RCM Consultants - Medical Billing Marketing, RCM Automation, Data, and AI.

If this is such a quantifiably large problem, why are so few organizations doing charge reconciliation to find all the missing encounters? Let's walk through the issues so we can set them up to be solved. Then an those claims can be billed.

What is scope creep? Why does it occur? What can you do to mitigate it? These are difficult questions when it comes to analysis and software development. We'll talk through some of these issues.

Ever feel like not everything is getting billed but just can't put your finger on the problem? This can be complex, especially because no one may know how to quantify the problem. Listen to hear about charge reconciliation.

Billing companies are often forced to use many practice management or EMR systems in order to do billing, but this poses some huge challenges in data, reporting, and analytics.

Why are custom reports needed so often and yet few get them? Big systems are notorious for not charging a ton of money for every module, feature, and report. Listen to hear our thoughts on this.

If AR aging buckets isn't the best way, what should medical billing teams do to prioritize and work claims most efficiently? Listen to find out.

This is one of the most common tools used in medical billing and yet it has limited use and lots of issues. We'll examining some factors involved and discuss what is better.

Sometimes we have problems with our data and it's because we made good data into bad data. Listen to find out about what we found in the operational workflow when we were automating charge reconciliation for a medical billing company.

How is it possible that you can have more than a 100% patient net collection rate in medical billing? Listen to find out how this sometimes happens, what it means, and what you need to do to address the problem.

What is patient net collection rate in medical billing? How do you calculate it? What is a good performance level to achieve? What are some tips and nuances in this arena?

Sick of promises that aren't kept? Vague statements that seem to answer the question but don't really commit to anything in medical billing, software, or RCM vendors? Here are some detailed methods to make sure you end up with the result you want.

In a prior podcast we talked about healthcare vendors, employees, and software companies that make vague promises or try to make things look great without much substance. Here is the meat on how to dig in and get the answers you want to evaluate how real it is.

Vendor promising something that you want? Trying to figure out if you will get results or just a headache and a hole in your wallet? How can you distinguish fact from fantasy or deception? Software, billing, reporting...this happens everywhere. Listen to hear what to do.

Why are there so many fields you can't report from healthcare revenue cycle management systems (practice management systems, medical billing systems, HIS, RIS, LIS, etc.)? Don't you want this information?

Why do economies of scale matter so much in medical billing when it comes to hard to collect claims? Shouldn't it just be that it is a question of hard work, being detailed and thorough, and having good billers?

There are not a lot of free lunches out there, but saved reports are one of the most important in healthcare revenue cycle management and medical practice management.

Looking at the spreadsheet calculating net collection, medical billing performance, and accounts receivable balance, we found massive problems. Don't make these mistakes like they did.

Missing money? What specifically needs to be done in order to reconcile medical billing collections to deposits in the bank account? Here is the detail.

What's the #1 fake metric or KPI in revenue cycle management / medical billing? Listen in to find out.

If someone in your organization is billing something incorrectly, whether accidentally or intentionally, you may face huge legal and financial consequences. In this podcast were show one simple way to check compliance using data.

Have you ever tried matching bank deposits to a collections report? Bet it didn't line up. Now what? What are the problems that can lead to significant mismatches? We'll talk about why bank reconciliation is so important to stem losses.

Certain issues like understanding how your system stores data is critical. Especially whether data is overwritten or stored as a separate record. There is often a problem that prevents a lot of analysis, i.e. you can't get the answer to your question. What is a "state change" in your medical billing software, what does it mean for you, and how can you deal with it to get your questions answered wi...

Isn't it simple - just run a "charge report"? But what if the question you are trying to answer is not the same as your colleague? How many different types of medical billing charge reports are there and what are their purpose? What should be in them and how should you quality control them? This is way more complex than most people realize if you want to do it well.

Once again Medicare For All has resurfaced since Democrats have taken control of the White House. In this non-partisan discussion we look at whether this is a sound financial policy.

Medical claim denials contain information from insurance companies. Are they telling the truth? Listen in to find out as we analyze the data to find the truth.