Self-Pay Revenue Management

2 min read

Medicaid Retroactive Eligibility Waivers

By Emerald on November 4, 2019 - 3:24 PM

Health insurance is a complex subject, especially when it has a retroactive period attached to it. So what exactly is Medicaid retroactive eligibility, and how does it change? Is there anyone who is automatically eligible for this retroactive coverage? We'll answer these questions, and more, below.

Continue Reading
2 min read

3 Resilient Revenue Cycle Processes

By Audrey Cooper on September 18, 2019 - 1:03 PM

Keeping track of employees is not an easy task. Management often spends a lot of time focusing on what employees are doing, where the "wasted" time is spent, and how to do things faster - making their company lean, mean, and ready for action. No management team sets out to micromanage their employees, but rather to understand where time is spent in order to improve efficiency, productivity, and communication. Emerald has developed a number of processes that are designed to do just that. These three processes have had significant impacts on our organization. 

Continue Reading
2 min read

Automated Processes Transform Healthcare Billing

By Audrey Cooper on May 6, 2019 - 10:00 AM

Have you been operating with an understaffed department? Are your 60-120-day buckets getting larger and larger? Do you have way too many manual processes? Were you nodding at any of these questions as you were reading them?  Adding more staff and manual processes are what I characterize as "band-aid" fixes -- great for clean-up projects, but not ideal as permanent solutions to a problem that will continue to rear its ugly head. 

Continue Reading
3 min read

3 Reasons Your Patient Notices Are Confusing

By Kaylee Gordon Riddle on April 11, 2019 - 3:06 PM

A patient notice is one of the most powerful communication tools in healthcare revenue. Without them, the patient wouldn't know how much to or when to pay. Unfortunately, 57% of patients are confused by their billing statements. The result of their confusion leads to payment delays and an increase patient call volume. 

Let's be real here.  Billing offices don't have time or the resources to manage more calls and they certainly don't want to wait longer to get paid. Emerald's research team decided to tackle the problem. We worked with industry experts to improve the patient statement. We compared multiple notice templates, analyzed patient calls and other concerns related to the statement.  When we finished our analysis, we narrowed our improvements to three main areas.  

Continue Reading
1 min read

Cause You Don’t Know What You Don’t Know: How to separate the payers from the non-payers

By Kaylee Gordon Riddle on April 9, 2019 - 4:25 PM

Continue Reading
2 min read

Patients May Still Be Eligible for Medicaid -- Even After a Denial

By Emerald on March 11, 2019 - 1:56 PM

Since Medicaid is a program that is jointly run by the federal and state governments, the billing requirements will vary from state to state. It's important that medical administration personnel in charge of billing understand the rules and protocols, especially where it relates to patient coverage. If a patient is denied Medicaid on the basis of failure to renew benefits, it may still be possible to receive Medicaid coverage through the program's reinstatement process. Note that this is different from situations in which a patient is denied Medicaid on the basis of income or has been otherwise excluded from Medicaid eligibility.

Continue Reading
3 min read

The Number One Complaint in Community Health - Customer Service

By Emerald on February 21, 2019 - 12:12 PM

A study of nearly 35,000 online reviews of medical billing office’s nationwide has found that customer service is patients’ chief frustration, not physicians’ medical expertise and clinical skill.

Continue Reading

Form 990

By Acooper32 on November 5, 2018 - 8:14 PM

What Federally Qualified Health Centers Need to Know About Form 990

The time for your Federally Qualified Community Health Center [FQHC] to complete form 990 is approaching soon. There aren’t a lot of changes this year so we’ve created

Continue Reading

Featured