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info@thewilshiregroup.netDenials management is one of those evergreen topics that is always on the mind of a revenue cycle practitioner - coming up with new ways to solve, implementing the newest tools, the fanciest follow-up methodologies, etc. The reality is that once you have [...]
Imagine you are going to the newest installment of the Star Wars franchise. You go online to check out when it's playing, but can't find any information on their website other than a number to call. You ring them up and finally after talking to what [...]
Do you ever wonder how you could decrease your coders' workloads? Have you heard other organizations talk about simple visit coding accounts? Or do you simply wish there was a way to automatically code basic visits?
Denials have always been an uphill battle. As soon as you think you have a handle on one facet of it, the payer throws another unexpected change at your organization. Regardless of how strong your reporting, staff, and approach is with denials, they [...]
“Revenue Integrity” within a healthcare system means many different things depending on who you ask, the size of the institution, and if the OIG (Office of Inspector General) has paid a visit or not.
Most organizations produce 1,000s of claims a day with hopes they’re compliant and will ensure proper reimbursement. Within those UBs/837Is are claim lines, which are primarily comprised of charging and coding data. The process responsible for creating [...]
A large healthcare organization in the Pacific Northwest faced challenges after an internal Sarbanes-Oxley (SOX) audit found process, segregation of duties, and control issues. The Wilshire Group came in to assess the problems, develop a comprehensive [...]
