From The Desk of CEO

Social determinants of health (SDoH) are directly impacting medical coding, and more providers should pay attention. Health.gov defines SDoH as “the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide ...

Healthcare providers across America burned almost $20 billion dollars in 2022 on medical billing accounts receivable – and it all went to chasing down denials and delays with payers . The numbers look even more disheartening with a focus on ...

At 3Gen, we’ve talked for a while about the growing importance of risk adjustment coding—and our rationale is being proven true.  Part of the OIG’s responsibility is conducting health plan audits of Medicare Advantage organizations to identify fraud and reduce ...

Outsourcing revenue cycle management services is turning out to be a smart option for an increasing number of providers. In 2023, 61% indicated they are considering outsourcing tasks to revenue cycle management companies in the next 24 months .  But ...

Adolescent confidentiality has come up more in the news lately, largely because of advances like the HPV vaccine, which can be administered as young as 11 or 12 years old. Because of this, many providers, obstetrician-gynecologists especially, should take time ...

Patients’ experience in hospitals and hospital billing can vary significantly, even if two hospitals are just a few miles away from each other. In essence, the American patient has no idea what their financial experience will be when they step ...

Medical providers should be doing everything they can to get in front of the medical billing changes that are coming next year – and this starts with understanding what’s in the forecast ...

Revenue cycle management has grown to an unmatched level of complexity in recent years. For most organizations, this has meant increased needs for training and improved hiring processes – but is it possible there’s a limit to the effectiveness of ...

With Q4 of 2023 coming around the corner, it’s time to start looking at plans for 2024. It might not seem like it should make your short list of priorities, but medical coding audits should be on the mind of ...

Think back to what your AR processes looked like before the COVID-19 pandemic – how much do they have in common with the way your medical billing accounts receivable processes look today? If they’re too similar, I’m sorry to say ...

Healthcare providers across the board should be ready to expect more medical coding audits.  What’s coming down the pipeline shouldn’t catch anyone by surprise. ...

If you’ve been paying attention to what’s going on with healthcare in Florida, you probably know that the Florida House passed a bill that gives physicians the option to opt out of services for reasons of conscience – meaning they ...

Healthcare provider finance is moving into an entirely new era. As margins continue to be strained, CFOs are facing new challenges such as the end of the public health emergency, staffing shortages, and millions potentially being thrown off the Medicaid ...

One of my greatest concerns around AI isn’t that it’s going to one day go rogue and cause massive issues for some unfortunate provider. I believe the chances of that are slim to none. My deepest concern is potential missed ...

As of May 11, 2023, the COVID-19 public health emergency (the PHE) is ending in the United States. While many are breathing a sigh of relief, revenue cycle ...

If you’ve looked at trends of the future of work, you might have noticed something interesting. You’ll see points like hybrid flexibility, addressing employee mental health, closing ...

The concept of hospital at home – providing hospital-level care inside the patient’s home – is far from ...

The No Surprises Act has made a stir across the healthcare industry, but it ...

“Quiet quitting” has been leading the workplace trend discussion for a while now, which ...

There are many great recommendations for key KPIs to focus on in evaluating your approach ...

From telehealth to public health data reporting, patient-centered initiatives are at the heart of almost all the disruption we’re ...

Collaboration has long been important to revenue integrity, but we’re entering an ...

Most hospitals and health systems are years deep into their patient engagement and patient experience strategies. Many have also seen great results – from initiatives ...

While patient volumes aren’t the rollercoaster they were early in the pandemic, for many, they’re still difficult to pin down. But that’s just the beginning. ...

Providers have been faced with an onslaught of fires and blaring alarms over the last few years, making it easy for revenue cycle leaders to run from emergency ...