Important steps involved in the healthcare revenue management cycle

Healthcare service providers strive to provide excellent services to patients. In fact, they want to be better than competitors in all aspects. However, this sense of competition makes sense only when the healthcare provider has managed their financials well. To get a better grip on the income and reimbursement procedures, it is important to learn about the hospital revenue cycle. 

Steps for Healthcare Revenue Cycle Management

The most important steps in healthcare revenue cycle management can be outlined as under:

  • Outsourcing processing or RCM Software installation

Is your organization so big that its revenue cycle management can be tedious to handle? If this is the case, the hospitals have a dedicated wing taking care of revenue management issues. The smaller organization can consider installing RCM software to give revenue cycle managing a head start. 

Sometimes, even if the organization is small, the owners may not be so trained in revenue management issues. After all, their core expertise lies in providing treatments to the patients and not in managing the paperwork. Thus, outsourcing comes as a sensible option for hospitals and other healthcare service providers when it comes to managing the revenue cycle.

  • Pre-authorization of patient

The US Govt makes it mandatory for every treatment to be accompanied by a prescription from a registered medical practitioner. The prescription entails the kind of equipment, medicine and healthcare that will be required for the treatment of the patient. Revenue cycle managers can approve skipping of a patient’s pre-authorization when there is a case of a medical emergency. However, during the course of medical treatment, the healthcare providers can try to find the medical insurance enabling procedures of such patients by referring to their PECOS certification records.

  • Verification of patient’s eligibility for benefits

Modern RCM software makes it easy for the medical billing company to find the patient’s eligibility for any kind of benefit. It is a common fact that patients are either accompanied by the attendants who are not much aware of the patients’ benefits. Sometimes, patients are all alone and not able to tell anything about the same by themselves. In such cases, the RCM software scans the patient profile, tells about his insurance policies and finds if their case is entitled to get any kind of benefit under the possible heads.

  • Claims submission

When entertaining the cashless insurance claims, the hospitals have to be thorough and quick to submit the claims. Their spending of resources on the treatment of patients can come down heavily on them when the staff handling RCM is not aware of the procedures. It can increase their receivables head which, ultimately, may put the pressure of liabilities on the hospital or healthcare organization.

Therefore, claims submission is a very important step in the revenue cycle management process of any healthcare providing service.

  • Posting payment received

The next step in revenue cycle management of a hospital is posting of payments received against the claims submitted to the insurance company. This posting of payment means that the payment is now clear from the patient’s side. In case the patient is having post-payment reimbursement, the system prompts the patient to make payment when the claims’ correctness has been ascertained by the insurance company.

  • Denial management

It becomes a matter of grave concern when the claims are being denied in high numbers. The poor reimbursement rate can cost the healthcare organizations heavily and may put it under financial stress. 

The biggest cause of denial management is an incorrect submission of claims. The patients may have filled the claims form incorrectly, or there can be some human error on the part of the claims receiver. Too many people working together on any claims case also become a big source of error. This raises the importance of efficient denial management. Largely, it is the guidance and revisiting of rules work that is done to keep denials within the limit.

  • Reporting

The final step in the functioning of an RCM is reporting.  The software tells about the claims submitted, denials and claims disbursed in a report form which can make it easy for the accounts department to understand the situation and make decisions.

Thus, RCM proves to be an effective tool and is designed in a sequence of steps that make it easy for healthcare providers to function efficiently and survive the challenges of the healthcare market.

How Cloud is Reshaping the Healthcare Industry in 2020

The healthcare industry is the one experiencing a massive shift in its practices all across the globe. The global shift is coming in terms of the penetration of technology and doctors and other medical staff normalizing it. It wouldn’t be incorrect to say that for the longest amount of time, several operations in the healthcare industry have been managed manually.

Right from managing the lodging information of the patients to more precise customer data, everything was done manually without the staff having to look up anything online. So, when the data had to be fetched it was a difficult task to do, since there were more than a few manual dependencies.

Healthcare and Technology: The Story of a Rapid Transformation

While doctors and medical staff feared the intervention of technological advances in the healthcare industry, the tables have started to turn already. In other words, today the medical staff is more acceptable than ever in the adoption, usage and deployment of the latest solutions for the good.

While there is an endless list of technologies that are currently reshaping on java development services company in the world as a whole, the list is much narrower when it comes to the healthcare industry. And that’s because there has to be a critical judgment of the technology and its beneficial aspects before it is allowed to be deployed as medical personnel.

Be it artificial intelligence, machine learning, big data or cloud, the promising technology promises to leave its impact on the sector and transform it like never before. While artificial intelligence is being used to bring about faster solutions and a more efficient diagnosis it is also being used in several key departments. AI-powered robotics java development solutions are today a major hit in the healthcare industry.

