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At least $1.5 million were gained by most of the hospitals in healthcare revenue after clinical documentation improvement (CDI) implementation, a Black Book survey discovered.
In accordance to Black Book Market Research, almost 90% of hospitals with 150 or more beds and outsourced clinical documentation functions recognized at least $1.5 million in suitable healthcare revenue and claims reimbursement following clinical documentation improvement (CDI) implementation.
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 You might be unaware of the risk that your Medicare collections and Revenue could be at Danger. The loyal staff has mentioned that a recurring trend during analysis of customers’ Accounts Receivable. The claims being refused by Medicare for benefit non-coverage during the research of Medicare Part A or Medicare Part B Balances because of a patient being enrolled in a Managed Care/HMO/PPO plan that has replaced the Medicare Part A or Part B Benefits or vice-a-versa.
The matter of concern is that how can you stop this from happening in your facility and be certain that the suitable payer is being recognized and billed in a timely way? The answer involves using a very basic and simple procedure including Medicare Eligibility and the Common Working File. We suggest that the Business Office Staff or an assigned staff member complete a Medicare Eligibility Benefit check, referred as the HIQA/MECCA check, utilizing the Medicare Direct Data Entry (DDE) System, to verify a resident’s present Medicare Eligibility status. At a minimum the HIQA/MECCA check should be implemented for each of the following cases: |
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