Practical tips for maintaining control over the revenue cycle
As evolving market trends shape healthcare payment, providers continue to face real-world, day-to-day challenges that contribute to unpaid claims, unnecessary denials, workflow inefficiencies, and rework. By implementing the recommendations outlined here, providers can obtain the necessary visibility and control over their claims payment processes that can help them not only sustain a healthy revenue cycle,…
5 steps to becoming HIPAA compliant
Healthcare organizations that qualify as HIPAA covered entities should take five steps when developing a compliance program designed to meet their obligation under HIPAA to safeguard patients’ protected health information.
CMS Overhauls the Medicare Shared Savings Program
CMS’s Pathways to Success final rule is a challenging proposition for ACOs participating in the Medicare Shared Savings Program (MSSP).
An Integrated Approach Can Direct Risk and Resource Allocation
Market volatility requires hospitals to identify contributors to cash flow variability, quantify potential related risks, and identify how the risks might manifest themselves.
Why Healthcare Forecasting is a Combination of Art and Science
A healthcare forecast is based on an analysis of related costs and trends, but a forecaster’s predictions also should consider the possibility of future crossroads where several vectors of change intersect.
How University of Texas Medical Branch Reduced Readmission Rates Using a Data-Driven, Multidisciplinary Approach
An approach used by University of Texas Medical Branch to reduce 30-day readmission rates exemplifies how healthcare organizations can best use real-time data analytics and standardized process for this purpose.
Healthcare without walls: making the vision a reality
A healthcare policy expert describes a vision of care that relies more extensively on virtual platforms and community settings.
HOPDs vs. ASC: Understanding Payment Differences
The growth of ambulatory surgery centers has hospitals and health systems looking at payment in a new way.
Revenue integrity: an evolving function for hospitals and health systems
Hospitals and health systems require a revenue integrity function to best manage revenue cycle processes in today’s healthcare environment.
Analysis: Healthcare industry implications when more private-equity groups buy specialty physician practices
As more private equity groups get involved in healthcare deals, industry insiders express concerns about possible negative impacts on healthcare as a whole.