It is performing surgeries in major healthcare divisions and keeping the name of doctors up while outshining with the end patient. With precision properly adjusted for these robot doctors, a sense of safety is guaranteed when operating the patient. While customers have to no doubt sign form agreeing to the risks by technology, it is in fact more powerful and a much better enabler of medical services, since it is programmed.

While technology might not be able to take steps on its own, it is still doing an excellent job at what it does best- and that follows commands. Once programmed AI systems accomplish every task with efficiency., their purpose stands served. But, this nowhere means that technology is replacing the need for real human medical staff.

However, when it comes to promoting decision making under strenuous aspects. AI systems in spite of being an intelligent fail. This is where the intervention of the medical staff is needed. Moreover, instead of being a replacement, technology is complementing the efforts of the medical personnel.

This has more than a few benefits, First, it is bringing a new wave of efficiency for the healthcare industry. And second, it has simplified the work of doctors like never before. And third that customers were visibly more satisfied with this combination of java development technology and usual medical services by the doctors.

The Age of the Cloud

Similarly, with machine learning algorithms primarily running in the healthcare industry, it directly means better healthcare facilities such as improved diagnosis of a disease, faster study of the patient history or electronic health records of the patients along with becoming the aid of doctors in deciding the course of treatment.

But, all of this has only been possible with the advent of cloud services. Cloud has been one of the biggest enablers of progress and advancement in the healthcare industry. Be it sharing data across platforms to collaborating with scientific organizations for improved medical research, cloud has been the answer to all.

Since healthcare is also an industry that requires a lot of improvement because we still don’t have the right measures and equipment to perform several full-fledged studies and up the game in the industry. Cloud is only a step that is enabling the wave of progress in the industry. Imagine how beneficial it will turn out to be for the industry if all the data that is stored could be put to use.

The point is there is no shortage of data and companies have for the longest amount of time been trying to harness its potential for various jobs. While the entire process was difficult to imagine had it happened a decade back, things are much different now.

With the latest cloud technology in the picture, more than a few brains can be out to the task of bringing the right output and results. Researchers and medical staff from different universities and organizations can collaborate over an issue, extract the same data for their own purpose, while at the same time contribute to the overall development of the project by doing their bit.

The massive shift in the industry processes is happening in more than a few ways. For example, since the healthcare sector is already overburdened with costs, one of the main aims of deploying cloud based solutions is to lower the entire costs and take organizations to new heights.

With a minimum spend, companies can reserve a large amount of space without having to fuss over a large infrastructure or anything else. Moreover, expansion becomes so easy that organizations only pay for their use. There is no burden or a minimum spend or purchasing a large cloud space in advance to ensure it doesn’t run out. This brings an overall positive impact on the healthcare industry and takes its trajectory towards growth.

5 Tips to Promote Healthy Inflammation in Your Body

When it comes to inflammation, there’s a lot that we can talk about.

But, what exactly is inflammation, and how does it impact our body?

Inflammation is one of your body’s ways to respond to injury, infection, or illness. It is necessary as a healthy immune response helps the body to heal after being attacked by outside stress. However, once your body has healed, the inflammation needs to stop.

We need to focus on promoting a healthy inflammation within our body. For this, you need to make certain lifestyle changes and follow a healthy diet.

Here, we have mentioned the top 5 tips to help you support and promote a healthy inflammation.

Tip #1 – Consume Anti-Inflammatory Food Items

This had to top our list since eating healthy and anti-inflammatory food items is a natural way to fight against inflammation. So ensure you are including these items in your everyday diet.

Some food items that you must eat are:

  • Green veggies like kale, spinach, and swiss chard
  • Bok Choy
  • Broccoli
  • Organic Shiitake Mushrooms
  • Celery
  • Pineapple
  • Berries, particularly Blueberries
  • Salmon
  • Beets
  • Bone Broth
  • Coconut Oil
  • Chia Seeds
  • Walnuts
  • Turmeric
  • Rosemary
  • Flax Seeds
  • Sage
  • Cinnamon
  • Garlic
  • Thyme
  • Oregano
  • Marjoram

Although consuming all these food items is a great way to promote healthy inflammation, you cannot ignore the shiitake mushroom benefits you’re likely to reap by eating them.

Tip #2 – Consume Supplements to Support a Stronger Inflammatory Response

The best way to support a healthy inflammation is to consume the right vitamins and supplements.

Consuming turmeric and mushrooms is very important for your health. However, it isn’t easy to receive all the nutrients from these food items through your everyday diet.

In order to gain the right amount of nutrients, it’s best to consume turmeric supplements and mushroom vitamins regularly in your meals.

