Utilization Review Reduces Inpatient Denials
Covenant Health’s utilization review strategies have helped the health system recoup the difference between inpatient and observation status payments.
NLRB Expands ‘Joint-Employer’ Concept
Expansion of the joint-employer concept could have implications for hospitals and other providers who use staffing agencies.
Revenue Cycle: Cost Center or Strategic Asset?
“If you begin to view your revenue cycle as an asset versus overhead, you begin to make strategic investments in that asset and you begin to develop and grow that asset,” says Jeffery Hurst of Florida Hospital.
HIPAA Breaches: Eight Lessons Learned
A healthcare attorney shares eight critical lessons from dealing with HIPAA breach issues.
University Hospitals Transformed Patient Access and Improved Revenue by Nearly $10M
Within two years, University Hospitals’ cancellations and no-shows have dropped from 35 to 21 percent, the call abandonment rate has dropped from 14 to 4 percent, and the average speed to answer patient calls is down from 99 seconds to 20 seconds.
Building a Sustainable Telehealth Program
To ensure their telehealth program is financially sustainable, healthcare organizations must establish appropriate objectives, be strategic about technology, understand the financial risk, and use suitable performance metrics.
How Accurate Mortality Risk Measurement Improves Quality and Value
Keeping risk-adjusted mortality rates low is an essential step when pursuing risk-based payment arrangements, says Brett Senor, MD.
Avoiding and Managing CMS Audits
A revenue cycle director and a healthcare attorney share tips for avoiding CMS audits and managing claim denial appeals.
New NLRB Election Rule May Increase Union Activity
A new NLRB regulation shortens the time for union election campaigns and puts employers at a disadvantage, including hospitals. Early preparation is advised, says a labor relations lawyer.
Changes to Two-Midnight Rule Raise Concerns
Medicare’s proposed changes to the two-midnight rule for hospital short stays creates ambiguities and challenges for hospital staff.