Launching Revenue Integrity Programs in Hospital-Owned Practices
University of Maryland St. Joseph Medical Center’s revenue integrity program ensures a formal process to perform regular audits and educate physicians and their staff about compliance, and under-coding as well as over-coding.
Using Business Intelligence to Succeed in Value-Based Care
Gain buy in for value-based care by picking a few key areas to cost and monitor. A few easy wins builds momentum and confidence across a healthcare organization.
Penicillin Skin Testing Leads to Better Care and Significant Savings
Bruce Jones explains the benefits—and simplicity—of confirming a patient is allergic to penicillin before opting to use alternative treatments.
AI Meets Health Care’s Turnover Problem
One health system found that artificial intelligence (AI) can provide an effective means to ensure the right nurses are hired for the right roles, which helps it meet strategic goals on quality, satisfaction, and costs.
At the Tipping Point for Assuming More Risk
An in-depth look at how organizations can build capabilities to implement effective value-based payment contracts and care delivery models.
Reducing Cancer Costs: Lessons from Leading Oncology Practices
Sita Kapoor highlights seven lessons learned from early participants in the CMS Oncology Care Model about reducing cancer care costs.
The Troubling State of Not-for-Profit Hospitals’ Finances
Ken Perez discusses options not-for-profit hospitals should be exploring that go beyond just better management of labor and supply costs in the context of current financial woes.
Managing the 30-Day Readmissions Window
Mary Kay Thalken explains that ensuring continuity of care to reduce readmissions requires a current, comprehensive referral network. Automating the process can be helpful as well.
4 KPIs to Increase Profitability Under Value-Based Payment Models
Revenue cycle KPIs are evolving to assist healthcare finance leaders determine net profit rather than revenue.
Amid Full Employment, Hospitals Keep Hiring
Sept. 7—Hospitals, like much of health care, continued their steady hiring streak in August, even as the pool of potential new hires appeared almost dry.