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The 7 Must-Haves of Hospital Revenue Cycle Management Systems

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The complexity of the healthcare industry in the United States is unlike anything seen in any other country. American healthcare is a meandering labyrinth of evolving regulations that hospitals must keep up with. In light of this complexity, it can be challenging to navigate all the rules and still stay true to the bottom line – revenues. Hospital revenue cycle management is a multi-layered bureaucracy involving many steps and complicated workflows.

An effective hospital revenue cycle management system is indispensable to ensure quality care. In other words, healthy revenues result in providers not cutting corners and diverting more resources for patient care. This is where hospital revenue cycle management systems or software (RCM) comes into the picture.

Introduction to RCM Software

RCM solutions are a part of the more significant healthcare software product development industry, including practice management solutions and remote health monitoring systems.

Hospital revenue cycle management solutions digitize the activities involved in managing revenues from patients. Medical RCM software does so throughout the patients’ care journey – from scheduling appointments to final discharge.

While healthcare revenue solutions exist across the globe, their footprint is enormous in the United States, given the nature of its healthcare industry. Since the entire revenue cycle management process must comply with strict regulations, it becomes imperative to get things right. Mistakes in the process can delay payments or lose them entirely.

Why Should Your Healthcare Organization Have an RCM Solution?

In light of regulatory hurdles, healthcare revenue solutions are critical to streamline administrative workflows and help clinicians derive incomes faster.

Effective hospital revenue cycle management solutions ensure that billing errors are avoided, the number of accounts receivables minimized, and the overall administrative overhead is optimal.

The result? Hospitals enjoy significantly higher revenues, which would, in turn, help in improving the quality of care and the overall patient experience. But numerous vendors develop RCM software coupled with custom healthcare software solutions. So how do you select the right medical RCM platform that meets the requirements of your organization? The following are some of the most essential features that any good RCM solution ought to have –

The Top 7 Must-Haves for Hospital Revenue Cycle Management Systems

1. Cloud Availability

The cloud is well on its way to transforming the software industry. Healthcare cloud computing has been gaining momentum for the better part of the last decade. As opposed to being installed on-premises, cloud-based hospital revenue cycle management software doesn’t require additional hardware investment as storage needs grow. Moreover, investing in a cloud-based solution also avoids expensive servers and saves the trouble of having IT teams, adjusting networking and bandwidth parameters.

Additionally, hospitals can rest assured of business continuity in the event of a catastrophe or data theft. As the information won’t be stored on-premises, their retrieval is fast and convenient.

These benefits, coupled with the advantage of accessing data remotely while on the move, make it paramount for RCM software to be available on the cloud.

2. Eligibility Verification

Checking patients’ eligibility has got to be one of the slowest and most tedious jobs in healthcare revenue cycle operations. Before technology solutions, it would’ve involved a long, arduous verification process over a phone call. On the other hand, a revenue cycle management solution can verify claims and fetch information on every patient’s insurance coverage in a few short steps. In addition to this, an effective hospital revenue cycle management system can minimize errors in the entire claims procedure. The result is an accelerated workflow, reduced wait times, and better patient outcomes overall.

3. Claims Tracking

Submitting claims with everything in order is essential for hospitals as well as smaller practices. Mistakes result in a claim being denied and a long wait-time to correct that mistake. Unsurprisingly, this causes a drop in efficiency and hampers revenue streams. A significant advantage of revenue cycle management software within broader integrated healthcare solutions is checking the status of claims in real-time and highlighting errors. As a result, hospital staff can make changes and resubmit denials without having to wait. In other words, revenue cycle systems improve the overall health care management processes and clinical outcomes in the long run.

4. Automating Duties

Solutions for healthcare RCM provide an easy and efficient means of storing and managing billing records. If you’re looking for a hospital revenue cycle management solution, then know that its primary function is to reduce the time between the service and getting paid.

The best way that a healthcare RCM platform can pull it off is by seamless integration with other automated healthcare solutions and patient engagement systems to facilitate smooth electronic data interchange. When this happens, hospitals can automate many tasks and end up saving a considerable amount of time and effort that would’ve otherwise been spent on repetitive activities.

