Improve Your Revenue Cycle – Patients Need More Financial Flexibility

Revenue Cycle challenges have increased as patients find themselves shouldering more financial responsibility for their care. Here are a few areas where facilities can improve.

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Understanding The Difference Between 1st Party and 3rd Party Patient Collections

Understand the differences between 1st and 3rd party collections before you outsource any of your Patient Revenue Cycle. Here is how the two compare.

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How Surgery Centers Can Navigate Post-Lockdown Staffing Issues

Many ASCs may have post-lockdown staffing challenges. Here are a few things to think about.

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Remote Call Centers Make Sense

Remote Call Centers Make Sense Now More Than Ever

While we continue to navigate through the coronavirus pandemic, Mnet is ready to field inbound calls. Our remote call center is here to assist you. Learn more to see how our strategy works.

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The New Normal

It’s the New Normal – Reinvent Your Surgery Center

The pandemic has caused surgery centers to accelerate needed changes. Here are 3 key areas to focus on.

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Medical Bills Are Confusing – Patients Need Financial Advocates

One common reason patients do not pay their medical bills is because they are confused or lack confidence in the balance accuracy. A patient financial advocate can not only help, but create a better financial experience.

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Why Providers Are Making Their Entire Patient Financial Experience Contactless

Why Providers Are Making Their Entire Patient Financial Experience Contactless

COVID-19 has forced healthcare into a more digital world where contactless payment solutions have become increasingly important.

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Hospitals Receiving CARES Money Banned from Surprise Billing on COVID-19 Cases

Hospitals taking money from the stimulus bill will have to agree not to send “surprise” medical bills to patients.

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Physician Practice Patterns Changing As a Result of COVID-19

During the crisis, nearly half of physicians have turned to telemedicine while about one-third changed jobs, a survey found.

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3 Things for ASCs to Consider When Ramping Up Case Volumes

It’s great to see many Ambulatory Surgery Centers ramping back up. Here are a few helpful tips we would like to share with you...

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empty hospital lobby

What if Your Surgery Center Staff Doesn’t Want to Come Back from Furlough?

Recent surveys show Americans have mixed feelings about returning to work. What are their concerns and how should they be dealt with?

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Do Your Patients Know It’s Safe to Schedule Surgery Again?

Putting in place an omni-channel communications strategy is key when ramping up.

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Blind Spots

When was the last time you reviewed your compliance procedures related to 501(r)?

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U.S. Chamber Publishes COVID-19 Loan Guide to Help Small Businesses

Assistance is available for qualifying companies; don’t let too much time pass before you apply!

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Improving Patient Communication for Better Healthcare

As the pandemic hastens the digitalization of work in every sector, now is the time to ask and listen to what patients want, and then find a way to give it to them.

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Medical Practice Reopening: Three Tips to Help the Process While Keeping Costs Down

With stay at home orders expiring and governors choosing to partially open their states, medical practices and the surgical industry will be back up and running very soon. So, the good news is that it appears that for most states, we are just days away from reopening but getting back to the business of caring for people will bring a new set of challenges. How will your facility respond?

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Surgical Industry – Steps You’ll Want to Take Now for When the Doors Open Again

Surgical facilities are closing doors in an attempt to manage the immediate challenges created by COVID-19. Here are some short term actions you can take now to benefit long term.

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Is Your COVID-19 Response Going to Cost You Patient Visits in the Future?

Preserving patient loyalty during this time is crucial. Here are 3 essentials to consider.

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Mnet Health Provides Immediate Remote Patient Financial Advocates and Remote Call Center

Do you need help fielding patient calls during the COVID-19 pandemic? Mnet is here to help with our highly trained Patient Financial Advocates and Remote Call Center. Learn More...

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Coronavirus Sets the Stage for Hack Attack

As appalling as the news has been as of late, COVID-19 isn’t the only threat we have to face during this frightening pandemic. Hackers, spammers and scam artists are using this worldwide tragedy as an opportunity to step up the spread of malware and computer phishing scams. Here's what you need to know...

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Mnet Health

Mnet’s Top Priorities and Goals During COVID-19

Mnet's top priority is the safety and health of our customers during this crisis. Here is a brief update on our business continuity and disaster recovery plan.

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How Hospitals and ASCs Are Affected During the COVID-19 Pandemic

As coronavirus continues its spread across the US, hospitals, and health systems are bracing for the influx of patients with COVID-19. Healthcare providers nationwide are now making adjustments and new protocols to ensure patient safety. Here’s how the situation is affecting hospitals and surgery centers across the US.

