Process Improvement Can Prevent Denials
Approximately two-thirds of the top ten reasons for denials during the first quarter of 2017 were related to patient access issues.
Capturing Transitional Care and Chronic Care Management Appropriately
What is the difference between coding for transitional care management and chronic care management?
Ensuring Proper Payments for Substance Abuse Services
Substance abuse treatment providers can maximize payments through contract negotiations and eligibility verification and precertification processes.
Linking Professional Fee and Facility Fee Data to Get the Big Picture
Matching patient and encounter data helped one Vermont hospital overcome the challenges of working with two different billing systems for its facility and physicians.
Building a Successful Investment Program in a Changing Economy
Changes in the economy are bringing new challenges for healthcare finance leaders who oversee investment programs.
Tackling the Challenge of Stranded Assets in the Acute Care Hospital Sector
The healthcare industry’s increasing focus on value versus volume has caused a shift of care from inpatient to outpatient settings, leaving many hospitals with stranded strategic fixed assets.
Learning Lean Six Sigma Lingo: DMAIC
Six Sigma DMAIC processes and tools are designed to identify root causes and ensure the right solutions are being implemented.
Availability of Dental Insurance Can Reduce Hospital Costs
Average patient hospital costs rose by 20 percent for Medicaid patients after their dental coverage was trimmed to cover only emergency care.
Managing the Cost of Quality
Healthcare leaders need to provide relevant stakeholders organizationwide with transparency into quality-related costs to drive performance improvement progress. The right tools and processes make the needed visibility possible.
What Finance Leaders Should Know About Cybersecurity Risks
IT security breaches can be costly: The average cost of a breached medical record is $158. Fortunately, finance leaders can help IT security teams protect against these unforeseen costs.