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UCR 150: Integrated Practice Wide RCM, Part - 2 Point of Service Actions

 June 23, 2023 

Mark, Ray, and Scott welcome back Larry Kemp, FACHE to continue the discussion on Integrated Practice Wide RCM.  In part 2 of this 4-part series, Larry shares information about Point of Service Actions.

Key Points:

  • Sustaining practice RCM metrics.
  • Understanding basic billing and collections actions
  • Implementing performance improvement change – Theory versus effective application
  • Often practices are missing far too much uncollected reimbursements. Why? Due to poor business practices that cause RCM leaks. These are preventable.
  • Every missed pre-authorization call, uncollected deductible, and overlooked filing deadline cost the practice money.
  • Losses are not sustainable in today’s business of tight operating margins.
  • Uncollected reimbursements due to leaks in RCM processes are preventable
  • Every missed pre-authorization, uncollected deductible, eligibility verification, and overlooked filing deadline is lost revenue.

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