The Smart Rev Cycle Blog

Your Coders Could be 7.5x More Productive than Average

Do you know how productive your coders are? These practices do, and they are 7.5x more productive than the average coder. For the past 20 years, the big three rev cycle KPIs have been denial rate, charge lag and AR days. These big 3 metrics are good, but they are not complete. Through hard work and...

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Doctors code correctly 48% of the time

I cannot tell you how many times I’ve heard, “I didn’t go to medical school to be a coder!” Correct coding is essential for accurate and complete reimbursement, and at the same time, coding is complicated. Different payers want the same clinical procedure coded differently according to their requirements,...

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At minimum, 15% of coding changes can be automated

Innovative practices that add the missing rev cycle KPI of Encounters per Hour to their practice dashboard recognize that a critical part of radically improving coder productivity is a mindset shift for their team. Improved productivity and throughput are in addition to, not in place of coding accuracy....

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The most productive practices improved the most in 2019

Leading practices that are more productive than their peers continue to improve their performance in the Encounters per Hour (EPH) KPI. During 2019, the national average for coder productivity remained 23 EPH. Over the same period of time, top-performing practices improved productivity by 21.9%,...

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How Ortho Practices Can Prevent DME Billing Errors

Orthopaedic practices know how difficult billing for Durable Medical Equipment (DME) can be. In the midst of a busy workday, braces get sized and walk out the door quickly. By the time the physician documents their work, they may have forgotten what size it was, or even that they gave a brace at all....

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Medical Coding Best Practices: Exception-Only Coding

Medical coding software is an important tool, but without the right processes in place, technology is useless. Technology can only be powerful when it is backed by users who follow industry best practices. One of the most important best practices in medical coding is coding by exception-only. Despite...

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Fixing Common Revenue Cycle Bottlenecks

A bottleneck is a situation that causes a delay in a process or system. It is that place in your revenue cycle that slows everything down. It delays cash flow for your practice and harms your revenue cycle outcomes. Bottlenecks are sometimes difficult to recognize and remove. Common reasons for ignoring...

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Third-Party Applications & The Quadruple Aim of Healthcare

Ever since 2007, we have been striving as a healthcare community to achieve the Triple, now Quadruple, Aim of Healthcare. There have been many barriers to this goal, and at times it seemed radical and impossible. But it is possible. Using third-party applications in electronic health records, we can...

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High Deductible Health Plans & How They Affect Your Patients

Patients and providers are both feeling the strain of high-deductible health insurance plans. Patients are responsible for more of their medical bills than ever before, and many people are struggling to make ends meet. For providers, it means that they are collecting from patients more than before,...

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