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Outsource Strategies International: Blogs

Revenue Cycle Management Best Practices for 2018

Revenue Cycle Management Best Practices for 2018

In this transitional scenario where the industry is moving from fee-for-service to value-based payment,¬†healthcare providers need novel strategies to optimize reimbursement. The following best practices for revenue cycle management (RCM) can improve accuracy and efficiency and help them get ahead of the game in 2018. Improve internal communication: With many physicians working in hospitals and […]

Palmetto GBA awarded Jurisdiction J MAC Contract – Implications for Physician Practices

Palmetto GBA awarded Jurisdiction J MAC Contract – Implications for Physician Practices

On September 8, 2017, the Centers for Medicare and Medicaid Services (CMS) announced a change in Medicare processor from Cahaba to Palmetto GBA in the three states of Alabama, Georgia, and Tennessee. Palmetto GBA was selected by CMS as the Medicare Administrative Contractor for Jurisdiction J in these three states. Medical practices that submit Medicare […]

Nurse-led Innovation can Improve Critical Care Outcomes and Hospital Reimbursement, says Report

Nurse-led Innovation can Improve Critical Care Outcomes and Hospital Reimbursement, says Report

From the perspective of medical billing and coding companies, a critical illness or injury is one that acutely impairs one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patient’s condition. According to a recent report from www.healthaffairs.com, nurse-led innovation can improve critical care […]

Key Points to Consider when Conducting an Internal Coding Audit

Key Points to Consider when Conducting an Internal Coding Audit

Quality medical billing and coding services are an essential component of the revenue cycle management solutions provided by experienced outsourcing companies. Internal coding audits strengthen coding practices by ensuring the accuracy and completeness of clinical documentation in the medical record. Indentifying coding errors internally is critical for physicians to get paid and to avoid external […]

UCLA and Harvard University Study Finds Medicare Readmission Program Linked to Higher Mortality

UCLA and Harvard University Study Finds Medicare Readmission Program Linked to Higher Mortality

Medical billing data entry provided by medical billing companies is significant not only from the point of view of physician reimbursement, but also for studying health trends, treatment protocols and their efficacy. A recent study led by UCLA and Harvard University researchers has found that the analysis of clinically collected data confirms the results of […]