Category Archives: News

How Health Information Management Can Optimize Your Healthcare Company

HIM can optimize your healthcare company by improving patient care and the overall well-being of your facility.

Health Information Management (HIM) is a vital part of any healthcare system and has a direct impact on both a healthcare facility and its patients. Learn how HIM can optimize your healthcare company by improving patient care and the overall well-being of your facility, including ensuring proper patient service revenue.

The Correlation Between Health Information Management And Patient Care

Health Information Management plays a huge role in a patient’s experience at your healthcare facility and beyond by ensuring that best and most-up-to-date patient information is always available and accurate.

Mismanagement of health information can impact a patient’s

  • Follow?-up care – The patient might not get the essential care needed for his/her specific condition.
  • Coding & Billing – Improper coding can lead to a claim denial and incorrect billing.
  • Future care with other providers – Other healthcare providers need accurate Health information in order to properly treat a patient down the road.

Essentially, proper Health Information Management is vital to the patient’s experience with your healthcare facility from start to finish and can help create loyal patients.

The Impact Of HIM On Healthcare Facilities

When Health Information Management is done right:

  • Your facility no longer runs the risk of data loss, which protects data integrity and confidentiality, while ensuring security.
  • All providers, including those outside of your facility caring for any of your patients, have the most accurate and up-to-date patient information.
  • Patient procedures will be coded right the first time, which leads to correct billing, which positively impacts your patient service revenue.
  • Your facility will be in compliance with government regulations regarding patient information and security.
  • There is little risk of miscommunication between:
    • Your facility and your patients
    • Your patients and other healthcare providers
    • Your facility and other healthcare providers

Why Hire A Health Information Management Professional

By now it should be clear that HIM is vital to a successful healthcare facility. But, is it really necessary to hire an HIM professional? Actually, yes, it is.

According to The American Health Information Management Association, HIM professionals are vital to the daily operational management of health information and electronic health records. Their knowledge of both the clinical and reimbursement sides of healthcare combined with their unique skill set allows them to help bridge the information gap for patients and all of their healthcare providers. And, most importantly, Health Information Management professionals can ensure that a patient’s health information is always complete, accurate, and protected.

And, in the long run, because HIM involves medical coding, billing, and ensuring compliance with government regulations, an HIM professional can keep your healthcare facility optimized ensuring you are getting properly paid for the services you provide.

Health Information Management truly is a win-win for both your facility as well as your patients.

Find The Right Person Today!

If you are struggling to find the right person to take charge of your Health Information Management efforts, the Nearterm team can help. We understand how important proper Health Information Management is to your facility, and our team of highly qualified experts can get your HIM efforts in shape in no time. To learn more, give us a call at (281) 646-1330 or take our Interactive Survey.

Posted By: nearterm-admin

Revenue Cycle Manager EMS Services

JOB ID: EB-1749550290

Location: Florida

 

The sky’s the limit in terms of our client’s opportunities as well as personal/professional growth.

The Revenue Cycle Manager EMS Services will be responsible for the daily oversight, management, and direction of all phases of our client’s accounts receivable operation.

Duties of the Revenue Cycle Manager will include, but not be limited to the following:

  • Continuous staff improvement through education, training, and positive enforcement of appropriate best practices will also be critical to ensure performance goals are achieved which include cash collections and A/R days
  • Coordinate daily activities related to the planning, implementation, and maintenance of all functions pertinent to the business office which include billing, coding, collections, cash posting, denials management, and customer service
  • Review and maintain internal controls to ensure timely and accurate billing to third party carriers
  • Monitor daily cash flow and maintain days in accounts receivable at industry standards
  • Prepare report summaries
  • Function as a key member of the revenue cycle leadership team to support and execute critical initiatives
  • Responsible for developing and maintaining positive relationships with key stakeholders including but not limited to Finance, Corporate Compliance, IT, Operations Excellence, and the Senior Leadership team

Qualifications:

  • Bachelor’s degree in healthcare or related business field
  • Minimum 3-5 years of  revenue cycle management experience
  • Bilingual in Spanish preferred
  • Strong leadership skills

APPLY NOW

If you are a leader with the credentials, energy and experience to work with our client……………………

Please send your resume in Word or PDF format to: [email protected]. Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: Revenue Cycle Director EMS Services (EB-1749550290)

 

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Posted By: nearterm-admin

How The 2020 Budget Proposal Will Impact Healthcare

The new budget proposal consists of drastic cuts to Medicare and Medicaid.

How Will Hospitals Survive In Tomorrow’s Healthcare?

The 2020 budget proposal has a lot of people talking, and not in a good way. This is mainly because if this new budget proposal is passed, it would cut $2.7 trillion over the next decade from many important Health and Human Services programs, including Medicare and Medicaid. Learn how these proposed budget cuts may impact healthcare systems and patients if passed.