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HHS Resolves 99% of HIPAA Related Complaints

Since the compliance date of the Privacy Rule in April 2003, the U.S. Department of Health and Human Services Office of Civil Rights (OCR) received over 225,378 Health Insurance Portability and Accountability Act (HIPAA) complaints and initiated over 993 compliance reviews. As of Dec. 31, 2019, the office resolved 99% (222,175) of cases. Follow the jump to see what kinds of cases were involved.

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News & Notes

News and notes from around the world with stories from the world of healthcare including "Texas Makes it Easy" and "Payback: West Coast Doc Pays Penalties."

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3 ASC Revenue Cycle Improvements for Financial Success

Every year new procedures and technological advancements are moving towards ASC’s. Some of the factors driving this shift include cost reduction, better safety and patient outcomes, technological advancement, and an aging population. The challenge for ASC’s is to secure their bottom line as they cope with growth in the healthcare space. 3 tips after the jump.

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Congress Eyes Medical Debt in New Legislation

ACA maintains open lines of communication with lawmakers as they consider moving forward with legislation that could impact the way the industry approaches medical debt collections. Stick with us after the jump for insight into house and senate legislation as well as the ACA’s effort in discussing this legislation and the many flaws associated with it with the Senate and the House.

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Trump Extends Comment Period for Proposed Rule on Price Transparency

Two days after Christmas, the Centers for Medicare and Medicaid Services extended the comment period. According to the Trump Administration, “the proposed rule is a historic step toward putting health care price information in the hands of consumers”….read more about it after the jump.

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Dos and Donts of Text Billing

The Do’s and Don’ts of Text Billing Patients

Texting Bills in Healthcare. Here’s what you need to know:

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Act Now and Boost Collections During This Tax Refund Season

By utilizing a sophisticated tax season collections strategy, you can resolve unpaid accounts like no other time of the year.

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Strategies on How Providers Can Reduce Bad Debt in 2020

Hospitals today are struggling with increasing bad debt and struggling to collect payment from the uninsured. But with a rise of high deductible health plans, they are also being snubbed by insured patients who can’t or won’t pay their skyrocketing out-of-pocket costs. What are the best strategies to reduce debt in 2020?

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The State of Reporting

The federal law, the “Fair Credit Reporting Act,” is the law that governs credit reporting practices. But each individual state can impose additional restrictions on credit reporting. Those furnishing information to the consumer reporting agencies should be aware of and comply with each applicable state credit reporting requirements. How can this affect your ASC?

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After 15 Years, New Federal Overtime Rule Advances Salary Thresholds

Accounts receivable management industry companies may want to begin reviewing overtime and scheduling policies as a new overtime rule took effect on Jan.1, 2020. This new rule makes 1.3 million workers eligible for overtime pay and raises the standard level of pay according to the Department of Labor. Will this affect your ASC?

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Strategies for Better Patient Financial Engagement Across Different Generations

A helpful financial experience not only builds patient loyalty and satisfaction but also generates repeat business and referrals. Here are some insights into how patients pay by generation.

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Keeping Up With Trends and Challenges Facing Nonprofit Hospitals

According to the AHA, 79% of the 4840 US community hospitals today are nonprofit which means that these hospitals may qualify for favored tax treatment under federal tax laws, as well as a variety of state and local income, property and sales laws. Read more after the jump.

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Court Dismisses TCPA Violation on Text Messages Reportedly Sent Using ATDS

A group of plaintiffs lost their argument in a case based on the ongoing court debate about the definition of an automatic telephone dialing system and the capacity to randomly or sequentially generate numbers. Click to read more.

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Healthcare M & A Volume Declines in Q3

Healthcare M & A slowed compared with the second quarter, according to a recently released statement by healthcaremanda.com. The number of deals announced fell 13% compared with the previous quarter and was 15% lower than the same quarter in 2018. Click to read this article.

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Mnet Health on Best Practices to Ensure 501(r) Compliance

Hospitals under 501r. Did you know that your billing & collection policy must explicitly state the actions the hospital may take in the event of non-payment? Here are some other helpful insights...

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3 Challenges Facing ASC’s and Tips to Overcome Them

With patients having more financial responsibility for their healthcare, outpatient settings like surgery centers are becoming more attractive to patients. In general, procedures at ASC’s are 35% to 50% than hospitals. This steady growth for ASC’s presents new opportunities but will also present some new challenges as well. What are the major challenges?

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How ASC’s Can Use Technology for Better Patient Financial Experience

With an increasing number of patients with high deductible health plans, it is essential that ambulatory surgery centers leverage technology and automation to improve the patient financial experience. A recent report shows that the ASC market could grow to $120.8 billion industry by 2026 but there is a great need to begin using technology to make improvements to the patient financial experience.