For example, a comprehensive, integrated solution for revenue cycle management for hospitals, as mentioned above, can notify patients of arrear payments and even assess why a claim was denied. Such features save countless hours and enable hospitals to allocate resources better.

5. Claims Analytics

There are numerous reasons why claims might be denied. Filling out claims and submitting them is a tedious process, and when a claim is denied, it leads to unproductive re-work. Medical informatics within revenue cycle management software should be able to predict patients at risk and analyze claims. Tracking claims is a significant part of hospital revenue cycle management. But analyzing them could reveal missed revenues. Healthcare revenue cycle analytics that assesses claims can help you discern valuable patterns in the claims workflow, highlight potential missed payments, underpayments and forecast possible decreases in your bottom line.

6. Ease of Pre-Authorization

Pre-authorization is when a particular service, medication, or procedure is clinically essential by an insurance provider. Perhaps the only time this procedure is side-stepped is during emergencies. If revenue management solutions for healthcare can simplify pre-authorization, it enables doctors to deliver care sooner. As a result, the overall workflow of the hospital improves drastically, which in turn improves the revenues. In addition to helping doctors, faster pre-authorization also helps patients avoid the anxiety of wait times before their procedures begin. In other words, good hospital revenue cycle management entails a streamlined process of pre-authorization.

7. Secure Payment Gateway

An effective revenue cycle management solution must also include a secure, HIPAA-compliant payment gateway. In addition to ensuring data privacy, it cuts costs, saves time, and reduces billing errors while accelerating your reimbursements. Advanced telehealth solutions that integrate revenue cycle management solutions with secure payment gateways proved invaluable during the pandemic. The lockdowns increased virtual consultations and helped many providers improve their bottom-line as their RCMS software-enabled secure payments.

Consequently, it leads experts to recognize the importance of this feature in revenue cycle management for hospitals. So, if you’re on the lookout for good RCMS software, this feature is a must-have.

Conclusion

A solution for hospital revenue cycle management has become indispensable for hospitals as well as practices. The nature of US healthcare resulted in complicated workflows around claims, authorizations, and reimbursements. Without a digital platform for the entire hospital revenue cycle management process, clinicians have high costs and sketchy income streams.

In light of this, doctors and hospitals need to know what to look for in RCM software solutions and make informed decisions.

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Cincinnati Reds Johnny Bench Sends a Message to Fiona on Her Birthday

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Fiona is celebrating her fifth birthday and everyone, including the Cincinnati Reds legend, Johnny Bench, the fifth catcher, is celebrating her birthday. Bench posed with a stuffed hippo and sent Fiona a special video message. Bench house stuffed animals. Represents the Cincinnati Zoo Fiona and all the wonderful animals. But Fiona is special. Happy birthday, Fiona. I also sent her birthday message, including her dad’s joke. “What do you call a hippo in a phone booth? I’m stuck.” Primitive scholar Jane Goodall sent Fiona a video message celebrating her fifth birthday. Goodall, a primatologist known around the world for his work on Cincinnati, congratulated Fiona on turning five. Zoo, here you are big and strong, “Goodall said in a video message. Fiona, who gave birth six weeks prematurely at the Cincinnati Zoo on January 24, 2017, weighs only 29 pounds at her birth and is 25 pounds less than her recorded minimum birth weight. She is her seed. She survived thanks to her tireless efforts to save her, encouraging many to take care of her species and wildlife.

Cincinnati —

Fiona is celebrating her fifth birthday and everyone, including the Cincinnati Reds legend, Johnny Bench, the fifth catcher, is celebrating her birthday.

Bench posed with a stuffed hippo and sent Fiona a special video message.

“This is one of our favorite plush toys at the bench house. It represents Fiona at the Cincinnati Zoo and all the wonderful animals. But Fiona is special. Happy Birthday, Fiona.”

The bench was one of the local legends wishing Fiona a happy birthday.

Drew Lachey also sent a birthday message, including his dad’s joke.

“What do you call a hippo at the phone booth? I’m stuck.”

