Many errors in the revenue cycle can be attributed to not selecting the appropriate insurance plan during registration. One recent presentation at the annual NAHAM conference cited that 20% of registration-related denials were due to coverage and Real [...]
Referral and Authorization workflows are vital to the financial health of your organization. They can determine if, how, and when patients are seen for services, and if you are reimbursed for those services. Due to the variety of stakeholders required, [...]
Los Angeles (PRWEB) September 4, 2018 -- The Wilshire Group, a leading healthcare consulting firm, is proud to announce and welcome Freeman Jenkins to its team as a Manager of Patient Access. In this role, Freeman will focus on engagements with [...]
The Wilshire Group is proud to announce our Patient Access Services Division. We bring 20+ years of Patient Access IT, operational, and consulting experience and specialize in helping clients get the most out of Epic and their front-end processes.
Mind the Gap: Bridging the Coder-Clinician Relationship for Gains
Here at The Wilshire Group, we take pride in bringing resources together and navigating multidisciplinary areas to achieve optimal workflow and revenue cycle results. Last week we provided some ideas around CDI (clinical documentation integrity), and [...]
Los Angeles (PRWEB) August 13, 2018 -- The Wilshire Group, a leading healthcare consulting firm, has added Ryan Sommers to its team as Director of Clinical Services, and with the hire makes a major leap into new territory. In his new role, Ryan will be [...]
In last week’s blog: Evaluation and Management (E/M) Essentials, we mentioned aligning coding educators with clinical build experts to support a foundation for accurate coding and charge capture success. Undoubtably, such an education and feedback [...]
Evaluation and Management (E/M) services are an everyday essential for physicians and non-physician practitioners. E/Ms account for nearly 70% of front-end charge capture process for professional billing. Although outdated and overwhelming, the Centers [...]
LOS ANGELES (PRWEB) June 06, 2018 – The Wilshire Group, a leading healthcare consulting firm, has added Rick Walsh to its team as a Senior Revenue Cycle Consultant. In this role, Rick will focus on engagements with healthcare organizations with a goal of [...]
The modern Emergency Department is a crucial and fast-paced environment, providing care at high costs. It is imperative to obtain full reimbursement of services, yet many EDs struggle to charge and code their accounts effectively. As a result, vendors [...]