Ask the Experts: Observation Status
How does your facility manage appropriate charging for observation hours, excluding any of the procedure times that are not permitted?
Ask the Experts: Medicaid Billing
How should I bill New York Medicaid for services provided by non-hospital employee clinicians in emergency department settings?
Ask the Experts: Managing Denials
I am considering creating a denials team and managing all the denials in patient financial services. How have you managed denials and achieved success?
Ask the Experts: Medical Equipment Leasing
What are the current leasing trends for medical equipment?
Ask the Experts: The Impact of Stark, Anti-Kickback Laws on ACOs
How are ACOs managing the Stark Law and Anti-Kickback Statute?
Ask the Experts: Managing Health Plan Overpayments
I have heard there is a rule that health plans cannot recoup overpayments that are more than one year old. Does that stipulation vary by state, or is that a rule that is negotiable per contract?
Ask the Experts: Contracting with Small Health Plans
When negotiating with large and small health plans, what areas of comparison should I look at to be sure I am getting the same levels of service from the various plans?
Ask the Experts: Self-Pay Accounts
Has anyone placed self-pay unpaid accounts with a third-party agency at day 90? If so, was it beneficial or detrimental?
Ask the Experts: Loan Refinancing
We have an opportunity to refinance a tax-exempt loan with a new lender on better terms. Our current lender says that there will be a big penalty to pay if we switch to another lender. What do you recommend as next steps?
Ask the Experts: Developing a Bundled Payment Team
Who are the main players within finance and other departments who are typically involved in developing bundled payments?