Health Information Management (HIM) is challenged since the Affordable Care Act, the implementation of ICD 10, Value Based Purchasing initiatives, and MACRA, and it is imperative that the hospital’s leadership invests in a robust revenue cycle team.
HIM has many challenges they are facing including:
Billing and Claims management: It is imperative that leadership address reducing denials and rejected claims. Provide training to staff on denial management processes, point-of-service collections and decreasing the days in patient billing resulting in improved revenue cycle reimbursements/productivity
HQM Consulting can provide an audit and assessment of your coding team to assess:
HQM Consulting will collaborate with executive leadership to design a targeted plan that is going to systematically drill down in the revenue cycle process, from the front end to billing and claims management to dashboard reporting.
Healthcare Quality Metrics