CFO & COO Share Two Critical Revenue Cycle Management Lessons

Heather Chartier, MS, RHIA, CCA Revenue Cycle Leave a Comment

Leaders at Carolina Community Health share their experiences on outsourcing revenue cycle management processes to ensure the success of the organization.   Among the top concerns for chief financial officers (CFOs) and vice presidents (VPs) of revenue cycle these days are labor shortages, increasing costs, insufficient capacity causing care delays, and recession....

3 Ways to See Outsourcing in a New Light for Executives to Promote a Healthy Workforce

Heather Chartier, MS, RHIA, CCA Outsourcing Leave a Comment

We don’t live in a bubble. We are a globalized economy. Until artificial intelligence has total capability in healthcare, the human touch is what sets us apart from just carrying out a set of functions efficiently. Since the COVID-19 pandemic landed, it has had an unprecedented impact on most countries, and an already taxed U.S. health system regarding mental health and...

Save Time & Money: 4 Actionable Solutions for Hospitals’ Coder Shortages

Heather Chartier, MS, RHIA, CCA Outsourcing 1 Comment

Joining the ranks of physician and nursing shortages is a medical coder shortage of unprecedented heights. Hospitals need to quickly alleviate this problem or risk losing thousands of dollars in unbilled charges. Here’s a look at four actionable solutions to the coder shortage gap in hospitals. First, why is there a coder shortage? Sickness running rampant throughout an...

Retirement Looms for 3.5 Million Retirees; How H.I.M. Directors deal?

Heather Chartier, MS, RHIA, CCA Revenue Cycle Leave a Comment

According to a Pew Research Center analysis, retirement looms for 3.5 million retirees over the next year, including the most recent labor force data.1 Many organizations face this worrisome predicament, yet many health information management departments struggle with being proactive in their planning efforts. This week's blog post asked three healthcare industry leaders...

Considering Outsourced Services? Choose Wisely

Heather Chartier, MS, RHIA, CCA Revenue Cycle Leave a Comment

Summary   As the world of healthcare becomes more complex, healthcare executives are searching for ways to curb costs quickly and substantially while remaining competitive and profitable. Outsourcing is one way to reduce inefficiencies and eliminate redundancy. Let's explore some of the pain points health systems and hospitals face along with the pros and cons of using...

National Cancer Registrars Association Outsourcing and Perception Survey Report

Maddie Tein NCRA Leave a Comment

The National Cancer Registrars Association (NCRA) has released a 2020 report on their Outsourcing and Perception Survey which was conducted and analyzed by Association Research, Inc. Click HERE to see the survey report in totality.   The study explains in greater detail industry perceptions of cancer registry outsourcing and sheds light on the ramifications of...

Due Diligence: 2 Ways Outsourcing Medical Coding Helps Your Hospital

C. Matheson, RHIA, CCS Outsourcing Leave a Comment

  One of the key trends to emerge from last month’s JP Morgan Healthcare Conference was the shifting mindsets of hospitals. For the last decade, hospitals have had a defensive mindset; acquiring or merging with smaller hospitals and physician practices to outpace their competitors and grow top line revenue. But to receive the full payoff of this consolidation, hospitals...

Understanding the Difference: Swan-Ganz Catheterization vs. Right Heart Catheterization

Cathie Wilde, RHIA, CCS - Director, Coding Services IR/Catheters Leave a Comment

Let’s first look at what a Swan-Ganz Catheterization is and how the procedure is performed. The Swan-Ganz catheter is synonymous with a pulmonary artery catheterization. It was named in honor of its inventors who were Jeremy Swan and William Ganz from Cedars-Sinai Medical Center in 1970. It is a flow-directed catheter with a balloon tip that is inserted via an internal...

Documentation Management in Support of the Electronic Health Record

C. Matheson, RHIA, CCS Outsourcing Leave a Comment

Electronic Health Records (EHRs) continue to change the landscape of healthcare.  Although the technology and workflow of electronic documentation seems to make paper documents obsolete, a hybrid medical record exists in many healthcare settings.  Organizations need to determine which paper documents to include with the EHR, access to that documentation and when to...

Insight into Coding Diabetic Eye Conditions

C. Matheson, RHIA, CCS Outsourcing Leave a Comment

  There are a variety of conditions that can impact individuals with diabetes.  People with diabetes are at greater risk for developing eye problems that could lead to blindness or serious deterioration of sight.  Age also plays a role in the progression of eye disease in individuals with diabetes.  Cataracts, glaucoma and retinopathy are the most common eye diseases that...