Primatologist Jane Goodall sent Fiona a video message celebrating her fifth birthday.

Goodall, a primatologist known around the world for his research on chimpanzees, congratulated Fiona on turning five.

“I know you had a hard time getting into the world. Perhaps your mom did, but thanks to the people who took care of you at the zoo, you’re big and strong here.” Goodall said in her video message.

Fiona, who gave birth six weeks prematurely at the Cincinnati Zoo on January 24, 2017, weighed only 29 pounds at birth. This is 25 pounds less than the recorded minimum birth weight of her species. She survived thanks to her tireless efforts to save her, encouraging many to take care of her species and wildlife.

Cincinnati Reds Johnny Bench sends a message to Fiona on her birthday

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How to Determine If a KN95, N95 Mask Is a Counterfeit Product

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Since the beginning of the coronavirus pandemic, U.S. Customs and Border Protection officials have seized millions of counterfeit masks. Here’s how to find a fake:

As highly contagious Omicron variant of COVID-19 The surge continues in the United States, and the Centers for Disease Control and Prevention (CDC) has recently updated its guidance. Mask type Provides maximum protection to prevent the spread of COVID-19.

According to the CDC, proper respiratory organs, including N95, approved by the National Institute for Occupational Safety and Health (NIOSH) provide the highest level of protection against COVID-19. Meanwhile, the Federal Public Health Service says that about 60% of KN95 masks sold in the United States in 2020 and 2021 did not meet NIOSH standards and were therefore flagged as counterfeit.In fact, U.S. Customs and Border Protection officials Seized millions of counterfeit masks Since the start of the pandemic.Now many people online I’m wondering if there is a way to find a fake mask.

question

Is there a way to determine if the KN95 or N95 mask is counterfeit?

Source of information

answer

Yes, there is a way to determine if the KN95 or N95 mask is counterfeit.

What we found

The National Institute for Occupational Safety and Health (NIOSH) is a federal agency responsible for testing and approving masks and respiratory organs used in US workplaces.Before the mask is approved by NIOSH, it is the agency’s Respiratory approval programThis ensures that the mask and respiratory system meet the minimum structural, performance and respiratory protection standards.

NIOSH does not approve KN95 masks or other masks designed to comply with international standards. According to the CDC, the KN95 mask is manufactured in China and complies with the standards of the Chinese government.

Indicates that the N95 mask is NIOSH approved

NIOSH labels and numberes all masks it approves. Here’s how to find that information:

First, check the approval label on or inside the mask’s package, or look for the abbreviated approval of the mask itself. This certificate must include a number.

This approval number is NIOSH Certified Equipment List or NIOSH trusted source page..

NIOSH-approved masks always have one of the following:

N95
N99
N100
R95
R99
R100
P95
P99
P100

“If you have an unprinted N95, it’s probably not a real N95 and you’ll want to avoid using it,” said Nikki Vars McCullough, Global Technical Services and Regulatory Manager for Personal Safety. .. Mask maker 3M division.

Indicates that the N95 mask is forged

NIOSH lists how to detect if a mask may be forged On that website:

Filtering facepiece respirator has no markings
No Facepiece Respirator or Headband Filtering Approval (TC) Number
No NIOSH marking
NIOSH misspelled
Presence of decorative fabrics or other decorative add-ons (such as sequins)
Claims of Approval for Children (NIOSH does not approve any kind of respiratory protection for children)
The filter facepiece respirator has ear loops instead of a headband
The photo of the package is not clear

You can also look for alerts about specific products that are known to be fake.

If NIOSH becomes aware of a counterfeit mask or fake NIOSH approval, the agency will typically post a photo of the mask and its packaging online to warn users, buyers and manufacturers. click here Shows a list of the latest NIOSH counterfeit masks.

Show that your KN95 is genuine

ECRI, the largest patient safety organization in the United States, Announce research In September 2020, it was found that up to 70% of the nearly 200 KN95 masks tested did not meet NIOSH standards for efficacy, and many imported KN95 masks, as the name implies, accounted for 95% of aerosol particles. It turned out that it was not filtered. However, although ECRI’s vice president of technology and safety, Michael Argentieri, said that KN95 does not meet US regulatory standards, it “generally provides greater respiratory protection than surgical or cloth masks.” It states.

Kelly Carrosers, Director of Government Affairs Project N95, VERIFY Sister Station WTHR told There is one trick to make sure the KN95 is genuine.

“You need to look at the side of the mask, which should say GB2626-2019 or GB2626-2006,” Carothers said.

What to look for when shopping online

During the pandemic, many people used sites like Amazon to buy masks. question The authenticity of masks sold on the Amazon Marketplace. An Amazon spokesperson told VERIFY in a statement that the company had “a rigorous seller review and product review process to ensure compliance with applicable laws, regulations and Amazon policies.” rice field.

“Before listing N95 and KN95 masks in our store, we supply them from a trusted manufacturer by examining the supplier’s invoice, tracking inventory, checking packaging and product descriptions, and comparing with CDC’s counterfeit mask list. Make sure it is done, “said a spokeswoman.

Amazon customers can also contact the company’s customer support team to refund the full amount of their order if the product does not arrive or does not arrive as advertised.

According to NIOSH, there are a few things to keep in mind when buying masks online.

If you claim that your listing is “legitimate” and “genuine,” it may not be.
If the retailer or manufacturer claims that the KN95 mask is NIOSH approved
If possible, check transaction history and reviews
Will there be any changes to the items sold over time (high or low transaction period)?
Are there any price fluctuations or fluctuations? (Is it too good to be true?)
Look at the quantity the buyer has in stock
Does the seller violate the marketplace policy and hide contact information in the image?
Is your primary contact email address connected to your website or is it a free email account?
Look for bad grammar, typos, and other errors
Note the cookie cutter website where the seller exchanges some websites

How to report counterfeit masks

Before reporting a counterfeit mask to NIOSH, the agency will check the TC approval number (such as TC 84A-XXXX) to see if the identified mask is counterfeit or misrepresents NIOSH approval. It states that it needs to be done. NIOSH certified equipment List and verification Required approval marking.. next, False Respirator / NIOSH Approved Web Page Misrepresentation Check if the respiratory system is listed.

If the mask is not listed, you can send an email to PPEConcerns@cdc.gov More about the respirator. If possible, NIOSH is telling you to include a photo of the mask and its packaging in your submission. People can also report counterfeit COVID-19 products, including masks, to the Food and Drug Administration (FDA) by email. FDA-COVID-19-Scam-Products@fda.hhs.gov

Details of VERIFY: Yes, you can reuse the KN95 and N95 masks several times.Here’s how to do it right:

The Confirmation The team distinguishes between facts and fiction so that they can understand what is true and what is false.Consider our daily subscription Newsletter, Text alert And our youtube channel..You can follow us too Snapchat, twitter, Instagram, Facebook When Ticktaku.. learn more “

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Text: 202-410-8808

How to determine if a KN95, N95 mask is a counterfeit product

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Road Recommendations After Snowy Weather

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LIMA —Sunday morning winter weather left slippery, snow-covered roads in counties in some areas. Several counties have declared Level 1 road recommendations.

Allen County Sheriff Matt Treglia declared Level 1 at 10:11 am. He warned that snow- and ice-covered roads could drift. Great care should be taken as operating conditions can be dangerous.

Auglaize County Sheriff Michael Vorhees issued Level 1 on snowy or ice-covered roads at 11:00 am.

Jeff Gray’s office, Sheriff of Mercer County, reported that several cars had slipped off the road, but did not make any recommendations.

Hancock County Sheriff Michael Heldman issued Level 1 at 9:55 am, focusing on dangerous roads.

A snowplow passes through the intersection of Force Street and Locust Street in Ottawa on Sunday morning.

https://www.limaohio.com/wp-content/uploads/sites/54/2022/01/web1_Snowplow.jpgA snowplow passes through the intersection of Force Street and Locust Street in Ottawa on Sunday morning.

Road recommendations after snowy weather

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