Ask the Experts: Reporting Fraud
What types of systems are most hospitals using to allow employees to report fraud?
Ask the Experts: Calculating Contract DRGs
What is a simple way to accurately determine my current base DRG rate?
Ask the Experts: Credit Balances
How do other Florida hospitals initiate and work credit balances?
Ask the Experts: ED Charges
Are any providers posting average charges according to the visit level assigned (1-5), or using any other method to make patients aware of the cost of an emergency department visit?
Ask the Experts: Cost Sharing Programs
I am looking for more information about how to manage patients covered by cost sharing programs.
Ask the Experts: CJR Physician Gain Sharing Agreements
Are boilerplate CJR physician gain sharing agreement templates available or should agreements be created from scratch?
Ask the Experts: Denial Contract Language
What contract language would you recommend to assist with denial prevention?
Ask the Experts: Medicare Small Balance Payments
Is there any concern if copayment under a certain amount are written off?
Ask the Experts: Service Line Analysis
What are the main steps in developing a productivity benchmark model for a service line?
Ask the Experts: Medicare Adjustments During Appeals
Can we adjust a denied Medicare charge off of an account when an appeal is still open?