Grant funding for FQHCs has dropped from 38% of total revenue in 2010 to just 11% in 2024, which means patient service revenue has to make up the difference. We're covering how to strengthen your RCM so it is ready to fill in the funding gaps https://t.co/9puziBJ2Jq
Community Health Centers are on the front lines of preventing and managing chronic disease.
In 2024:
π3.5M patients received diabetes care
π6.2M were treated for hypertension
π10M received obesity care
We are honored to support these amazing organizations nationwide!
#NHCW26
Providers assume their notes are sufficient. Billers assume if a claim was submitted, the documentation must have been adequate. These assumptions create documentation gaps. This blog covers what leadership can do to close these gaps before they compound https://t.co/GXCliaZp0R
From the archives: You can't improve what you're not measuring. Benchmarking your revenue cycle performance is one of the most practical ways to identify where your organization is losing revenue and where your team is already excelling. https://t.co/aDgpWHaqUn
Mid-year is one of the most common times for healthcare organizations to reach out to us because they see red flags in their billing. The good news? There's still time to course-correct before the second half of the year gets away from you! Let's connect https://t.co/0WyppSHaTN
Your billing team are often some of the hardest working people in your organization. But when capacity becomes a problem, your team might need more support. Here's what to look for and how to support your team before small gaps become bigg problems: https://t.co/ZR46vs70LO
documentation and coding requirements
β‘οΈ Payer rule tracking by specialty: Payers apply different rules depending on service type. Tracking differences by specialty prevents denials
β‘οΈ Consistent reporting across service lines: Workflows may vary, performance metrics shouldn't
Group practices and multispecialty organizations face a revenue cycle challenge single-specialty practices often don't.
A flexible approach for multispecialty organizations typically includes:
β‘οΈ Service line-specific workflows: Billing processes that account for the unique
Every specialty has its own billing rules, and the nuances between them are where your hard-earned revenue gets lost. Swipe through to see where specialty billing tends to get complicated, and what it takes to stay on top of it.
Working denials is πΈπΈ Here are three places denial prevention can create impact:
β‘οΈ Coding and documentation alignment: Many denials come from a mismatch between what was documented vs. coded. Communication between clinical and billing staff reduces this before claims go out
β‘οΈ Authorization tracking: Missing or expired authorizations are among the most preventable denial types. Reliable tracking process protect revenue
β‘οΈ Payer-specific billing rules: Payers apply their own rules and those rules change. Monitoring these changes give you cleaner
Want to improve revenue now? Pick one insight and act
Clean claim rate drifting down? Audit one provider's documentation.
Days in AR creeping up? Work the payer sitting heaviest in your 60-day bucket.
Denial rate rising? Pull the top reason code and find where it's coming from.
Outsourcing is a big decision and signing with the wrong company is an expensive lesson. We put together a guide walking through 5 questions worth asking before you commit plus a bonus section for FQHCs navigating the additional complexity of PPS billing https://t.co/UMuAnqaUGe
started.
Four numbers worth pulling right now:
β Clean claim rate
β Denial rate trend
β Days in AR
β Payer mix shifts
Ten minutes with these four numbers gives you a clearer picture of what Q3 actually needs. Follow us for more practical tips on maximizing your revenue!
Most healthcare organizations enter Q3 reacting to whatever their revenue cycle looks like for July, but the ones that navigate Q3 the best (and even turn it into their most profitable quarter to date!) made one decision in June: they looked at their data before the new quarter
In our latest blog, we put together a practical breakdown of where credentialing delays come from, what they actually cost, and how organizations that treat credentialing as a revenue strategy close that gap faster.
Check it out: https://t.co/m7stHkqa00
Summer schedules have a way of sneaking up on billing teams. PTO requests stack up, coverage gets thin, and follow-up tasks that normally move quickly start sitting longer than they should. If you're facing staffing challenges, check out our free guide: https://t.co/Fqi6IiqfM6
Before summer schedules shift, map your follow-up coverage. Flag active denials, filing deadlines, high-balance claims in follow-up, and make sure someone owns each task when your primary staff are out. If you need expert help to cover gaps, let's talk: https://t.co/7QmxjNIU76