News

Effective Aug. 1, 2019, Anthem Blue Cross and Blue Shield began submitting their Electronic Remittance Advices (ERAs) directly to Availity. As a result, many practices that use the TriZetto clearinghouse platform are not receiving their Anthem Blue Cross and Blue Shield ERAs. This issue is specific to TriZetto-based practices in the following states: California, Connecticut, […]

Recently at RCM360®, we became aware of an issue that was affecting one of our clients and could affect many others as well. The situation goes like this… A patient is seen by a doctor in their office. During the visit, the patient has an x-ray performed with the understanding that the cost would be

According to the Social Security Administration, a “processing error” that occurred in January of this year means that some Medicare beneficiaries’ requests to pay their premiums through a deduction from their Social Security did not go through. As a result, those premiums have not been paid, which means at least a quarter of a million

When you think of eClinicalWorks, chances are your mind immediately races to capturing information about patient encounters, or to practice management functions like scheduling. Yet many medical practices don’t know that eClinicalWorks has the power to unlock a wealth of information that can be vital to growth and profitability. There are nearly limitless possibilities, all

“The most important thing we felt about RCM360 is that they felt a sense of ownership when it comes to their responsibility towards getting our money, and we hadn’t felt like we were that important with billing companies in the past.”

I recently returned from the Mini Takes the States road trip, an event organized by Mini USA in which a set of routes is organized, and a large group of Mini owners get together to have a driving experience across the country. We took the Orlando, Florida to Keystone, Colorado route, which was the east

Revenue Cycle Management is a complete process, from when the patient is seen all the way to collection and filing the claim. Practices are businesses, and they’re seeing the patient for money, and if they’re not managing their revenue cycle management, they are not verifying they’re collecting all the money they could.

In today’s world, everyone talks about automation – eliminating manual processes, reducing the risk of human error, and freeing up your staff to do more important and profitable tasks. But when it comes to eClinicalWorks, there is a level of automation available, and some that isn’t inherently built into the system. It takes a team

Given the complexity of revenue cycle management (RCM) today, many medical practices are now partnering with an RCM company for their billing needs.  RCM companies are designed to maximize revenue for medical practices.  While some would say there are perks to having in-house billing staff, it’s not likely a medical practice has enough man power

If you listened to my last podcast about unbilled encounters, you know that I believe in getting paid what is due.  Whether that be for billing encounters that providers haven’t finished and getting those entered in a timely manner, or, which is what I would like to talk about today, doing that AR Follow-up the