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SBA Encourages CFPB to Mitigate Rule’s Impact on Small Business

The U.S Small Business Administration submitted comments to the CFPB’s proposed rule for the Fair Debt Collection Practices Act in line with ACA International’s suggestions on consumer communications and disclosure notices and noting the significant impact it could have on small business. Read more to find out the most noteworthy comments.

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Three Proactive Approaches for Improved Claims Denials Management

To maximize revenue claims denials management, healthcare providers need to follow the advice “an ounce of prevention is worth a pound of cure.” For surgery centers and surgical hospitals, being proactive means preventing revenue leakage and being profitable. Building a solid strategy and doing regular checkups to maintain a healthy bottom line sets your facility up for growth.

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Trump Executive Order Opens Door for Hospital Price Transparency

The Centers for Medicare & Medicaid Service recently proposed a rule that would require hospitals to make pricing information publicly available. It is CMS’s position that the rule would increase competition by enabling patients to shop for healthcare that meets their needs and budgets.

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Poll Shows a Majority of Americans Worry About Hackers

With constant news about data breaches compromising personal information, it is no wonder that Americans are increasingly squeamish about being hacked. A new poll found that a majority of American adults worry about hackers gaining access to their social security umber and credit card information.

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Trends Impacting the ASC Landscape: 5 Things To Know

According to McKinsey research, nonhospital-provider segments are primed for growth and could account for almost 55 percent of projected profit pools by 2021; including everything from diagnostics, pre-, non-, and post-acute services, surgery centers, physicians and other healthcare professionals. In a rapidly changing healthcare landscape, it is critical to understand these trends; otherwise, surgery centers may be missing opportunities to optimize payment and enhance their bottom line.

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The State of Medical Collections

Medical debt accounts for one of the largest markets in collections. While the Fair Debt Collection Practices Act regulates debt collection in general, the American Hospital Association (AHA) created a set of guidelines for member hospitals to follow regarding their billing and collection practices. Other state hospital associations have implemented their own guidelines as well. ACA members who collect medical debt should be aware of both state and federal guidelines for hospital billing and collections.

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Texas Enacts Healthcare Measures Impacting Credit Reporting and Surprise Medical Billing

The state of Texas recently enacted new healthcare measures related to medical billing and credit reporting of out-of-network care. There are some implications regarding the billing of consumers for out-of-network care as well as the reporting of debts related to out-of-network care. Read more about it after the jump.

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Consumerism in Healthcare: What ASC’s Need to Know

The ASC market is expected to grow at 4 percent between 2017 and 2027, with multispecialty ASC's expected to dominate over the next decade. How can the ASC world adapt to the growing trend of consumerism in healthcare and thrive?

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JAMA Study Finds 36% of Virginia Hospitals Garnishing Wages Over Unpaid Bills

Not every hospital sues over unpaid bills, but a few sue a lot according to an article published by NPR. While hospitals say lawsuits are rare, they concede that they cannot stay afloat without getting paid for services.

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News & Notes:
August 2019

A collection of news and notes from in and around the world of healthcare. This month: "Pelosi Expects Drug Pricing Bill in September", as well as "Senate Health Committee Continues to Work on Lower Healthcare Costs."

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Senate Health Committee Votes to Reduce Health Care Costs

Before the July 4th holiday, the Senate Health, Education, and Pensions Committee approved legislation that ends surprise billing, creates more transparency and increases competition to reduce prescription drug costs. Read more about this story by clicking here.

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Unforeseen Out-of-Network Charges Cause Concern Amongst Consumers

1 in 6 Americans in 2017 were surprised by a medical bill they received after treatment in a hospital despite having insurance. Most of them came from doctors offering treatment at the hospital, even when the patients chose an in-network hospital.

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Three Tips to Improve Your Revenue Cycle in
2019

Healthcare providers today face increasing cost pressures to grow their revenues-which can lead to diminished operating results. A recent survey revealed that operating loss per physician has increased from 10% to 17.5% in 2017. Here are 3 tips for improving your revenue cycle.

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Balance it Out

Working with consumers to explain and help resolve medical bills in collections is a complex process for accounts receivable management companies and their healthcare provider clients. State legislatures have been working on tackling the issue of balance billing to prevent unexpected charges from reaching the consumer and a bipartisan debate continues.

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What Keeps You Up at Night?

The cost of healthcare in the US is a significant source of apprehension and fear for millions of Americans, according to a new national survey. With over $3.5 trillion spent in 2017 alone, the national poll indicates this financial burden causes a multitude of worries and anxieties for a large section of Americans.

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Data Security Issues in Offshore Revenue Cycle Management 

Offshoring revenue cycle management has been an increasing phenomenon in the healthcare landscape, however, seemingly apparent economic advantages have been replaced by controversies and debate against offshore outsourcing. Read more after the jump.

