Artificial Intelligence Offers Revenue Cycle Opportunities
Artificial intelligence streamlines interactions with patients and payers. Examples include real-time out-of-pocket patient estimates, and, to reduce denials, analysis of health plan documentation before claims are submitted.
Defining Finance and Operating Leases Under the New Lease Accounting Standard
The FASB’s Accounting Standards Update (ASU) 2016-02 – Leases (Topic 842) describes how to determine whether a lease should be classified as an operating or a finance lease.
Tipping the Scale: A Methodological Approach to Revenue Analysis
When acquiring a medical group, health systems should eschew blunt profit and loss statements in favor of more precise approaches, using market metrics to assess each site or specialty.
Steps to Effective Succession Management
Leaders of healthcare organizations can use a 90-day plan to implement the initial stages of a succession management plan.
Succession Planning as a Strategic Initiative
Hospitals and health systems can groom future leaders using methods such as analytics, performance evaluations, and formal development programs.
Engaging Physicians in Strategic Decision Making
Physicians need structured opportunities to offer feedback to organizational leaders. One Missouri hospital has created several forums that give physician leaders regular access to the president and CEO to promote greater collaboration and transparency.
Key Strategies for Performance Improvement
Developing engagement across a hospital or health system encourages collaboration and problem solving on costly claim denials.
4 Clinical Reasons for Denials
Denial prevention efforts should focus upstream in the revenue cycle, starting with patient status and continuing through documentation practices, coding, CDI, utilization review, and charge capture.
Transforming Patient Access and Engagement
St. Luke’s Cornwall Hospital overcame patient access challenges with more than a technological fix. The hospital necessitated a culture change and put a high priority on data capture and analysis of previously unmeasured KPIs.
3 Key Areas for Financial Assistance Compliance
These requirements relate directly to hospital revenue cycle operations. Failure to comply could result in substantial penalties or the loss of not-for-profit status.