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.
Discerning the Impact of Lesser-Than and Greater-Than Provisions in Payer Contracts
If hospitals do not take these payment provisions into account, a small price adjustment could result in a significant revenue hit, says William O. Cleverley.
Getting a Handle on Staff Turnover
A balanced approach to managing revenue cycle staff turnover—keeping overall rates low but also recognizing the need for “good” turnover—is an important factor in managing new healthcare payment models.
Diagnosing Physician Practice Financial Pains
The cause of your physician practice’s financial pains might be your revenue cycle processes.
Separation of Compliance and Legal Functions Key to Effective Hospital Compliance Program
New guidance strongly suggests that hospital compliance officer should not be subordinate to legal counsel.
A Perfectly Legal Way to Help Patients Pick Higher-Quality Post-Acute Providers
For fear of legal ramifications, hospital case managers and discharge planners are not sharing quality information about post-acute providers with patients.
The Right Questions to Diagnose Physician Practice Financial Pains
Physician practices can recover lost revenue by asking the right questions about their revenue cycle processes.