White Papers
No Surprises Act: Updates, Overview and Compliance Tips for 2023
Providers have not yet experienced the full impact of the No Surprises Act which took effect Jan. 1, 2022. Industry pushback has been fierce, especially from behavioral health providers who find it frustrating to determine an expected length of treatment to provide the required Good Faith Estimate of treatment costs.
Closing the Gap on Patient Collections
Obtaining bills and making payments online ranks high in patient preferences. Engagement is further enhanced through user-friendly access to patient portals, kiosks, and provider apps. For the behavioral healthcare provider, the use of technology and integrated business workflow touch points can be quite effective in closing the gap on patient collections.
Managing Revenue as an Out-of-Network Provider
Out-of-network providers have unique flexibility in terms of treatment and payment options, but the lack of a predictable income stream can bring some uncertainty whether reimbursement from the payer will be received. Several out-of-network providers have used unique market positioning to enter into contract arrangements that forgo constant payment negotiation.
Improving Billing and Collection Realization Rates with Proper Revenue Cycle Support
Claims are denied for valid reasons: missing information, incorrect patient data, duplicate claims submission, services not being covered by the payors, or beneficiaries not being eligible for services. There are many benefits to using a Revenue Cycle Management (RCM) partner who will help focus on collecting, organizing, and ensuring data accuracy.
How to Turn a SUD Facility into a Thriving Mental Health Program
Offering more services translates into more patients staying within the facility and a subsequent expansion of profit margins through more beds filled and an increase in charge volumes. A facility that can benefit tremendously from expanded services is the Substance Use Disorder (SUD) facility. There are many decisions required to be successful.
Utilization Review and Addiction Therapy Modalities
Utilization Review (UR) is critical to manage quality and cost of care. A legal requirement for participation in federal healthcare programs, it’s also crucial for preventing claim denials, keeping track of coverage rules/regulations, and preventing the misuse, or overutilization, of services. A revenue cycle management company can make a difference in reimbursement rates.