Secret Tips to Improve AR Days in Your Gynecology Billing Services

 

As you are more focused on patient care, the financial aspects of your gynecology practice do not always reach its full potential.

Therefore, all your efforts are not fruitful enough and you cannot enjoy the revenue your practice is supposed to earn.

Poor gynecology billing and coding processes result in piling up accounts receivable that affect the financial and functional stability of your practice.

https://medium.com/@rayan.biswas/secret-tips-to-improve-ar-days-in-your-gynecology-billing-services-610cd85e4974

Crack the Code of Home Health Billing: Optimized Revenue with Experts

 

Home health services are gaining popularity and patient volume, and workload is giving it a cut-throat challenge that the providers are burnt out, care quality is often decreased, and the patient health outcomes are not as expected.

https://medium.com/@rayan.biswas/crack-the-code-of-home-health-billing-optimized-revenue-with-experts-36baea2d7a59

Fearless Nursing Facility Billing: Expert Tricks Exposed

 Patient volume is increasing, there is continuous footfall in your nursing home facility and yet you are struggling with revenue generation.  

Sounds familiar? 

Well, you are not alone! 

Many nursing home facility owners are struggling with the burdening administrative tasks and burned-out healthcare professionals.  

https://www.bheldi.com/blog/nursing-facility-billing-strategy/

Transform Your Home Health Billing Services with Sunknowledge Experts

 

The moving parts of billing, collections and care coordination within the home healthcare space are anything but a simple operation.  

Running a thriving home healthcare agency is full of complex decision-making, and there is always the burden of resource constraints.  

https://sunknowledge.com/transform-your-home-health-billing-services/

A Cheat Sheet to Improve Your Obstetrics Billing Services

 

It seems dwelling in the evolving healthcare industry is becoming more difficult for healthcare providers, doesn’t it?

The intricacies of obstetrics billing can be overwhelming when you try to handle the administrative and clinical responsibilities simultaneously.

https://disqus.com/channel/discussbreakingnews/discussion/channel-discussbreakingnews/a_cheat_sheet_to_improve_your_obstetrics_billing_services/

Avoid Rejected and Denied Claims: Mastering Obstetrics Billing Services

 

Along with increasing financial pressures and skill shortages experienced in 2023, many healthcare facilities are continuing to face maternity services closure in 2024. 

Regulatory changes, volatile economic conditions, and unexpected demand shifts have challenged gynecologists and obstetricians’ practices’ bottom line.     

https://sunknowledge.com/mastering-obstetrics-billing-services/

Transform Your Home Health Billing Services with Sunknowledge Experts

 

The moving parts of billing, collections and care coordination within the home healthcare space are anything but a simple operation.

Running a thriving home healthcare agency is full of complex decision-making, and there is always the burden of resource constraints.

Transform Your Home Health Billing Services with Sunknowledge Experts (uberant.com)

Streamlining Your Nursing Home Billing Accounts Receivable

 

In the current healthcare system, where operating costs are at an all-time high, many nursing home care providers are finding them at the pitfalls of revenue loss.   

While inflation and staffing shortages are definitely contributing to this situation, delayed reimbursements, bad debts and bad collection challenges are also significant factors.   

Streamlining Your Nursing Home Billing Accounts Receivable - Proven Strategies to Overcome Nursing Home Billing Obstacles - Folkd

Optimize Your Nursing Home Billing with Sunknowledge Experts

 

The billing and coding complications are nothing new in the healthcare sphere. On top of that, advancement in technology has brought changes in clinical and administrative protocols with it.    

The high volume of patients and increasing workload are always there, and it’s not possible for you to constantly stay updated with the changing guidelines and regulations. It’s a no brainer that there will be heightened errors in home health billing and coding processes.  

https://sunknowledge.com/optimize-your-nursing-home-billing/

Nursing Home Billing: The Sunknowledge Roadmap to Optimized Reimbursements

 

For the fiscal year 2025, the CMS has made several changes in nursing home billing and coding services.

Nursing homes, skilled nursing facilities, and long-term care facilities are set to face a raft of new compliance and staffing requirements.

The changes are aimed at improving care for elderly Americans. While they are focused on care improvement, they will put a financial burden on the already struggling nursing homes.

https://uberant.com/article/2049977-nursing-home-billing-the-sunknowledge-roadmap-to-optimized-reimbursements-/

Mastering Home Health Billing Services: Optimize Your Revenue

 

Are you struggling with home health billing services?  

