Building Machine-Learning Algorithms that Reduce Hospitalizations and Costs
Researchers have developed software that reduces readmissions and hospitalizations by flagging patients for increased risk of medical emergencies based on EHR data.
Key CFO Considerations for Implementing Provider-Sponsored Health Plans
CFOs should consider patient volume, potential partners, and costs—which can be $15 million to $25 million to cover startup expenses—when entering into a payer-provider joint venture to build a provider-sponsored health plan.
Mystery Markups: Medical Supply and Drug Pricing Policies Vary Across Hospitals
Hospital markup policies that set prices for medical supplies and pharmaceuticals can vary significantly across the country, leading to large variances in drug and supply charges.
Healthcare Challenge Roundtable: In Pursuit of Interoperability
Healthcare leaders say that even after making a great deal of progress, the industry must do a lot more work to get interoperability to where it needs to be.
On the (Bumpy) Road to Interoperability
Provider-to-provider interoperability is becoming more widespread, but some say true interoperability should entail secure, automatic data exchange among providers, health plans, and patients.
Revenue Cycle Strategist: December 2017-January 2018 Issue
Subscribers can view the December 2017/January 2018 issue of Revenue Cycle Strategist.
Patients Don’t Have Financial Buffer to Pay Out of Pocket Costs
Healthcare payments spike in the months of March and April, when the majority of American households receive their tax refunds.
A Partnership Approach to a More Powerful Coding Compliance Program
Growing evidence suggests that traditional audit practices used during the ICD-9 era are no longer useful. Instead, the focus should shift to ongoing coder performance audits and reviews.
Indiana Health Group Patients Turn to Online Registration Forms
New patients can access and submit referral and registration paperwork via a link on the IHG website. That information is then passed on electronically to the billing, preauthorization departments, and scheduling departments, saving patients and staff time.
Key Actions to Prepare for the 2018 Medicare Final OPPS Changes
With little time until the OPPS final rule goes into effect, finance leaders should take action now to address the key issues that may impact their organizations both financially and operationally.