Revenue Cycle Strategist July/August 2019
The July/August 2019 issue of Revenue Cycle Strategist newsletter features articles on payer EHR integration, price transparency, chargemaster strategies and KPIs for Medicaid eligibility.
Analysis: Musculoskeletal issues are a pain in employers’ . . . wallets
A discussion on how actions by some employers to mitigate the impact from the cost of musculoskeletal issues could create opportunities for some health systems and risks for others.
Why private equity firms see the appeal of healthcare finance expertise
Finance leaders of traditional healthcare providers may have opportunities to pursue positions with private equity firms, says a CFO with a leading healthcare startup.
Client relationships and the supply chain
A hospital or health system that wants the best possible client service from its supply chain must provide resources — including staff, technology and tools — as well as opportunities to collaborate on decision-making that will position the supply chain for success.
Keeping an eye on Massachusetts
Several payer-provider collaborations launched in Massachusetts seek to better manage Medicaid risk by including behavioral health resources, among other services.
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.
Why behavioral health should be part of a holistic healthcare approach
The dual risk of physician and mental health conditions often compound the cost of care. In fact, people with a combination of medical and behavioral issues have medical costs that are two times higher than the general population.
NPs, PAs could reduce the costs of caring for complex patients
Organizations that don’t use NPs and PAs as primary care providers for complex patients are missing an opportunity to maintain good outcomes and potentially reduce costs, says Perri Morgan of Duke University School of Medicine.
Top 5 factors essential for pharmacy revenue integrity
Maintaining pharmacy revenue integrity requires the availability of accurate, longitudinal data; physicians who understand how their prescribing decisions affect revenue integrity; and technology that delivers information in real-time.