 

Well, you are not alone. Providers across the country are suffering with the revenue cycle management due to frequent changes in the billing and coding regulations.  

 

From order management to insurance claim denials, the complexities of home health billing and coding can be overwhelming. This can result in errors, claim denials, and of course staff burnout due to the administrative burden.

https://www.whizolosophy.com/category/overall-health/article-essay/mastering-home-health-billing-services-optimize-your-revenue

Empowering Your Gynecology Billing Services with an Expert Article - ArticleTed - News and Articles

 

Do you know that constantly changing gynecology billing and coding guidelines can impact your practice’s revenue and efficiency?  

To maintain accuracy within gynecology billing services, you must stay updated with the evolving coding regulations and payors’ claim submission norms. 

https://www.articleted.com/article/835825/15799/Empowering-Your-Gynecology-Billing-Services-with-an-Expert

How to Choose a Reliable Home Health Billing Company | by Sunknowledge | Sep, 2024 | Medium

 

Coding and billing for home healthcare services were never easy, and the complications are heightening due to the changing administrative and clinical protocols. You are putting all your hard work…

https://medium.com/@rayan.biswas/how-to-choose-a-reliable-home-health-billing-company-3cf24e1af204

How to Make Gynecology Billing Services Better?

 

Looking to improve your gynecology billing services? Learn how to streamline processes, minimize mistakes, and boost revenue with key steps for optimizing billing performance in gynecology practices.

https://uberant.com/article/2049580-how-to-make-gynecology-billing-services-better-/

Navigating Outstanding Payments with OBGYN Medical Billing Expert - Proven Strategies to Overcome Nursing Home Billing Obstacles - Folkd

In various ways, OBGYN practices are a boon for pregnancy care as it brings together gynecology and obstetrics which are closely connected and support each other. But the downside of this situation brings diverse complexities along with the OBGYN medical billing challenges. In fact, a report sugg...

https://www.folkd.com/entry/45380-navigating-outstanding-payments-with-obgyn-medical-billing-expert/

Addressing Staffing Shortage in Home Health Billing | by Sunknowledge | Sep, 2024 | Medium

Explore solutions to the staffing shortage in home health billing and how agencies can ensure efficiency despite workforce challenges.

https://medium.com/@rayan.biswas/addressing-staffing-shortage-in-home-health-billing-69712da02f77

Unveiling the Secrets of Nursing Home Billing: Things You Should Know

 Nursing homes provide long-term care through support with everyday activities, rehabilitation and medication administration.  

The space is already grappled with staffing challenges and the frequent changes in nursing home billing and coding regulations and guidelines, make it difficult for the providers to sustain and optimize the reimbursements.  

This blog will give you a brief idea about the intricacies of nursing home billing and coding processes to help you navigate through the complex maze of healthcare revenue cycle management.  

Nursing Home Billing Statements 

Most nursing homes bill the resident (or the resident's legal representative) on a monthly basis for the care they provide.  

The details of your contract should specify how often bills are sent. The cost of supplementary services may be included in the nursing home bill in addition to the standard rates. 

It's critical to understand the distinction. The complexity of care, the extent of services, the kind of room (private or semi-private), and other facilities will all have an impact on the nursing home billing rate. 

The timely submission of these monthly claims is required after a resident's:  

• Release  
• The end of their benefit tenure  
• Drop of the nursing home facility 

In compliance with CMS regulations, the claims processing system must suitably track the benefit length when a patient's or resident's benefits are depleted. 

The billing cycle for nursing homes and the duration of all services rendered to residents should be as specific as feasible.  

A prorated payment for the month of admission (the number of days spent at the facility multiplied by the room and board rate) should appear on the first billing statement, assuming the resident did not check into the healthcare center on the first day of the billing cycle. 

In addition, a "pre-bill" for the following month's expenses is often included in nursing home invoices; once more, many states charge a tax on the entire bill amount. After deducting any Medicare/Medicaid, health insurance, and/or long-term care insurance payments, the resident will owe the remaining sum shown in these numbers. 

Tips for Effective Nursing Home Billing 

Accounting staff and administrators of skilled nursing facilities need to make sure that their nursing home billing process is proper in order to avoid fines.  

