Friday, January 30, 2015

Impact of Medicaid Eligibility on Hospital Revenue Cycle Management

Needless to say, if you aspire to see progress in your bottom line, now is a good time for you to reassess your current RCM solution and make the necessary changes, not to mention that now is also the ideal time for you to get help on determining eligibility for Medicaid, Medicare, or Social Security benefits of patients. Then again, if you don’t have enough manpower and know-how when it comes to eligibility programs and disability claims, you can work with professionals like those from DECO who provide revenue cycle management improvement services. By delegating certain aspects of your RCM to experienced professionals, you’ll be able to focus more on managing your facility and caring for patients. An advocate team will make sure that patients are well-informed of their eligibility and insurance options, allowing for a positive experience in your clinic or hospital—a boon for your reputation and future income.

Wednesday, January 28, 2015

Revenue Cycle Management Services—Is It Time to Upgrade Your Process?

What is your revenue cycle management good for, if not to keep your business afloat and thriving? Considering that the rates paid by healthcare clients are subject to market forces and governmental regulations, which are ever-changing, it’s a must for hospitals and other medical facilities to make sure that one hundred percent of payments and reimbursements are collected in a timely manner, thereby ending the revenue cycle with zero balance on the account. If your recent financial statement reports show that your RCM solution is lacking in some aspects (as revealed by an increasing number of denied claims, decreasing bottom line, etc.), it may be time for you to call on an experienced provider of revenue cycle management services like DECO that can greatly assist in eligibility management.

Social Security Disability Insurance for Children

The Social Security Disability Insurance (SSI or SSD) is a program that provides assistance to people with disability. This program is managed by the Social Security Administration for the purpose of providing financial benefits to the disabled. Both disabled children and the children of disabled and retired workers can collect these benefits.

Sunday, January 25, 2015

You Need not be Permanently Disabled to Qualify for Social Security

It is possible to receive disability from Social Security benefits or SSI (Supplemental Security Income) if you are only temporarily disabled. You can be approved for disability benefits only if your medical condition is expected to disable you for at least one year, which is commonly referred to as a “short-term” medical condition.

Tuesday, January 20, 2015

Can't Tell If He's Eligible? Presume He Is

Waiting may well be the hardest part in applying for Medicaid. With millions of applications flooding agencies' desks, many are stuck in limbo, delaying adequate care in some cases. Prolonged waiting time also affects the operations of medical providers, particularly in the financial department. The answer to this dilemma could be presumptive eligibility (PE).

Wednesday, January 14, 2015

Specialties that will Face ICD-10 Code Changes

The shift from the old ICD-9 to the new ICD-10 is imminent, and all concerned parties will have to comply with the changes this brings. However, three specialties will be the focus of major modifications brought about by the shift to ICD 10.

Cardiologists – Cardiologists will face not only code, but also definition changes. ICD-10 now changes the acute phase of myocardial infarction from 8 weeks to 4 weeks, and sticking to the older ICD-9 definition can result in a miscode.

Wednesday, January 7, 2015

Get Protected: Navigate the New Insurance Marketplace Coverage Options

One of these changes is having an easily accessible Affordable Care Act marketplace. Every state now has a centralized marketplace for subsidized insurance. This makes it easier for residents to compare prices and rates; it also brings down the coverage costs through a competitive market and having easy access to cost assistance. No more running around calling up the insurance companies for their health insurance quotes; it’s all there on one site.

Monday, January 5, 2015

Social Security Disability Insurance: Eligibility and How to Get It

It isn’t just you alone who can get benefits—your children can also be eligible for SSI and SSDI. Advocacy services like DECO Recovery Management can help in getting Social Security Disability for children. For SSDI, children dependents can receive auxiliary benefits; as long as they are disabled, they will receive 50% of their parent’s disability amount. However, your family may not receive more than your family’s maximum family benefit, which is usually 150% of your disability benefits. As for SSI, if your child isn’t receiving SSDI auxiliary benefits and your family income is low, you can apply for your child to receive SSI until they are 18.

Saturday, January 3, 2015

Why it’s Important to Know Your Eligibility for Medicaid Benefits

If you are planning to acquire medical insurance, you have to make sure that you are up to speed when it comes to the requirements that would allow you and your family’s eligibility for Medicaid benefits. For instance, different states have varying federal requirements pertaining to specific members of a family that usually include children, expectant mothers, the elderly, and those who are suffering from disabilities, apart from how much you are earning on a monthly and yearly basis.

Thursday, January 1, 2015

Hospitals’ Take on What is Good Revenue Cycle Management for 2016

For hospitals, the projected outlook of the revenue cycle management market in the coming years looks to be leaning towards hiring revenue cycle management companies that would be in charge of handling the institution’s RCM solutions. In an article posted by Ryan McAskill for, he noted that most hospitals, especially those who are struggling with balancing their RCM duties, are seeing the advantages of employing an RCM company to ensure that the practice stays focused on attending to their patients’ medical needs.