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Protect Your RevenueCycle: Understanding the 3-Month Grace Period Mandate Home / December, 6 2024 Author: Heather Dunn, MBA, CHFP, CRCR, EHRC, President, The SSI Group, LLC (SSI) The healthcare landscape constantly evolves, and new regulations can often mean significant challenges for patients and providers. Now is the time to act.
As healthcare continues to evolve, so do the complexities of managing the revenuecycle, with denial management being one of the most persistent challenges. Denial management is an essential component of healthcare revenuecycle management (RCM) because denials directly impact an organization’s financial health.
May 24, 2023 9 Essential Questions RevenueCycle Leaders Should Be Asking About Their Claims and Clearinghouse Partner Welcome to the world of healthcare revenuecycle management, where every aspect of your business is crucial to success.
In 2025, a strategic approach to collections, leveraging technology and focusing on patient relationships, will be essential for having efficient, quality and performance improvement in your revenuecycle management. By building strong relationships with patients, you can minimize disputes and improve overall patient satisfaction.
The healthcare revenuecycle management (RCM) domain, a crucial component for any healthcare establishment, has seen seismic shifts since the pandemic. Evolving Needs in the Healthcare RevenueCycle Management Landscape The ongoing global pandemic has added complexity to an already intricate RCM landscape.
Decoding the Intricacies of Healthcare Billing: Navigating Claims Denials and RevenueCycle Management Home / December 8, 2023 Healthcare billing is a vital function in the medical administration ecosystem, playing a crucial role in sustaining the financial health of healthcare organizations.
Epic Billing Made Easy: Why SSI is the Claims and Clearinghouse Solution of Choice for Hospitals and Health Systems [Live Webinar] LIVE WEBINAR: March 29, 2023 at 10 am CT As a trusted industry leader with 900 Epic clients , SSI makes Epic billing as easy as possible, so you don’t ever have to leave your Epic environment !
2024 RevenueCycle Management Challenges and Emerging Trends Home / January 16, 2024 Author: David Mancuso, Sr. This year promises to be a crucible of transformation, testing the resilience and adaptability of industry leaders while offering fresh perspectives on managing revenuecycles more efficiently and effectively.
With the possibilities for further restrictions or even complete removal from credit reports in the future, it is paramount that healthcare providers continue to optimize their revenuecycles. Automated billing systems: Automate routine tasks to free up staff time for more complex issues.
The Evolution of Medical Billing Clearinghouse Vendors in RevenueCycle Management: Spotlight on The SSI Group, LLC (SSI) Home / December 20, 2023 Author: Christy Wright, CMO at The SSI Group, LLC In the intricate tapestry of healthcare finance, the journey of a medical claim from inception to resolution is critical.
The Evolution of Electronic Medical Claims and RevenueCycle Management in the US Healthcare System Home / November 29, 2023 In the constantly evolving landscape of US healthcare, the story of electronic medical claims and revenuecycle management stands out as a testament to technology’s transformative power.
SSI is a leading provider of revenuecycle management solutions trusted by over 30% of all US hospitals. Through a long history of working with Cerner platforms and over 34 years of revenuecycle excellence, SSI delivers industry-leading solutions for optimizing clean claim rates, preventing denials, and minimizing support issues.
In the complex world of healthcare revenuecycle management, insurance claims and prior authorizations are among the most time-consuming and error-prone processes. Use Cases in Action Automated Claims Submission RPA bots gather billing information, verify coding, and submit claims to payers through clearinghouses or web portals.
Your ability to efficiently manage and promptly correct edits, utilizing a claim scrubber or billing application, has substantial implications on your cash flow. Register today Click the button below to receive a customized tutorial catered to your specific revenuecycle management (RCM) needs Request Demo What are you looking for?
Collection, digitization, verification, coding and approval of Invoices and Bills improves finance efficiency by up to 95%. Cash Reserves : Maintain a cash reserve to cover unexpected expenses or revenue shortfalls, such as during periods of low occupancy. Access and visibility are key.
From ensuring compliance with billing practices to navigating value-based care programs, we’ll provide easy to implement, actionable tips. CPT and HCPCS Codes : Correctly applying Current Procedural Terminology (CPT) codes and Healthcare Common Procedure Coding System (HCPCS) codes for services is essential to accurate billing.
In pursuing a frictionless revenuecycle, the ability to work medical claims directly within your Epic system is vital. Tracey Tillman, Director of Product Management, will present the webinar Streamline Your Claims Management Process with Epic & SSI Integrations.
Reboot Your RevenueCycle with Prior Authorization Automation. This webinar, developed in partnership with HFMA, breaks down the real-world benefits of prior authorization automation for your staff, your revenuecycle and your patients. Reboot Your RevenueCycle with Automated Prior Authorization [HFMA Webinar].
However, a recent spending bill passed in December 2022 changes this and sets April 1, 2023, as the end date for the continuous coverage requirement, regardless of whether the PHE is still in effect. Click the button below to receive a customized tutorial catered to your specific revenuecycle management (RCM) needs. Conclusion.
Prior authorization is not only one of the most time-consuming aspects of all revenuecycle transactions, but it is also one of the leading causes of claim denials, according to a recent report by the American Hospital Association (AHA). Reboot Your RevenueCycle with Automated Prior Authorization [HFMA Webinar].
The healthcare revenuecycle management (RCM) domain, a crucial component for any healthcare establishment, has seen seismic shifts since the pandemic. Evolving Needs in the Healthcare RevenueCycle Management Landscape The ongoing global pandemic has added complexity to an already intricate RCM landscape.
