Time for Hospitals to Pursue a ‘Nip and Tuck’ Chargemaster Pricing Strategy?
Hospitals should balance their concern about achieving the margins they require to accomplish their missions with the need to maintain defensible pricing in an environment of increasing healthcare price transparency.
Revenue Cycle Strategist: September 2017 Issue
Subscribers can view the September 2017 issue of Revenue Cycle Strategist.
TCPA Lawsuits Are Exploding
The TCPA was never intended to prohibit or negatively affect legitimate business-related calls, but that has been the result of court decisions allowing class action lawsuits.
Improve Compliance and Revenue by Understanding the Two-Midnight Rule
Edward Hu, MD, president of the American College of Physician Colleges, offers guidance for physicians seeking to better understand the two-midnight rule.
Improve Compliance and Revenue by Understanding the Two-Midnight Rule
Edward Hu, MD, president of the American College of Physician Colleges, offers guidance for physicians seeking to better understand the two-midnight rule.
Patients as Payers: An Analysis of Current Trends
Patient payments have increased overall, but the actual dollar value of most individual transactions decreased by 3 percent, potentially indicating that patients are finding it difficult to come up with all the money owed at point of service.
Opioid Pattern Variations Highlight Need for Careful ICD-10 Coding
When coders capture intent, type of use, and associated manifestations for opioid abuse cases, they assist researchers in developing statistics that drive public health decisions.
Are You Prepared for These Three Self-Pay Risks?
Hospitals face risks associated with three major statutes that impact revenue cycle processes: autodialer rules, debt collection, and charity care requirements.
How Penn Medicine’s EHR Conversion Yielded an Integrated Revenue Integrity Department
In addition to measuring metrics at each EHR go-live stage, the budding revenue integrity structure included revenue reconciliation committees at each hospital to review department charge capture daily. Ultimately, the revenue integrity department would support the clinical areas for each of these committees long-term to ensure sustainability.
Cerner: Strategies for Readying the Revenue Cycle for the Future
This action brief outlines several strategies that organizations can take now to prepare for healthcare payment reform—ensuring their revenue cycles are primed for the future while continuing to sustain high levels of current performance