Automation from documentation capture to code: Insights from healthcare finance leaders
Read tips on strengthening return on investment and engagement as well as the role of process automation in navigating the documentation and workforce challenges facing healthcare in this roundtable with hospital leaders.
Data capture and coding for social determinants of health are works in progress, per reports
In the effort to bring social determinants of health (SDoH) more under the purview of healthcare providers, one tricky aspect is establishing a data and coding infrastructure. Recent reports highlight this challenge. For example, a survey conducted for the American Health Information Management Association (AHIMA) found that although 78% of 2,637 respondents said their organizations…
In new final rule, CMS looks to claw back billions in overpayments to Medicare Advantage health plans
CMS has confirmed a new approach to its auditing of payments directed to Medicare Advantage health plans, but the agency says the regulatory burden on providers should not increase. A newly published final rule on risk adjustment data validation (RADV) establishes that CMS will use an extrapolation methodology to recoup overpayments to MA plans beginning…
News Briefs: Financial and operational challenges still hamper hospitals 2.5 years into the pandemic
As published in hfm magazine, a monthly roundup of top news for healthcare finance professionals.
Recent changes to E/M coding mean time-based billing could be advantageous for longer visits, study finds
Depending on patient volumes, clinics could benefit from incorporating time-based billing instead of relying on CPT coding approaches.
TransUnion’s Transfer DRG solution simplifies the underpayment process
One company reviews how its SaaS solution can simplify identifying transfer DRG underpayments for hospitals.
As revenue cycle challenges accumulate, a new survey suggests hospitals are taking a closer look at automation
For hospitals and health systems, survey results show that the ongoing labor crunch in revenue cycle operations has provided an impetus to expand process automation.
Even as costs surge, Medicare physician payments are scheduled to decrease in 2023
Medicare physician payments would decrease by more than 4% in 2023, according to a proposed rule.
Digestive diseases led increase in treatment costs over the last two decades, analysis finds
A new study quantifies the extent to which treating disease has become increasingly expensive since just before the turn of the century.
Hospitalists are more likely than other physicians to choose high-intensity codes for inpatient care, study finds
The billing and coding practices of hospitalists may contribute to the rising cost of hospital care in the U.S., according to conclusions of a new study.