How Healthcare Billing Departments Can Maximize AR Potential Before Year-End Home / November 17, 2023 In the digital age, innovation often means mastering the fundamentals. With that experience comes a wealth of claims data that we share with revenuecycle leaders.
Click the button below to receive a customized tutorial catered to your specific revenuecycle management (RCM) needs. Reboot Your RevenueCycle with Automated Prior Authorization [HFMA Webinar]. Reboot Your RevenueCycle: Get Proactive with Prior Authorization Automation [HFMA Webinar Key Takeaways].
Flawless Execution of Professional Billing for Northern Regional Hospital. As Northern Regional Hospital continued expanding its system and services, its leadership found themselves with a problem – completely independent computer systems to manage the hospital and individual practice billing. August 24, 2022. August 24, 2022.
May 24, 2023 9 Essential Questions RevenueCycle Leaders Should Be Asking About Their Claims Clearinghouse Vendors Welcome to the world of healthcare revenuecycle management, where every aspect of your business is crucial to success.
Reboot Your RevenueCycle: Get Proactive with Prior Authorization Automation [HFMA Webinar Key Takeways]. Click the button below to receive a customized tutorial catered to your specific revenuecycle management (RCM) needs. Reboot Your RevenueCycle with Automated Prior Authorization [HFMA Webinar].
July 6, 2023 How SSI’s Integrations Make Epic Medical Billing Easy Imagine a world where you never have to leave your Epic environment to work claims. Our deep integration and expertise helps deliver an end-to-end seamless workflow that leverages workflow tools and real-time revenuecycle data in Epic.
How Healthcare Billing Departments Can Maximize AR Potential Before Year-End Home / November 17, 2023 In the digital age, innovation often means mastering the fundamentals. With that experience comes a wealth of claims data that we share with revenuecycle leaders.
Due to the efforts of the coalition, on March 23, 2022, the Michigan House of Representatives passed Senate Bill 247 with strong support. The Bill aims to standardize the prior authorization process in order to reduce wait times, streamline communication between providers and payers, and ultimately improve patient access to care.
Advancing 275 Electronic Attachments in Medical Billing: A Move Towards Efficiency Home / November 1, 2023 Author: Tracey Tillman, CRCR, Sr. Director of Product Management at SSI The healthcare sector is no stranger to the myriad complexities associated with medical claims and billing processes.
How SSI’s Integrations Make Epic Medical Billing Easy Home / July 6, 2023 Imagine a world where you never have to leave your Epic environment to work claims. Our deep integration and expertise helps deliver an end-to-end seamless workflow that leverages workflow tools and real-time revenuecycle data in Epic.
Decoding the Differences Between Hospital Billing vs. Professional Billing February 21, 2023 Hospital billing and professional billing both refer to the process of submitting and receiving payment for medical services provided to patients. What is Hospital Billing? What is Professional Billing?
This is why they need medical billing software to automate and optimize the billing process. The right medical billing software can streamline the billing process, saving time and improving accuracy. Experience a 20% efficiency increase in revenue collection with medical billing software.
Read More The SSI Group Announces Key Partnership with RCxRules The SSI Group, a leader in financial performance solutions for providers and payers, announced today a partnership with RCxRules, a leading provider of automated billing solutions for healthcare organizations’ population health and revenuecycle operations.
Advancing 275 Electronic Attachments in Medical Billing: A Move Towards Efficiency Home / November 1, 2023 Author: Tracey Tillman, CRCR, Sr. Director of Product Management at SSI The healthcare sector is no stranger to the myriad complexities associated with medical claims and billing processes.
It encompasses the systems and processes that determine how easily patients can obtain healthcare services, from finding a provider to scheduling appointments and understanding billing. Increased Revenue: Efficient patient access processes contribute to a robust revenuecycle.
The Problem: Mounting Healthcare Debt Medical bills are a leading cause of debt in the United States, with millions struggling to afford necessary care. The Human Advantage: Optimized RevenueCycle Performance Increase Netback: Higher repayment rates achieved through trust and personalized solutions.
Eligibility Denials: A Major Challenge for Hospitals March 13, 2023 Denials are one of the most expensive revenuecycle issues, posing major concerns to revenuecycle leaders throughout the country. Problems that lead to denied claims occur throughout the revenuecycle but routinely point to eligibility.
As denials become an even bigger pain point for healthcare organizations and leaders, a well-orchestrated denial management strategy powered by the right technology and processes is becoming a must-have if you want to better manage denials and appeals – and stop revenue leaks. billing and claims management (3). hospital billing (1).
Understanding the Healthcare Claim Life Cycle: From Patient Registration to Payment Home / September 12, 2023 The claim life cycle as it travels through the world of healthcare administration is an intricate and complex journey. Timely submission is crucial, as delays can lead to payment issues and hinder the overall revenuecycle.
We will also delve into the “Fail First Steps Therapy Reform,” a piece of the bill that was eliminated to expedite the process, and where things stand with it currently. We will further explore the milestones and steps taken to get the legislation passed, and the instrumental players who helped move it along.
For one, labor shortages are looming over revenuecycle leaders, with a recent survey published in Becker’s Hospital Review showing nearly half are experiencing severe shortfalls in vital positions, from front-end revenuecycle to denial management experts.
It’s not just about resolving billing issues or appointment scheduling; it’s about navigating sensitive situations, fostering trust, and providing a sense of comfort during a potentially stressful time. Understanding the Patient Journey: Recognizing the challenges patients face when dealing with medical bills.
Understanding the Healthcare Claim Life Cycle: From Patient Registration to Payment Home / September 12, 2023 The claim life cycle as it travels through the world of healthcare administration is an intricate and complex journey. Timely submission is crucial, as delays can lead to payment issues and hinder the overall revenuecycle.
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