Resources
Insights
A State of Denial: How to Lessen the Impact of Denials on Collections and Speed Up the Process
A State of Denial: How to Lessen the Impact of Denials on Collections and Speed Up the Process As the number of payer denials continues to increase, it is crucial for physician practices and ASCs to stay informed about increasingly complex payer requirements, especially concerning coding, prior authorization, timely filing, and appeals processes. However, keeping …
A Provider’s Guide to the Patient Financial Experience
Patients are facing increasing out-of-pocket costs, such as high premiums, deductibles, and copays. A recent consumer experience study revealed that 53% of patients find it stressful to understand their healthcare coverage and the amount they owe.1 To avoid confusion, ensure clarity in payment obligations, and provide a patient-friendly experience, it is crucial to compassionately educate …
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What the End of the PHE Means for Telemedicine Policies
The Public Health Emergency (PHE) officially ended on May 11, 2023. This has an impact on Telemedicine Policies, so we have created guidance and reference documents to help you navigate the changes. Please note, many of the telehealth flexibilities were initially extended by the 2022 Consolidated Appropriations Act for an additional 151 days after the …
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How Orthopedic and Aligned Musculoskeletal Practices and ASCs Can Build Better RCM Partnerships
Orthopedic and aligned musculoskeletal practices and ASCs face unique revenue cycle challenges that can have a significant impact on their financial health. These challenges include non-clinical staffing shortages, prior authorization issues, complex coding requirements, increasing denials, and changing payer mixes with rising patient financial responsibility. With financial pressures mounting, practices look for ways to help …
Women’s History Month Spotlight: Terry Cates
It all began with identifying a need, having the solution, and taking a leap of faith. In 1983, Koha Health (formerly Physicians Resources LTD) founder Terry Cates was a practice manager for an orthopedic surgeon in Lowell, Massachusetts. She heard anecdotally that many medical practices were struggling with billing and collections. Terry had always wanted …
3 Takeaways From Orthopedic Value Based Care Conference
The 7th Annual Orthopedic Value Based Care & The Future of the Musculoskeletal Space Conference (OVBC 2023) took place in January. The conference focused on teaching financial, operational, and clinical aspects of orthopedic value-based care (VBC) equipping every attendee with actionable skills and ideas they could bring back to their practices. Koha Health was represented …
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4 Essential Elements that Support Amazing Client Relationships
Amazing client relationships should be a priority for all businesses. At Koha Health, we LOVE our clients and believe that how we work collaboratively to accomplish goals, and value each other through open communication and mutual respect, are vital indicators of success. Those factors affect client loyalty and serve as building blocks for relationships. “ …
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Reflections on 2022: Do what you LOVE!
Success can be measured in many ways. For me, the ultimate measure is whether I am passionate about the path in front of me. In my professional life, I believe if you focus on what you love, work becomes a gift. At the beginning of 2022, I found myself standing at the helm of a …
Building an Integrated Orthopedic Practice with Service Line Expansion
Building and maintaining a successful orthopedic practice has never been more challenging. The cost of operating a provider practice has increased by 39% and practice overhead is now estimated to be around 60% of gross income. This could be why mergers and acquisitions in the provider group space has risen so dramatically in recent years. …
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Four Opportunities to Protect the Lifetime Value of Your Patients
Do you know the current lifetime value of your patients? If you’re like most, the answer is no. It can be a difficult metric to capture because it’s dependent on numerous data points, including patient payments, payer reimbursements, and much more. Is it necessary to know the lifetime value of your patients to be a …
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News
Koha Health and aiHealth Announce Partnership to Bring Autonomous Medical Coding Solution to Orthopedic Practices
Innovative partnership designed to leverage expertise in artificial intelligence (AI) and medical coding to eliminate workflow inefficiencies and accelerate performance. Koha Health a provider of revenue cycle management services, specializing in orthopedic and MSK-aligned practices and ambulatory surgical centers, and aiHealth, an industry leading autonomous medical coding platform utilizing Artificial Intelligence (AI), have announced a …
The Ortho Show Hosted by Scott A. Sigman, MD, Announces New Ownership
The Ortho Show, a popular podcast for the orthopedic community, will be under new ownership as of February 1, 2023, with big announcements to follow regarding expansion of both content and the business. Taking the helm alongside Dr. Sigman is Koha Health, an innovative revenue cycle management company focused on supporting orthopedics, ASCs and MSK …
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Koha Health Launches Nationwide Expansion Adding Strategic Advisory Services
Changes Name to Koha Health with a Focus for Expansion on Orthopedic, ASC, and Musculoskeletal Practice Financial Health MERRIMACK, N.H., Aug. 25, 2022 — Koha Health, an innovative revenue cycle management company focused on supporting orthopedic practices to achieve total financial health today announces they have renamed the company and rebranded from Koha Health to …
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Koha Welcomes Brad Cox as Vice President of Revenue Cycle Operations
Seasoned Expert Brings Wealth of Operational Optimization Experience to Koha May 5, 2022 – MERRIMACK, NH – (PRWEB) Koha Health has named Brad Cox vice president of revenue cycle operations. Koha delivers strategic and operational transformation to the revenue cycle management for physician practices to ensure all financial touchpoints are integrated and results are optimized. …
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Jody Holt Joins Koha Health as Chief Financial Officer
Financial Expert Brings Wealth of Experience to Koha Health MERRIMACK, N.H., May 24, 2022 — Koha Health has named Jody Holt chief financial officer. At Koha Health, Jody’s focus is to work alongside the team to strategize the business to position Koha Health for growth and value creation. Jody will also implement processes and procedures …
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Dee Rountree Joins Koha Health as Vice President of Client Experience
Supports Company’s Commitment to Client Relationships Merrimack, NH – August 16, 2022 – Physicians Resources LTD (Koha Health), a leader in Revenue Cycle Management (RCM), has named Dee Rountree vice president of client experience. This is a newly created position designed to not only ensure that all Koha Health clients receive superior service, but to …
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Podcasts and Video
What is a RAC Audit?
Can You Appeal Findings of a RAC Audit?
The Benefits of Rebadging
How Patient Surveys Unlock Better Patient Satisfaction
By AccessOne
December 15, 2022
Brian Hall joins the AccessOne show to share what he’s learned from conducting patient satisfaction surveys, how to do them properly, and why organizations must have an action-oriented framework in place to fix problems.
What's So Scary About a RAC Audit?
What Are You Seeing CMS Focusing On With RAC Audits?
Out-source vs. Co-source
November 22, 2022
Outsourcing and Co-sourcing are two very different things bringing different approaches and expectations. Brian Hall explains the difference and why Koha Health adopts a co-sourcing model.
What Are Possible Outcomes of a RAC Audit?
A/R Wind Down
February 23, 2023
Amy Cerruti knows planning for the sunset of a legacy system is just as important as implementing the new one. In this video, she shares two main reasons.
Diversify Your Revenue Streams
November 9, 2022
Building and maintaining a successful orthopedic practice has never been more challenging. Diversifying your revenue streams can protect your core business and accelerate growth. Brian Hall discusses how service line expansion can increase revenue opportunities and long-term financial viability.
The Ortho Show
Koha Health is Proud to Help Bring You The Ortho Show
On February 1, 2023, Koha Health announced they would be taking ownership of The Ortho Show, a popular podcast for the orthopedic community, alongside host Dr. Scott Sigman.