Revenue Cycle Insights

An effective Transfer DRG second sweep will confirm that a hospital has received all of the revenue it has earned, ensure that its primary process is compliant and potentially identify cost savings through vendor consolidation. This special report explains why secondary reviews are still necessary.

Transfer DRG underpayments deprive US hospitals of hundreds of millions of dollars per year. Fortunately, there are solutions that allow hospitals to recover the revenue they’ve properly earned when they’ve been underpaid due to the Transfer Rule.

Even hospitals with established best practices around the shadow billing process may find that system conversions, updates, staffing changes and registration issues lead to missed shadow billing opportunities. Learn how underpayments can occur.

In this episode, we are joined by BESLER's Meliza Weiner to discuss the important issue of utilization management  and how it affects…

In this episode, we are joined by Olga Barone-Allan, Senior Manager of Onboarding & Delivery at BESLER, to discuss the top revenue…

In this episode, we are joined by Mary Devine, Director of Revenue Cycle Services at BESLER, to discuss an issue that is…

In this episode, we are joined by Mary Devine, Director of Revenue Cycle for BESLER, to discuss the appropriate uses of condition code…

In this episode, we are joined by Mary Devine, Director of Revenue Cycle at BESLER, to discuss what providers need to know about…

In this episode, we are joined by BESLER's Mary Devine and Olga Barone-Allan to share their 10 best practices for revenue cycle during…

In this episode, we are joined by BESLER's Mary Devine to discuss changes to how hospice reimbursement is treated under the Medicare Post-Acute…

In this episode, we are joined by BESLER's Mary Devine to discuss Medicaid payment methodologies for hospital reimbursement related to transfers. Learn how to…

In this episode, we are joined by BESLER's Olga Barone-Allan and Roseline Guillaume to discuss how Medicare return to provider can improve a hospital’s…

In this episode, we are joined by Mary Devine, Director of Revenue Cycle Services as BESLER, to discuss the impact of DRG changes…

In this episode, we are joined by Russ Baker, Claims Data Analyst at BESLER, to discuss the importance of billing Medicare Advantage no…

In this episode, we are joined by Olga Barone-Allan and Meliza Weiner of BESLER to discuss their experiences creating cross-functional initiatives to improve…

In this episode, Olga Barone-Allan, Client Relations Manager at BESLER, discusses discharge status codes and their effect on hospital reimbursement. Learn how to…

In this episode, Mary Devine, Director of the Revenue Cycle team at BESLER, discusses how a hospital-to-hospital transfer policy affects billing and coding,…

In this episode, Vinny Farina, Senior Manager in the Revenue Cycle team at BESLER, discusses the background of the Social Security Number Removal Initiative…

In this episode, Kathy Ruggieri, Senior Director and Mary Devine, Senior Manager of the Revenue Cycle team at BESLER Consulting, discuss hospitals' biggest concerns…

In this episode, Kathy Ruggieri, Senior Director of the Revenue Cycle team at BESLER Consulting, discusses how to manage your Transfer DRG recovery vendor.…

The Healthcare Financial Management Association (HFMA) today announced that, following rigorous review, BESLER Consulting has once again achieved the “Peer Reviewed by…

In this episode, Michelle Keller-Eiler, Manager in the Revenue Cycle team at BESLER  walks through the essentials of Transfer DRG revenue recovery…

In this episode, Vinny Farina, Senior Manager in the Revenue Cycle team at BESLER Consulting, walks you through various aspects of IME…

In this episode, Mary Devine, Senior Manager on the Revenue Cycle team at BESLER, walks us through compliance pitfalls and how to…

In this episode, Ely Labovitz, Senior Software Architect at BESLER Consulting, discusses highlights from HIMSS 2016 and how what's new in healthcare IT affects…

In this episode, Jon Besler, BESLER Consulting’s President & CEO, explains what the HIPAA Eligibility Transaction System (HETS) is, why it’s replacing…

  Transfer DRG underpayment recovery is not necessarily a solved problem for most hospitals. BESLER has conducted "second sweep" Transfer DRG reviews…

The following is an excerpt from, "The Value of an Independent IME Review". Download Now Optimizing IME and DGME reimbursement is contingent…

  The effectiveness of a Transfer DRG second sweep can be explained in large part by the differences among vendor and internal…

I am pleased to provide you with this important update regarding the proposed elimination of the Common Working File (CWF) and transition to the HIPAA…

Not every billing error can be fixed and re-billed. However, there may be opportunities to recover significant revenue that is otherwise lost.…

FOR IMMEDIATE RELEASE Lawrence General Hospital Selects BESLER Consulting’s Transfer DRG Revenue Recovery Service Health system selects BESLER to assist with the…

  Eventually, four new modifiers will completely replace -59. Modifier -59 was replaced on January 1, 2015 with more defined subsets.  The…

In February 2015, 30729 topped the list of most frequent Medicare rejection reason codes   What is the issue? Over the past…

  A hospital that does not have a thorough process in place for billing the “no pay” claims for a Medicare Advantage…

  Peer Reviewed designation from the Healthcare Financial Management Association (HFMA) is difficult to achieve. In fact, over the last three years,…

Auditing and quality checks on your denial management tool and processes will ensure they remain effective I recently helped a hospital review…

Medicare Transfer DRGs account for 41.6% of all Medicare discharges. The impact to US hospitals is in the hundreds of millions of…