Bringing Awareness to Kidney Cancer

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Auditing Leave a Comment

March is kidney cancer awareness month. So what is the role of our kidneys? The kidneys are bean shaped organs located on each side of the mid back. The kidneys are retroperitoneal organs that lie behind the peritoneum that lines the abdominal cavity. The main function of the kidneys are to filter the blood and get rid of excess water and waste in the urine. However, did...

The Evolving Landscape for Health Information Management

C. Matheson, RHIA, CCS Outsourcing Leave a Comment

What are the most significant challenges for Health Information Management (HIM) departments?  One of the challenges in 2016 includes the disappearing HIM department; physical downsizing as well as workforce downsizing.  With the workforce downsizing we see technology impacting traditional roles for transcriptionists, documentation specialists and coders. HIM...

The Principal Diagnosis Effect

Cathie Wilde, RHIA, CCS - Director, Coding Services Outsourcing Leave a Comment

A sixty-nine year old male is admitted with severe abdominal pain and is found to have diverticulitis. He undergoes an open sigmoidectomy with pathology report revealing a peridiverticular abscess. The patient has other secondary conditions such as COPD, hypertension, Stage II chronic kidney disease, hypothyroidism and GERD. The coder codes K57.32 for the diverticulitis...

ICD-10-PCS Coding For Venous Access Lines and Catheters

C. Matheson, RHIA, CCS IR/Catheters Leave a Comment

One challenging coding area with the ICD-10 transition is the coding of venous and arterial lines and catheters. This article aims to provide greater clarity with regard to procedure coding tips for coding of venous catheters. Types of Lines: Central Lines- (CVC)- Central Venous Catheter or central lines are inserted into large veins, typically the jugular, subclavian,...

Cost, Efficiency And Expertise Challenges For Health Information Management Today And In the Future

C. Matheson, RHIA, CCS Outsourcing Leave a Comment

The Growth In HIM Roles In just 10 short years, the times have changed and with those changes the challenges facing today’s healthcare organizations are impacted by the speed of technology and continued decreasing revenue margins. When we think back to Health Information Management (HIM) Departments a decade ago, we were focused on managing a medical record that was...

Top 10 Best Practices for Outsourcing Coding Services

C. Matheson, RHIA, CCS Outsourcing 1 Comment

Medical Coding Outsourcing We live in a constantly expanding environment for outsourcing services, and the coding and health information industry is no stranger to outsourcing. Whether it is full department outsourcing, hand-picked silos of outsourcing for specific hard to fill or hard to train services or outsourcing to augment your current staff, utilizing contract...

Shared Risk: 3 HIM Challenges and Solutions

Charlie Saponaro - CEO Outsourcing Leave a Comment

In a previous post, I discussed the healthcare industry’s transition from a volume-based reimbursement system toward a model that is quality driven.  How can organizations ensure that they’ll succeed in this increasingly pay-for-performance environment? One way is to explore shared-risk contracts in non-revenue generating areas of the hospital.  shared risk model allows...

Why Shared Risk Vendor Partnerships Are Good For HIM

Charlie Saponaro - CEO Outsourcing Leave a Comment

In today’s value-based healthcare marketplace, pay-for-performance initiatives are everywhere you look. There’s the CMS Hospital Value-Based Purchasing program, the Physician Quality Reporting Program, public quality reporting websites (e.g., HealthGrades® and Hospital Compare), the proliferation of Accountable Care Organizations (ACO) nationwide, and Meaningful Use....

Working with an HIM Recruiter: Communication and respect are key

C. Matheson, RHIA, CCS Outsourcing Leave a Comment

As one of MRA’s new recruiting specialists, I wanted to take this opportunity to introduce myself and share some information about my experience in the HIM profession. With 15 years of recruiting experience, I’m thrilled to be a part of MRA’s team. It’s a pleasure to recruit for HIM positions. HIM professionals are very enthusiastic about the work they perform. HIM is a...

HIM Outsourcing—When is it a Good Idea?

Charlie Saponaro - CEO Revenue Cycle 1 Comment

HIM Outsourcing Our industry’s transition to EHRs has opened new doors for health information management (HIM). HIM’s operational areas have become more specialized than ever. The result? Many healthcare executives are now able to reduce expenses, reallocate staff and free up space through centralization and remote workers. According to a recent HealthLeaders CFO Forum,...

Sign Up For MRA Blog Updates!

Recent Posts