
Healthcare Revenue Cycle Management Blog

The Importance of Knowing Your Members
It’s critical for payer organizations to engage their members. Doing so improves member loyalty, outcomes, and experience.

Using Social Determinants of Health Data to Forge an Equitable Future
Ongoing COVID-19 challenges and its emerging aftermath have left many struggling — financially, personally and socially. Especially those most vulnerable. Given how closely financial health

5 Ways Healthcare Organizations are Using SDOH to Make a Difference
So much of our overall health is impacted by various socioeconomic factors, which don’t involve ever stepping foot into a doctor’s office, clinic, or hospital.

Shift Your Collections Strategy: Quick Tips to Maximize Reimbursements
Amending your overall collections strategy — to focus more on total collections versus average cost to collect — can help ensure you get the best

Evolving CFO Role: Innovative Approaches for Healthcare Finance Leaders
For a hospital CFO, the COVID-19 pandemic shifted priorities and emphasized cost containment and innovation in reimbursement models. It has allowed leaders to take a

Discovering Missed Health Insurance Coverage: The 3 Most Common Types
In 2020, 47% of hospitals saw increases in bad debt and uncompensated care.1 Incomplete or inaccurate patient demographic information, an unverified primary payer, resource constraints

What Keeps CFOs Up at Night: Staffing Shortages
Good RCM = Good REM for CFOs Healthcare is one of the hardest hit sectors amid COVID-19 and the “Great Resignation.” The industry has lost

Closing the Revenue Gap: Digging Deeper for Recoveries
In 2020, hospitals across the U.S. saw their median operating margin drop by 55.6%.1 The Coronavirus Aid, Relief, and Economic Security Act (CARES) offered relief to

Effective Strategies to Reduce Uncompensated Care at Your Organization
Uncompensated care is a universal pain point for healthcare organizations — rising by $1.1 billion in 2020 to $42.7 billion.1 And while it may not

Data-Driven Approaches to End-to-End Revenue Management
To improve patient financial experiences and protect profitability, healthcare financial leaders need a revenue management strategy that focuses on an end-to-end revenue cycle. Today, revenue

Listen to podcast: Health Equity & Social Determinants of Health
In this episode, we are joined by Tammie Jackson, Chief Growth Officer at nThrive and HFMA National Chair to discuss strategies related to social determinants of health. She examines how socioeconomic attributes can lead to health disparities, as well as how actionable strategies help drive change.

It’s time to transform the healthcare economy
Over the past 24 months, already-thin hospital margins were further exacerbated by COVID-19. Hospitals are seeing $5 – $50 million in revenue leakage per facility

A roadmap to price transparency success
Healthcare is experiencing a dramatic rise in consumerism, accelerated by recent price transparency regulations. We’re caring for a generation of consumers that are now accustomed

How accountability helped PIH Good Samaritan Hospital reach a 4,500% ROI increase
Those who joined us for the 2021 nThrive User Forums were treated to many conversations between nThrive’s product experts and the healthcare clients they work

5 good habits of a healthy chargemaster
The hospital chargemaster or charge description master (CDM) is the heart of a healthy revenue cycle. It’s a database of all items used in patient

As seen in Modern Healthcare: It’s time to get ready for the surprise billing ban, experts say
Mark Janiszewski, Chief Strategy & Product Officer at nThrive, was featured in a Modern Healthcare article by Michael Brady centered around hospital and healthcare systems

The new administration and navigating patient convenience in healthcare
The course of healthcare in our country permanently changed in 2020. Besides the unprecedented virus that crippled healthcare organizations throughout the world, the election of

Novant Health and nThrive Partner to Give Prospective Medical Coders Hands-On Experience
Novant Health is a leading healthcare network consisting of more than 2,400 physicians and over 37,000 employees who provide care at more than 800 locations,

Four ways to leverage the power and proven performance of contract management: an executive checklist
Healthcare providers being underpaid by complex medical contracts need to mitigate risk and understand trends. Here are four ways to develop the best course of

Leverage robotic process automation to automate billing edits and work denials
Did you know many hospitals and healthcare organizations have increased their team capacity from 35 percent to 200 percent with Robotic Process Automation (RPA)? With

nThrive video: Meet KnowledgeSource® medical billing & coding compliance technology
VIDEO: Meet KnowledgeSource – YouTube | Many hospitals and healthcare organizations across the country

Say yes to chargemaster success
Your healthcare organization’s chargemaster (CDM) is the heartbeat of the revenue cycle, the source of truth that reflects all costs and feeds all billings. It’s

Nivano physicians maximize revenue and achieve operational goals with claimshop web services integration
Based in Sacramento, California, surrounding 11 county regions, Nivano Physicians, is the leading provider of coordinated managed care services for both Medi-Cal and Medicare patients.

Understanding physician referral patterns to provide optimal patient care
According to the Medical Group Management Association, losses in excess of $200,000 per employed physician are not uncommon. As healthcare organizations drive toward value-based care,

Work smarter, faster with robotic process automation
Doing more with less has become the new normal for hospitals and healthcare organizations, with the medical industry as a whole struggling under the weight

Three successful employee retention strategies in the revenue cycle
Employee turnover is high in the healthcare arena, and according to one site hosted by FOND, a company that hosts a global employee rewards and

Leveraging education as a key strategy of a solid business plan
The COVID-19 Coronavirus pandemic caused hospitals and healthcare organizations across the country “resource angst” as they scrambled to set colleagues up to work from home,