For long-term care facilities, the HHS offers billing guidance that includes the following points to remember: 

• Use days do not include a patient's or resident's date of discharge, death, or the beginning of a Leave of Absence (LOA). 
• If a Medicare beneficiary is released from treatment and returns before midnight on the same day, Medicare does not take that discharge into account. 
• The assessment that is submitted to and approved by the state in which the long-term care facility is situated must match the Health Insurance Prospective Payment System (HIPPS) rate number that appears on a claim. 

Outsourcing: The Time-Honored but Best Solution Ever! 

Nursing homes can increase revenue by optimizing and enhancing the billing process for skilled nursing facilities.  

Nursing home administrators can make sure their facilities can optimize payments for the services they provide when they are aware of and appropriately apply their nursing home billing criteria.  

This can be a laborious and complex process that requires familiarity with insurance plans, payment methods, and billing rules and regulations. By outsourcing revenue cycle management services to a reliable organization, these problems can be resolved.  

Additionally, it enables nursing homes to maintain adherence to standards that are always changing, freeing up staff members to concentrate on patient care. If skilled care homes want to improve their billing procedures and general financial health, they should give outsourcing significant consideration. 

Secret Tips to Improve Your Obstetrics and Gynecology Billing

Boost OBGYN billing with Sunknowledge, ensuring accurate coding, compliance, and maximized reimbursements.

https://sunknowledge.com/secret-tips-to-improve-your-obstetrics-and-gynecology-billing/

Crooked Home Health Billing is Eating Your Revenue: Here is How | by Sunknowledge | Sep, 2024 | Medium

Discover how crooked home health billing drains your revenue and learn effective strategies to protect your practice from financial losses.

https://medium.com/@rayan.biswas/crooked-home-health-billing-is-eating-your-revenue-15a6ebfe209a

Are You Measuring the Right Metrics in Nursing Home Billing?

Looking to tune up revenue for your nursing home? Focusing on collections, managing denials, and increasing clean claim rates are good places to start.   

 

Also, investigate the key performance indicators of your practice to have a vivid idea about the financial and functional performance of your nursing home.   

 

In this blog, we have discussed the most important key performance indicators in nursing home billing to help you with finding the best possible strategy to optimize your practice’s revenue.  

KPIs in Nursing Home Billing

 

1. Days in AR: Days in the accounts receivable bucket is a significant indicator of your nursing home billing performance. The higher the number of the turnaround time of your reimbursements, the more concerning it is.   

 

Usually, the turnaround time of a reimbursement should be 33 days. An AR bucket older than 45 days is a warning sign for your nursing home facility. It is time you should rethink your revenue cycle management strategy.   

 

2. Clean claim ratio (CCR): The percentage of clean claims, or claims paid at first submission, is known as the first-pass ratio. A clean claim is one that has never been denied, has never had an avoidable denial, has never been submitted more than once, and is error-free.   

 

You should determine your claim handling ratio (CCR), estimate the time required to rework rejected claims and identify the reasons behind claim denials because clean claims result in faster payment. The CCR for most procedures is between 70% and 85%. If your CCR is more than 90% or 95%, your RCM plan is working.  

 

3. Net collection ratio: It is the portion of the total reimbursement that has been collected that has been allotted. This measure is the ultimate gauge of successful collections since it shows how efficiently the revenue cycle operates.   

 

Net collections, as opposed to gross charges, show what your practice might reasonably anticipate receiving back in reimbursement. It illustrates how revenue is impacted by denial rates, unpaid visits, and other variables.

 Nursing home billing and coding is an intricate process, and a minor mistake can lead you to claim denials and revenue leakage.   

 

By measuring these metrics, you can gain insight into your practice’s revenue cycle management and identify the loopholes within the same.   

 

However, as easy as it sounds, identifying and analyzing the metrics of your practice demands a significant amount of time and other resources.   

 

Expert help is a better choice!  

Sunknowledge-Your Trusted Partner in Nursing Home Billing  

As the industry is evolving, more providers and healthcare facilities are turning to reliable outsourced partners who can eliminate all the challenges in revenue cycle management.   

 

Sunknowledge Services Inc., with its versatility and team of experts, has been providing revenue cycle management solutions to providers across the country.   

 

With the industry's best practices and cutting-edge technology of Sunknowledge you will never bleed revenue again!  

 

Their real-time, dedicated experts work consistently as an extension of your facility’s operations. From patient scheduling to payment collection and posting, they can provide you with an end-to-end service.   

 

A genuine RCM partner like Sunknowledge, not only boosts the efficiency and productivity of your practice but also sustains your practice’s financial and functional well-being of your facility.