Raising Red Flags for Coder Quality in ICD-10
By analyzing coder performance data, organizations pinpoint revenue vulnerabilities and mitigate reimbursement risk.
Requests for Health Information on the Rise
Healthcare reform, value-based payment, and increasing audit scrutiny make it increasingly important that hospitals improve their data sharing capabilities.
Using Audits to Improve Compliance, Cut Future Audit Risk
Several steps can help hospitals and health systems leverage audits and their results to increase compliance and reduce financial risks from future audits.
Making ACO Participation Pay Off
Delaware Valley ACO’s emphasis on improving care while lowering costs has proven effective, demonstrated by an increase in members from 5,000 to 200,000 in three years.
Two-Midnight Rule Redux
Concerns about the two-midnight rule continue, but experts insist that they can be overcome with better education of utilization review and case management staff.
Supreme Court to Hear Fraud Case
Depending on a Supreme Court decision later this year, false claims plaintiffs and their attorneys may have wider latitude to bring lawsuits.
How Minnesota Safety Net Providers Found Success in a Medicaid Alternative Payment Model
A combination of preparation; using data to stratify patients by risk category; and integrating primary care, behavioral health, and social services is helping Minnesota safety net providers succeed in a Medicaid accountable care initiative.
Developing an Effective Revenue Cycle Meeting Agenda
An effective revenue cycle department meeting covers KPI updates, challenges and successes, and input from other department leaders as needed.
Millennials Set Pace for Healthcare and Revenue Cycle Management
Millenials want convenient onsite and virtual healthcare service options as well as transparent pricing and easy-to-use payment tools.
How Hospital CFOs Can Work More Effectively With Their Boards of Directors
CFOs can take five steps to encourage strong board relations and governance.