discussion about RCM dashboards, we explored what constitutes a true dashboard versus what most healthcare organizations actually mean when requesting one—typically detailed reports rather than high-level summaries. Now, assuming we’re using the common industry definition of RCM dashboards as medical billing reports, let’s examine […]
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