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Revenue Cycle Management How Hospital-based Physicians Can Enhance Their Revenue Capture

Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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Hospital-based physicians encounter several challenges with revenue cycle management not typically experienced by office-based physicians. In addition, physician billing has been a major topic for physicians in outpatient settings. But, the hospital-based physician billing discussions have not been as pervasive. Learn more about Revenue Cycle Management by visiting http://www.pyramidhs.com.

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Page 1: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

Revenue Cycle Management

How Hospital-based Physicians Can Enhance Their Revenue Capture

Page 2: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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� Hospital-based physicians encounter challenger with revenue cycle management not experienced by office-based physicians

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� Integration with the hospital patient accounting systems can create issues resulting in lost revenueS

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Page 3: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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� Hospital-based physicians are: anesthesiologists, emergency physicians, hospitalists, radiologist, pathologists, neonatologist and others who treat patients in inpatient setting

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patients in inpatient setting

� For billing purposes, they often use a remotely located billing staff or outsourced company

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Page 4: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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Revenue Cycle Management Challenges for Hospital-Based Physicians

� These physicians use hospital’s computer systems and if they work in more than one hospital, they use different systems

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systems and if they work in more than one hospital, they use different systems

� The disparate IT systems can increase complexity and make regular cycle management difficult

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Page 5: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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Revenue Cycle Management Challenges for Hospital-Based Physicians

� Hospital IT systems geared towards enhancing hospital revenue, not professional fees for physicians

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enhancing hospital revenue, not professional fees for physicians

� Paper based physicians documentation are more time-intensive to manage and more prone to errors

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Page 6: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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How to Improve Revenue Cycle Management for Hospital-Based Physicians

� Fee coding should be done electronically to: enhance revenue cycle management; reduce risk of lost revenue; make charges

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to: enhance revenue cycle management; reduce risk of lost revenue; make charges for professional fees are more accurate; slashes time between incurring the charge and billing; prepares physicians for ICD-10 coding

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Page 7: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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How to Improve Revenue Cycle Management for Hospital-Based Physicians

� Use services of experienced healthcare consultant to: improve processes; help transition from paper documentation to

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consultant to: improve processes; help transition from paper documentation to electronic health records

� Healthcare solutions providers shorten revenue cycle by developing systems to electronically capture codes and pass data to physicians billing systems

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Page 8: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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How to Improve Revenue Cycle Management for Hospital-Based Physicians

� Pyramid Health Solutions is expert in delivering revenue cycle management services including credentialed coding

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delivering revenue cycle management services including credentialed coding staffing, auditing and A/R management

� Pyramid Health Solutions uses remote coding resources and secure internet technology. All services maximize worflow, productivity, improve revenue, realize cost savings and increase compliance

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Page 9: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

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About the Author

Nav Ranajee is VP of Sales and Marketing for Pyramid Health Solutions, a provider of

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for Pyramid Health Solutions, a provider of complete revenue cycle services.

Learn more about Revenue Cycle Management by visiting http://www.pyramidhs.com/.

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Page 10: Revenue Cycle Management: How Hospital-based Physicians Can Enhance Their Revenue Capture

THANK YOU

STRONG STABLE STRATEGIC

800.927.8435Email: [email protected] Website: www.pyramidhs.com

Trusted Revenue Cycle Partner Since 1985