If you would like to share your RCM best practices, please email Carrie Pallardy at cpallardy@beckershealthcare.com to be featured in the “RCM tip of the day” series.
Patrick Doyle, Vice President, Newport Credentialing Solutions: Provider enrollment issues continue to plague hospitals as back office staff struggle to stay on top of provider enrollment and maintenance. Rather than hiring additional staff to manage the process, many believe it is cheaper and easier to simply write off claim denials caused by provider enrollment issues. As a result, revenue is negatively impacted. While credentialing and provider enrollment software have come a long way and can help ease the burden on staff, the technology still requires oversight. For larger provider networks, it is not always possible to have someone monitor and manage the process. As a result, outsource credentialing services partners are growing in popularity. In addition to freeing back-office staff to focus on other revenue priorities, they offer a deep understanding of the complex provider enrollment and payer industries which is essential to ensuring successful claims collection.
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RCM tip of the day: Don’t forget about the front-end
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