The 2020 Budget Proposal

The 2020 budget proposal includes the following actions:

How The 2020 Budget Proposal Will Impact Hospitals And Healthcare Facilities

While curbing the rising price of prescription drugs and increasing funding for pediatric cancer research are both great aspects of this new proposal, the other cuts of the 2020 budget proposal still have many worried, especially healthcare systems.

Essentially, the budget proposal will drastically cut compensation for treating patients who can’t afford medical services for hospitals and other service providers, like teaching hospitals and outpatient departments.  

According to the Federation of American Hospitals, these “massive reductions would drastically reduce resources critical to care for low-income Americans and cripple efforts to stave off the looming physician shortage.”

The president of the Federation of American Hospitals, Chip Kahn stated the following in response to the 2020 budget proposal, “The impact on care for seniors would be devastating.”

How The 2020 Budget Proposal Will Impact Patients

Medicare is a critical program for senior citizens that, sadly, many of them spent their entire lives paying into. So, the fact that this new budget proposal wants to cut Medicare funding by $800 billion and make seniors jump through hoops to get prior approvals for the medical services they need, is such a disservice to this population. It’s going to make it a lot harder for seniors to get the care they need and, quite possibly, make their medical services more expensive, which will definitely add financial stress to to this population, many of which most live on a fixed income.

The impact to those on Medicaid will be detrimental as well and affect over 60 million people. Additionally, the work requirement for low-income people who get their health insurance through Medicaid will cause so many people to use their coverage. The Kaiser Family Foundation estimates that 1.4 million to 4 million people could lose their Medicaid coverage if this budget proposal goes into effect.

It will also have a major negative impact on the disabled population, many of which rely on Medicaid. This includes family caregivers of parents or younger relatives with disabilities.

Find The Right Person Today!

The possibility of these drastic health care cuts makes optimizing your health system’s revenue cycle more important than ever. If you are struggling to find the right person to lead your revenue cycle management efforts, Nearterm can help. Give us a call at (281) 646-1330 or take our Interactive Survey.

Posted By: nearterm-admin

What Makes A Good RCM Leader

A good RCM leader must have a deep understanding of financial management.

Whether the job entails leading the revenue cycle management efforts for a clinic, hospital, or an entire health system, there are many aspects and responsibilities to the role of a RCM leader. Therefore, it is essential that a revenue cycle management leader possess certain individual qualities, have a very specialized skill set, and produce specific results while in the role.

The Expanding Role Of RCM Leaders

According to Becker’s Hospital Review, the role of a “revenue cycle management leader is evolving to encompass far more than billing and collections.” In fact, in order to be successful, someone in a RCM leadership role must take on a “much broader view” of the revenue cycle, including strategy and training other employees and departments. Becker’s further assets that “RCM leaders now have a more tangible impact on the hospital or health system’s financial and market success.”

Because of the expansion of the revenue cycle management role, the levels of these positions are also becoming more senior level in order to attract the best talent. Nowadays, it is quite common for hospitals and health systems to be on the search for RCM executives, like a VP of Revenue Cycle or a Chief Finance Officer.

The Qualities A CRM Leader Should Possess

Because the role of a revenue cycle management leader is so complex and moving toward a more executive level, a person in this position should possess certain personal and professional qualities, including:

  • A strong desire to succeed
  • Ambition
  • Accountability
  • Innovation
  • The ability to problem solve quickly
  • The capability to make important decisions and implement actions under pressure
  • Extraordinary communication skills
  • Resourcefulness
  • The ability to not only manage employees and departments, but the capacity to train and mentor others as well

The Skill Set Of A RCM Leader

In order to be successful in the role, a RCM executive should also possess a certain skill set and be knowledgeable about many different aspects of a health system. According to Becker’s, some of the important skills and knowledge a RCM executive must possess include:

  • Subject matter expertise in the realms of medical billing, collections, regulatory standards, and insurance
  • A proactive approach to dealing with insurance (including high deductible plans and managed care contracting) and the ability to anticipate the different problems that may arise with a patient’s coverage
  • An understanding of the complex patient registration process and the desire to improve it
  • A keen attention to detail to ensure all coding is accurate and submitted properly
  • Expertise with different health care billing, technology, IT, and any other systems necessary for the RCM role
  • Strong financial analysis skills
  • A deep understanding of financial management
  • Excellent leadership skills and the desire to train and educate others as well as enforce the new systems and protocols put into place
  • Strong communication skills and the ability to work and collaborate with other hospital employees and departments.

The Results A RCM Executive Should Produce

At the end of the day, in order to be successful, a revenue cycle management leader must produce specific results for a hospital or health system. These results include, but are not limited to the following:

  • Improvement of patient billing and collecting processes
  • Increased revenue and/or cash flow
  • Security of PHI and patient financial information
  • Improved accuracy of patient coding
  • Improved patient/customer satisfaction with financial services
  • Reduced operating cost
  • Increased productivity
  • Reduction of bad debt

Find The Right Person Today!

If you are struggling to find the right person to lead your revenue cycle management efforts, Nearterm can help. Give us a call at (281) 646-1330 or take our Interactive Survey.

Posted By: nearterm-admin
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