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Million-Dollar Lawsuit Results from Insurer Sending Payment to Patients-Not Doctors

In a report released by CNN, a woman received nearly $375,000 from her insurance company over several months for treatment she received at a California rehabilitation facility. Those allegations are part of a lawsuit winding its way through federal court that accuses Anthem and its Blue Cross entities of paying patients directly in an effort to put pressure on health care providers to join their network and to accept lower payments. Read more about the suit after the jump.

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How to Avoid Revenue Cycle Outsourcing Mistakes

In today's evolving healthcare landscape, healthcare providers are under intense pressure to reduce spending while improving care quality and revenue cycle outsourcing has the potential to significantly decrease costs and increase efficiency. However, there can be pitfalls if providers don't pick the right partners. What's the best way to find the right vendor/partner?

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HHS Payment Model Designed to Meet Beneficiaries’ Emergency Needs

Supporting ambulance triage options aims to allow beneficiaries to receive care at the right time and place. The new model known as the Emergency Triage Treat and Transport will make it possible for participating ambulance suppliers and providers to partner with healthcare practitioners to deliver treatment in place. Find out more after the jump.

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3 Tips for Working with RCM Partners to Handle Self-Pay Patients

Patient balances present one of the most significant challenges in healthcare especially for surgery centers. With ever-rising costs, ASC's see an increase in the number of patients with high deductible insurance plans. Studies show patient obligations have increased by almost 30 percent since 2015 and many are finding it difficult to pay off their medical bills. How should my center approach this problem?

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How Insurance Coverage Impacts Consumers’ Ability to Pay

New data on health insurance in the U.S. reflects quality of coverage and the impact of coverage levels on consumers' ability to pay medical bills and access care. The survey finds that consumers who are underinsured are more likely to have challenges paying their medical bills or simply avoid medical care due to the expense.

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Senator Chuck Grassley to IRS: How Many Hospitals Comply with 501(r) Requirements?

In an ongoing effort to evaluate nonprofit hospitals required to follow Section 501 (r), Senator Chuck Grassley has requested data on the number of hospitals in compliance with this rule pertaining to charity care. Get more information after the jump.

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Patients Prefer Payment Plans for Medical Bills

As out-of-pocket healthcare costs continue to increase, more patients prefer payment plans to manage their medical bills. Find out other insights gathered by this survey of patients taken in the previous year.

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Why a Patient Friendly Billing and Payment System Matters

It may pay to consider patient consumerism when dealing with patients. Healthcare is a major expense for patients, so it has become important for clinics and practices to demonstrate that their care is as much about the patient's financial health as their physical health.

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How to Prevent Revenue Leakage in Your ASC

The healthcare reimbursement landscape has changed dramatically in the past few years. Just five years ago healthcare providers could get 90% of their revenue from government payers and commercial insurance companies; but today patients payments make up as much as 33 % of provider revenue. How will this affect your ASC?

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Employer-Based Insurance Premiums Create Growing Burden for Families

An ever growing number of consumers are doling out more of their paychecks for healthcare premium contributions through their employer insurance plans. The cost of employer health insurance premiums and deductibles continues to outpace growth in wages which is concerning because it can put coverage and healthcare of of reach for the people who need it most. Click to read more.

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revenue cycle

3 Strategies for a Patient-Centered Revenue Cycle in 2019

As patient financial responsibility grows, the patient experience becomes very important in your revenue cycle. Here are three strategies you might want to consider in aligning your healthcare revenue cycle with the needs of your patients. Click to read more.

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Healthcare Providers Report Status of Revenue Cycle Management

Recent research shows some hospitals lagging in implementing revenue cycle management solutions and outsourcing services as a short term solution. In fact, Black Book Market Research has conducted a survey that shows that twenty-six percent of all U.S. hospitals still don't have a viable, effective RCM in place. Click now to see what other findings the survey has to offer.

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Senators Cosponsor Legislation to End Surprise Medical Bills; Lower Healthcare Costs

Two US sentators recently introduced companion legislation that would help consumers manage healthcare costs and stop unexpected medical bills. How will this legislation affect your hospital or medical center?

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Billing Tree Survey Reveals Increase in Shift to Online Payments

Online payments are catching up in the healthcare industry, where common methods of payment continue to be "on-site" and "on the phone with a live agent." A new survey from BillingTree reports that 63 percent of providers now offer web portal payments and more than 25 percent are offering text-based payment options. Click now to read more stats from the survey.

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The Current Healthcare Payments Landscape and Future Opportunities

The trend in the healthcare payments system is that high deductibles are the norm and patients are responsible for a greater portion of their services. In fact, out-of-pocket expenses are projected to reach $608 billion in 2019. What other trends are expected in 2019?

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