These vitamins and supplements offer excellent support to your body’s inflammatory response. The best part about them is, they are extremely handy and can be consumed when you are on the move.

Tip #3 – Stop Consuming Inflammatory Food Items

While the consumption of anti-inflammatory food items is crucial, it is equally important to stop eating foods that can impact the body’s inflammatory response.

You may want to skip on items that contain casein (a type of protein present in dairy), trans fat, and sugar. It is also better to steer clear of refined carbohydrates. Here is a list of ingredients or food items that can trigger your inflammatory response:

  • Sugar
  • Fried Food Items
  • Food Containing Casein like Dairy Products
  • Fully or Partially Hydrogenated Fat and Trans Fat
  • Food Containing Gluten like Rye, Wheat, and Barley
  • Refined Carbohydrates
  • Vegetable Oil like Sunflower, Safflower, and Corn
  • Artificial Sweetener
  • MSG
  • Processed Meat
  • Excessive Consumption of Alcohol

With so many ingredients and food items on the limit or avoid list, initially you will have to read the label on every product. If this is something completely new to you, then you may need some additional time while grocery shopping.

However, over a period of time, it will surely become your second nature and you will be able to easily recognize products with and without the above-mentioned ingredients or food items.

Tip #4 – Make Sure You Work Out On a Daily Basis

Exercising regularly has been proved to improve your body’s healthy inflammatory response.

It is not necessary to exercise for an hour or more. 20 minutes of intense physical activity is more than enough. Just make sure you are giving your best whether you are exercising at home or at the gym. Also, make it a part of your everyday regime.

Tip #5 – Keep Your Stress Under Control

Stress is one of the major causes of your body’s inflammatory response. So figure out different ways to keep your stress under control and ensure it doesn’t overpower your emotions.

Scheduling your downtime, consuming mushroom supplements, practicing mindfulness, or writing a journal regularly will help control your stress.

All of these methods have proved to uplift mood under stress.

The Bottom Line

It is true, controlling and promoting healthy inflammation in your body requires a lot of time and effort. However, by taking the above-mentioned tips in stride, you can absolutely create and lead a healthier lifestyle!

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Top 7 Ways to Channel Your Inner Peace

In this modern society, it can be a tad bit challenging to find your peace of mind. But it does not have to be confusing, as there are various ways that can help you channel your inner peace!

If you work for 8 hours a day and 5-6 days a week, then it is essential for you to strike the right balance between your work and personal life, as it ensures that your sanity is intact. However, you shouldn’t just achieve the right balance in life; rather, you should make it your lifestyle.

To help you out, we have mentioned the top 7 tips that are a surefire way to experience peace of mind.

1. Focus on Things That Can Be Controlled

Why focus on things that cannot be controlled – it will only ruin your mood and disrupt your sanity. Instead, you should ask yourself whether there are things you can control and would benefit your life in any manner.

To channel your inner peace, it’s crucial to recognize the things that you can actually control. If there’s anything that’s beyond it, simply leave it.

Worrying about things you cannot control ultimately causes a lot of stress and distracts you from focusing on important aspects of life.

2.  Spend More Time Amid Nature

Earlier, people weren’t living in huge houses and depending on various technologies to do their work. Rather, they used to spend a lot of their time amidst nature.

So why not take a break from work and go for a long walk or camping with family during the weekend? A change of environment is always a great way to stay away from the bustling noise of your city and attain that much-needed peace of mind.

3. Don’t Let Others’ Opinions Get to You

It is important to be true to yourself rather than pretending to be someone you are not, as that can cause you a lot of distress. So follow a lifestyle that is in line with your core values.

Avoid letting others’ opinions affect you or your choices and don’t live a life to impress others.

Just because others feel it’s good to have a fancy home, doesn’t mean you need to run after the same. Instead, decide on your own and understand what is vital to you and what isn’t.

4. Bid Adieu to Unhealthy Food Habits

You may find it difficult to properly understand your emotions since you are very much used to feeling that way.

Perhaps, try searching for food that helps improve your focus and memory along with various vitamins for wellness. You could then eat these food items for nearly a week and notice the changes in your mood.

Now if you go back to consuming junk food, you’ll clearly understand how it impacts your mood and the overall well-being. You may feel as if you’ve been hit by a truck!

So it’s best that you immediately bid adieu to unhealthy food.

5. Do Good for Others

If you feel like you’ve been focusing way too much on yourself, then this is a great approach to shift your focus.

By doing good for others, you realize you’re not the only one who’s struggling in life. Not to mention, only if you’re kind to others, people will be kind to you. When you help others, you also get a sense of satisfaction and pride which ultimately helps you find your inner peace.

