Hayes' Healthcare Blog

5 Tips for a Consumer Friendly Front Desk

Posted by Cynthia Ethier on December 13, 2017 at 9:00 AM

With an industry push toward healthcare consumerism, the economic purchasing power and decision-making is shifting into the hands of patients. Patients are now becoming more educated and involved in shopping around for healthcare and they must consider all options and choices for quality and cost.

A patient-centric workflow that focuses on the needs and desires of patients and leverages service quality will resonate with wise healthcare consumers. Combining a patient-centric workflow and a friendly, efficient front desk is the best way to deliver an optimal experience to your patients. Here are five steps that can help enhance the patient experience at the front desk.

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Topics: healthcare customer service, revenue cycle

Improving your Clean Claim Rate: 5 Areas to Focus On

Posted by Dion Giordano on November 29, 2017 at 9:00 AM

With today’s ever-increasing squeeze on healthcare organizations’ bottom lines, the quality and performance of a billing department is vital to its operating margin. What’s more, the billing department’s clean claim rate is a critical factor to help achieve budgeted operating margins. 

A clean claim is a claim that was accurately processed and reimbursed the first time it was submitted to the payer, without error, rejection, and manual intervention. Industry best practice for first pass clean claim rate is 90% or above which can be understandably difficult considering how many claims an organization processes everyday but not impossible if the billing department is optimized.

Here are some areas of your billing department you should examine when wanting to improve your organization’s clean claim rate. These will not only make your processes more efficient but also ensure your organization hits the best practice percentages that ultimately help your bottom line.

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Topics: decreasing claims denials, healthcare revenue cycle improvement, revenue cycle

The Sound of Project Success: Orchestrating the Noise into a Symphony

Posted by Susan Eilman on March 16, 2016 at 10:00 AM

If you’re like most organizations, you’re probably neck deep in this year’s projects already and are so busy that’s it tough to achieve your goals in a day, a week, or even in a month. On one hand, time is of the essence, deadlines must be met, and you want to do an outstanding job, but you just can’t do everything yourself and may need help in driving your goals to a successful outcome. While there is stress, there are some days when everything is going smoothly, you are on top of your game, and knocking things off your to-do list. On the other hand, it’s inevitable to have days that seem like nothing gets done and the number of tasks continues to grow. So how do you convert the noise into success?

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Topics: project management, revenue cycle

5 Key Metrics You Will Want to Monitor During PM System Implementations

Posted by Kathryn Williamson on August 19, 2015 at 9:00 AM

Practice Management Systems are evolving constantly in response to regulatory changes in healthcare and improvements in technology. It is not uncommon for organizations to rush into the purchasing of a new system thinking it will be an immediate fix to a number problems they might be currently experiencing—from workflow to revenue issues. Sometimes organizations may find out after the fact that their issues stem from business management inefficiencies, workflow inefficiencies, or a lack of monitoring of key revenue data. Are you planning on implementing a new practice management system?

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Topics: revenue cycle, system implementation, revenue cycle optimization, healthcare technology, practice management systems

Toggling Between ICD-9 and ICD-10, What You Need to Know

Posted by Anita Archer on June 24, 2015 at 9:00 AM

There’s a lot of confusion about coding right now and for good reason. Beginning a few weeks ago, June 1st to be exact, many insurance carriers began accepting and processing preauthorization requests containing ICD-10 codes for services scheduled on or after October 1st - the upcoming mandated ICD-10 compliance date. As with ICD-9 codes today, providers and suppliers are still required to report all characters of a valid ICD-10 code. However, ICD-10 diagnosis codes have different rules regarding specificity and providers/suppliers are required to submit the most specific diagnosis codes based upon the information that is available at the time.

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Topics: implementation, compliance, ICD-10, revenue cycle, Medicare, Medicaid

Revenue Cycle Fixes: Show Me the Money

Posted by Sou Chon Young on July 31, 2014 at 4:11 PM

When evaluating the health of your revenue cycle, there are a handful of key questions worth asking. For example, are you getting your money from payors as quickly as possible? Is your cash posting team iStock_000023845602Smallleveraging the benefits from the Patient Protection and Affordable Act (ACA)? Are you holding up posting payments because you are waiting for that check? Are you having issues reconciling your revenue with finance? asking. For

If your answers to any of these questions are not what you’d like them to be, consider implementing the following revenue cycle optimization measures.

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Topics: revenue cycle

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