OCR Offers Guidance on Sharing Patient Behavioral Health
OCR has proposed deregulatory rulemaking to clarify when hospitals may share certain patient behavioral health information.
Avoid ED Claim Challenges by Developing CDI Teams
UnitedHealthcare’s new policy of auditing certain emergency department claims should prompt hospitals to seek the expertise of clinical documentation improvement teams in outpatient claim processing.
Enterprisewide Revenue Cycle Management Reduces Costs, Improves Patient Loyalty
Moving toward a holistic approach to revenue cycle management addresses increasing consumer demand for streamlined appointment scheduling, patient information sharing, and bill payment.
Supreme Court Narrows Whistleblower Law
A Supreme Court decision affects whistleblowers in for-profit companies; those working for not-for-profits are protected by other statutes.
BCBS Case is a Lesson on Antitrust
A U.S. district court judge recently questioned the reasonableness of the claims against BCBS that accuse the health plan of increasing coverage opportunities by eliminating competition.
3 Rural Hospital Challenges and Solutions in the Brave New World of Value
Artesia General Hospital is tackling common rural health challenges by developing new relationships with established regional providers and supporting clinician EHR concerns with an end-user feedback program.
Using dashboards to improve productivity
Whether implementing dashboard software or developing dashboards manually, organizational culture, audience size, and customization are critical to success.
Top 5 Factors Essential for Pharmacy Revenue Integrity
Maintaining pharmacy revenue integrity requires accurate, longitudinal data; physicians who understand how their prescribing decisions affect revenue integrity; and real-time data. With that information, finance leaders can determine the ROI of various drugs.
Contracting for Primary Care and Value Improves Patient Outcomes and Lowers Costs
Humana offers primary care practices four types of value-based contracts, but also customizes plans that emphasize population health or other initiatives.
Healthcare Sector Awaits Regulatory Reform
Two actions that minimize the impact of federal agency guidance documents concern some healthcare experts. Although these changes do not apply directly to healthcare regulatory agencies, government litigators could use them to determine the relevance of HHS or CMS guidance.