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, [...]

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 [...]

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 Although outdated and overwhelming, the Centers [...]

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 [...]

The Epic Charge Router is one of the most robust pieces of charging functionality within the Epic EMR platform. It can singlehandedly create new charges, delete unnecessary charges, and update any item of the charge records it pleases. On the surface the [...]

The Epic Charge Router is one of the most robust pieces of charging functionality within the Epic EMR platform. It can singlehandedly create new charges, delete unnecessary charges, and update any item of the charge records it pleases. On the surface the [...]

The Epic Charge Router is one of the most robust pieces of charging functionality within the Epic EMR platform. It can create new charges, delete unnecessary charges, and update any item of the charge it pleases. On the surface the charge router seems [...]

On average, hospitals lose roughly 1% of potential net revenue due to issues and deficiencies with charge capture processes¹. The financial stakes of the matter are certainly real, and usually understood. And yet, difficulties continue to arise due to a [...]