Know your denials challenges before developing prevention strategies
Successful denial management and prevention strategies require the right mix of people capable of handling the process from beginning to end.
3 abilities every coder should possess
Coders need to understand billing expectations, how the billing process works and how the revenue cycle is affected.
The role prescribing guidelines play in patient-monitoring
Research showed healthcare providers were able to reduce opioid misuse in their practices by 40% when they followed prescribing guidelines that included regular prescription drug monitoring program checks and toxicology testing.
Ways to reduce opioid misuse through patient monitoring
Tackling state and federal prescribing guidelines can improve healthcare providers documentation and administrative reporting and potentially reduce their liability for patient opioid misuse.
Digitization of care plans boosts clinical decision making
Digitization of care plans can help healthcare providers create processes of care that focus on achieving high-value outcomes.
Mayo Clinic Laboratories uses data, clinician teams to identify cost savings
Just one lab utilization initiative can have a massive financial impact, says Andrew Cousin of Mayo Clinic Laboratories. Don’t be so overwhelmed by the scope that you do not take that first small step.
Allina Health: Reducing Variations in Clinical Care
This case study shows how one health system used its data assets to identify opportunities for reducing variations in clinical care.
Key Strategies for Performance Improvement
Developing engagement across a hospital or health system encourages collaboration and problem solving on costly claim denials.
4 Clinical Reasons for Denials
Denial prevention efforts should focus upstream in the revenue cycle, starting with patient status and continuing through documentation practices, coding, CDI, utilization review, and charge capture.
4 Smart Strategies for EHR-Enabled Innovation
Nicki Anderson explains the necessity for, and benefits of, providing clinical decision support resources within the EHR.