Navigation Links
Encompass Collects an Extra $130k for Client after Medicaid Rule Change
Date:8/1/2018

Encompass Healthcare Data Solutions went above and beyond to collect approximately $130,000 on 9,000 claims for one of its clients after a recent Colorado Medicaid regulatory change. In May, 2018 the Colorado Department of Health Care Policy and Financing announced an update made to the rounding methodology utilized for anesthesia units and providers. The new regulation requires claims to be submitted in 15-minute increments. For example, an anesthesia procedure lasting 12-minutes would need to be billed as 15-minutes.

In order for claims to be adjusted to be accurately reimbursed, claims with dates of service prior to May 31, 2018 needed to be resubmitted to reflect the new rounding requirements. For one of its clients, initial estimates by the Encompass Revenue Cycle Management (RCM) Insurance Receivables team identified approximately 9,000 qualifying claims totaling $130k in additional revenue. Resubmission, rather than re-keying, was necessary to meet the new requirements.

Significant staff time was invested to re-coup the additional claim money for its client – 840 total hours, with each RCM Insurance Receivables team member devoting 20 hours per work week until the project was complete. The Encompass management team also faced a budgetary dilemma. If all $130k was collected for the client the RCM share of that was approximately $8,500. However, staff cost to resubmit the claims exceeded $15,000. In the end, the obligation remained with the client and Encompass readily made the decision to resubmit the claims knowing that the RCM team would actually take a loss on doing so.

The project was completed in 6 weeks – both ahead of schedule and, therefore, nearly at breakeven for the department. The complex revenue cycle management process commands a lot of attention – attention that would be better spent on your patients. Our team stays on top of coding compliance rules and evolving state and federal requirements to make sure its clients have peace of mind that every dollar earned makes its way back to your practice.

Take a Revenue Cycle Management Risk Assessment today Revenue Cycle Risk Calculator

-----------

Encompass is a medical management company serving the healthcare industry by providing customized services in IT, revenue cycle management, clinical quality management, credentialing, payer contract and payer enrollment, and human resources.

Read the full story at https://www.prweb.com/releases/encompass_collects_an_extra_130k_for_client_after_medicaid_rule_change/prweb15661392.htm.


'/>"/>
Source: PRWeb
Copyright©2018 Vocus, Inc.
All rights reserved


Related medicine news :

1. The Glenholme School Announces Continuing Education Through An All Encompassing Summer Program for 2015
2. Altec Announces Evolution 2016, Inaugural Conference for doc-linkTM Customers and Partners Encompassing Product Roadmaps, Best Practice Use Cases and Extensive Training
3. Emily Richardson, MD, Encompass Medical Partners’ Chief Quality Officer, will be Delivering a MACRA/MIPS Deep Dive for Registries
4. Reach New Heights with Encompass’ Credentialing & Payer Enrollment Team at NAMSS 41st Educational Conference
5. NTC Extends CSR Efforts, Collects 273 Toys for Local Underprivileged Children in Conjunction with Marine Toys for Tots® Foundation
6. All Children’s Hospital Johns Hopkins Medicine Collects Spit for Study Aimed at Helping Cancer Patients
7. MillionaireMatchmakerOnline.net Collects and Updates Newest Millionaire and Quality Single Profiles on the Page of Millionaire Matchmaker Online Canada.
8. Dallas-based Park Cities Pet Sitter Collects Over $2,750 in Pet Supplies and Monetary Donations During Their 3rd Annual “SUV Stuff” Benefiting Angie’s Friends.
9. Dallas-based Park Cities Pet Sitter Collects $3148 in Monetary and Pet Supply Donations for Charitable Organization, Angie’s Friends.
10. Andersonville Fitness Boot Camp Collects Food for Chicago’s Hungry
11. RMACT Collects Over 800 Letters to Tell Congress Why Insurance Coverage for Infertility Treatment is Important, Delivers Them on Capitol Hill
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/19/2019)... ... 19, 2019 , ... Tap water issues in the Jacksonville ... FL proudly serving over 3,500 satisfied customers. I’m looking forward to seeing the ... selling and installing our popular Water Filtration Systems," says Bob Novak, President of ...
(Date:2/19/2019)... ... February 19, 2019 , ... End2End™, a breakthrough patient journey ... experiences. Through the End2End solution, health systems are able to leverage four ... Access Manager enhances engagement through robust conversion, scheduling and pre-arrival management. , ...
(Date:2/19/2019)... ... 2019 , ... NCPDP announced today that Dave deBronkart, ... deliver the luncheon keynote on Tuesday, May 7, at its 2019 Annual ... partnerships between patients and their medical providers to NCPDP’s Annual Conference, May 6-8, ...
(Date:2/19/2019)... NEW YORK (PRWEB) , ... February 19, 2019 , ... ... has completed her book “Dexascan: Beyond a Missed Opportunity”: an autobiographical work offered to ... screenings that provide early detection. , Kidd shares, “On September 28th of 2013, ...
(Date:2/17/2019)... ... February 16, 2019 , ... Nabila K® Cosmetics, a worldwide ... the current trend for minimal packaging that allows the product to take center stage. ... typography to tell its story. Presenting a consistent design throughout each of its ...
Breaking Medicine News(10 mins):
(Date:2/19/2019)... Pa. (PRWEB) , ... February 19, 2019 , ... ... Healthcare firms of all sizes, announces the hiring of Frank Iafrato as Director of ... work to deepen the firm’s sales coverage throughout the Northeast region, building upon the ...
(Date:2/19/2019)... ... February 19, 2019 , ... Clearwater Dental Associates is opening ... do not have the proper amount of bone to support a dental implant long-term. ... improve the strength of the jaw bone. , Gum disease and untreated tooth loss ...
(Date:2/19/2019)... CALABASAS, Calif. (PRWEB) , ... February 19, 2019 , ... ... missing teeth in Calabasas, California, to make an appointment at her Simi ... “gold standard” of tooth replacement, as they can last 20 years or longer with ...
Breaking Medicine Technology: