Trends

Avoiding the Costliest Denials

Eligibility, outpatient medical necessity, and case management authorization continue to be three of the costliest denials. To avoid the negative effects of these types of denials, it is critical to implement an improvement process based on data.

Laura Ramos Hegwer April 10, 2017

Using Dashboards to Drive Better Performance

The decision support team at Baptist Health implemented a new tool that provides dashboards to monitor service line performance, profitability, and utilization.

Laura Ramos Hegwer April 7, 2017

Trending Solutions for Rising Drug Prices

Understanding the efficacy of high-cost drug across large patient populations will help providers, payers, and pharmaceutical companies to understand the value of certain drugs and offer patients their life-saving value.

bett February 16, 2017

3 Tips to Ensure Information Governance Success

A hospital health information director shares three strategies to help organizations form an information governance structure.

Lisa A. Eramo February 16, 2017

Children’s Health Raises Efficiency with Revenue Cycle Information Governance

To leverage its data assets toward population health management and other strategic goals, Children’s Health embarked on an information governance initiative that manages data throughout its lifecycle and organizationwide. 

Lisa A. Eramo February 16, 2017

Video: Tips for Direct-to-Employer Contracts from UNC Health

Understanding the time commitment and negotiation strategies around direct-to-employer contracts are key areas for payment and reimbursement leaders to consider.

HFMA February 16, 2017

Finding a Better Way to Handle Claim Attachments

Standardizing the electronic submission of claims attachments is a hot topic in the industry as stakeholders look for ways to reduce costs.

Laura Ramos Hegwer February 15, 2017

Legal Concerns in Telemedicine

Although telemedicine provides numerous benefits, it also presents some legal and regulatory challenges. Legal and regulatory concerns can be grouped under three main categories: Licensure laws; privileges and credentials; and confidentiality, privacy, and security.

J. Stuart Showalter February 15, 2017

How Providence Health Optimizes Its Customer Service Contact Center

By offering flexible and competitive work options, Providence Health maintains a high-performing customer service contact center that reduces bad debt and helps patients find financial assistance.

Lola Butcher January 19, 2017

Negotiating Maternity Care Bundles

UTHealth’s maternity bundled payment pilot encountered two challenges: developing fair and consistent quality measures and defining what services would be part of the bundle.

Lola Butcher January 17, 2017
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