6. Workout Every Day

Have you ever felt pumped up after an intense workout session at the gym or at home?

Well, working out does make you feel energetic. But more than that, it uplifts your mood and helps you feel positive throughout the day. Remember, working out is good for both your body and brain.

7. Stay Positive

Always stay positive and open when it comes to your desires and needs. This not just helps you achieve what you’ve been meaning to, but also keeps your life under control.

Staying unassertive will only take away your control from life and ultimately result in ruining your inner peace. So it’s best to be bold but without being too hostile. Also, do not allow people to tell you what to do with your life.

Since it’s your life, take full control of it and live the way you want to.

Bottom Line

Take complete care of yourself in terms of both physical and mental health by eating healthy food, consuming supplements for wellness, and staying physically fit. Don’t try to please others and focus on what you truly want to achieve. Also, rather than choosing what others feel is right, make your own decisions and live life to the fullest!

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Discussion Not Debate: The Right Way to Frame the Conversation Over Natural Nutrients Versus Supplements

Vitamins for wellness have rarely been the center of dinner table conversation. We talk about life, careers, and other subjects, but we have conveniently avoided the essential conversation about nutrients.

Vitamins supplements

The Unbalanced Numbers

According to a survey, nearly 92% of Americans have nutritional or vitamin deficiencies. Nearly 42% of Americans have a vitamin D deficiency. The story does not end there; a segment of the US population also faces the problem of excess vitamin intake.

The Polarizing Conversation

Due to the polarizing nature of this conversation, people tend to think that any form of packaged dietary supplement is less than ideal. Because of this mindset, they refuse to consider quality products like Nature’s Lab Organic Chia Seeds, which is a USDA-certified, organic raw superfood.

Here, we will talk about the benefits of both whole foods and supplements, and try to reach a middle ground. Usually, more importance is placed on natural sources of nutrients, and there is nothing wrong with that.

Here, however, we will look at both of them objectively and let go of prejudice toward one or the other.

Whole Foods and Marginal Deficiency

Whole foods are unprocessed, natural foods that retain all their nutrients and fiber, and have no additives like sugar or starch. Any individual who has a normal, healthy body, without any serious vitamin deficiencies, can continue to lead a healthy life by sticking to a diet of whole foods.

According to some medical experts, in America, the real issue is a marginal vitamin deficiency. A well-planned, prolonged whole food diet of fruits and vegetables can adequately address this concern.

Marginal Vitamin Deficiency

Marginal vitamin deficiency is a stage of depletion before a serious vitamin deficiency begins to develop.

There are various symptoms of marginal deficiency, some of which are:

  • Lethargy
  • Insomnia
  • Irritability

The concept of marginal deficiency produces mixed reactions. Some people will get all worked up and go into complete overdrive with vitamin intake, while others will just shrug it off.

In the latter case, they’ll find out after a while that deficiency has gotten to a level where they need supplements for wellness.

A marginal deficiency will slow the rate of a patient’s recovery after surgery. It is also one of the causes of some underlying physiological issues that need medical attention.

Why Consume Supplements (Without Comparing Them to Whole Foods)?

At some point in your life, you will encounter people who eat a relatively well-balanced diet that includes whole foods and still complain about health issues like constant fatigue and dizziness.

People may experience fatigue, dizziness, or muscle pain for a lot of reasons. One of the major causes of these conditions, however, is the lack of vitamin D. This is where supplements come in, to take care of nutritional deficiency.

Remember that whatever supplement you take, you should consult a doctor or a registered dietician first.

What Are Supplements?

Supplements are synthetic sources of vitamins, usually in the form of a pill or a liquid. A supplement is necessary for people who have serious vitamin deficiencies.

A healthy person’s body can easily absorb nutrients and water- or fat-soluble vitamins from food. However, some people’s systems cannot absorb them, and they end up with a serious vitamin deficiency. In such cases, supplements become important.

Vitamin-tablets

According to medical experts, individuals who are above 50 years of age, regardless of gender, need an additional source of vitamins.

The following are statistics regarding the increase in the consumption of supplements, either as vitamin tablets or in other forms.

US Supplements Consumption

According to some reports, Americans are comfortable with taking dietary supplements to fill a nutritional void. In fact, according to a survey, nearly 92% of Americans take dietary supplements.

This data shows a surge in the consumption of vitamin supplements since the number was around 65% in 2009. Also, according to older but still relevant data, between 34% and 49% of older adults use multivitamins.

Wrapping Up

It is evident that there is an imbalance in the consumption of essential nutrients. The question is, where does this imbalance stem from in our otherwise healthy daily lives?

The answer lies in the way we internalize the debate about whole foods vs supplements. They complement each other and are equally important.