Linking Professional Fee and Facility Fee Data to Get the Big Picture
Matching patient and encounter data helped one Vermont hospital overcome the challenges of working with two different billing systems for its facility and physicians.
Why Direct Primary Care Works for Me
Primary care physician Jeffrey Gold, MD, describes why direct primary care is rewarding for him and his patients.
UAB’s Patient Navigation Program Saves $19 Million Annually
UAB Health System used a novel care model to reduce hospitalizations, emergency department visits, and intensive care stays for patients with complex cancers.
Using New Distribution Models to Prepare for Bundled Payment Models
Hospitals that want to reduce costs as part of their bundled payment strategy should consider sales representative relationship changes.
Value-Based Care Elevates the Role of the Registered Nurse in Primary Care
One way primary care practices can improve their likelihood of success in value-based care initiatives is by streamlining their practices with the help of their registered nurses.
Bundled Payments for Hospitals: Lessons in Collaboration
Donald E. Fry, MD, examines the benefits of bundled payment programs.
Ask the Experts: Observation Status
How does your facility manage appropriate charging for observation hours, excluding any of the procedure times that are not permitted?
Ask the Experts: Medicaid Billing
How should I bill New York Medicaid for services provided by non-hospital employee clinicians in emergency department settings?
Fishing Lessons
Providers may object when value-based savings accrue to health plans. Although those objections have merit, other factors should be considered when formulating strategy.
declining self pay admissions could improve U S hospital revenue streams
A review of the data for the period of 2012-14 points to a continuing decline in self pay admissions under the implementation of the Affordable Care Act (ACA), with the percentage of total admissions processed as self pay dropping to