Have you tried to improve revenue cycles operations and coding/charge capture processes several times only to keep getting sidetracked?

Here are 6 Common Mistakes That Can Create Compliance Risks

1. Not utilizing external support because there is already have qualified personnel in-house

Truth: Organizations often do have personnel who are qualified and capable of improving revenue cycle operational processes, but normal daily workflow can cause disruptions – OR the qualifications you thought were there are not exactly the qualifications necessary to identify and implement best practices for your organization.

End Result:  Potential improvements are put on the back burner, leaving vulnerabilities and risk.

2. Budgetary restrictions prevent bringing in industry experts for help

Truth: Lack of available funding is an indicator that it’s time to consider revenue opportunity recognition and expense reduction.

End Result: Overall revenue opportunities are lost because they are not even explored.

3. Management wants to be safeguarded and self-preserve

Truth: Organizations can achieve much greater success when managers are empowered to enhance their own operations and integrate their own approach.

End Result: Weaknesses/room for growth become overlooked which cause inconsistencies in organizational goals.

4. Having the perception that keeping things the same works and that change is unnecessary

Truth: When you are a successful organization, there are obviously components in place that ARE working but that doesn’t mean better results aren’t possible

End Result: By neglecting to update, fine-tune, and implement refined processes, you are unable to further add to and strengthen the success already being experienced.

5. Current systems/processes are outdated

Truth: As the healthcare industry constantly evolves, it is imperative that the systems, process and the overall compliance program in place are in sync with each other to achieve maximum results

End Result: If you, and your organization, cannot keep up with all of the changes, you become susceptible to compliance threats.

6. Coding professionals not properly trained on industry updates, requirements and changes

Truth: It can be intimidating and even overwhelming trying to keep track of what’s relevant in the ever-changing environment. 

End Result: Coding professionals become frustrated, time is lost, and relationships between payors and providers can be compromised.

Some companies are forced into substantial change because the need becomes too pressing. This compounds existing issues and can leave you with a headache. That’s where we come into place! Our expert consultants analyze your unique situation and offer recommendations and solutions based on your specific needs. We bring you highly-trained professionals with many years of experience in helping all types and sizes of healthcare organizations and physician practices reach success.

So how do your compliance efforts measure up?