Healthcare revenue leakage is an all-too-common and pervasive beast and operates among billing departments all over the nation. This is partly due to the fluctuating nature of payer regulations, but it can also be affected by the sheer complexity of the entire billing and audit process. However, solutions do exist, even if they can be…
Every behavioral healthcare facility makes crucial decisions regarding how to best care for its clients each day. These choices can drastically impact how a practice operates, how patients feel about their choice of provider, and how smoothly revenue flows within a company. One of the most significant decisions made is whether or not to outsource…
At first glance, billing for healthcare seems like a relatively straightforward process. After all, every medical practice and facility in the world goes through some sort of process to make sure their billing audits are complete, and cash flow properly watched over every day. Even those outside of the billing department, such as physicians, counselors,…
The healthcare industry seems like it’s always changing, and for good reason. It is. More elements of the medical industry are streamlined and updated each day, and there’s no exception when it comes to revenue cycles. Behavioral health RCM services can help your care facility stay on top while ensuring fewer interruptions in cash flow…
Many difficulties exist between insurance companies and healthcare providers. Beyond a doubt, this relationship should be seamless, ensuring the patient receives the care he or she needs. Yet, that is rarely what occurs. Instead, insurance claims management becomes difficult and complicated. To improve claims management, decide to work with a company specializing in it. Our…
There is a need to bill the insurance provider for patients for any health care or behavioral health care company. This process allows the insurance company, in a simplistic form, to provide payment to the provider for the care a patient receives. Before that can happen, a verification of benefits (VOB) process must be completed.…
Every organization has to balance the books to maintain profitability and grow. Yet, it is easy to become overwhelmed and even too busy to manage this process in a busy substance abuse or mental health organization. Yet, billing audits and reporting are critical to operations and one of the best ways to know where your…
There is a need to have checks and balances in every organization to ensure that the very best care is always provided. Utilization reviews, in a way, help to make that happen. What is a utilization review? Why are they so important to patient care and overall practice management? These reviews provide a great deal…
Working to improve not just the care you offer to your patients but also the function and success of your practice takes hard work and years of effort. Often, providers spend a great deal of their time working with patients, as that is their specialty. Yet, it is also important to consider how well your…
Revenue cycle management (RCM) is of growing importance to many healthcare companies. Without this type of service, organizations have to manage the reimbursement process on their own. Sometimes, organizations have no idea what is not working or if they are losing money. Our consulting services at RevWerx can offer the insights you need to see…
