Hospitals issue plea for healthcare policymakers to do more to buttress the industry
The American Hospital Association and hospital leaders say recent financial trends are unsustainable for many organizations.
David Johnson: Cracks in the Foundation (Part 6) — Overcoming inadequate leadership
Health system leaders today should demonstrate the courage to reject volume-based business models and embrace value-driven care delivery. Improving governance within nonprofit health systems will speed the nation's journey toward consistent delivery of kinder, smarter and affordable care for all Americans.
Healthcare News of Note: Telehealth aids outcomes for Medicare beneficiaries with opioid-use disorder
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Medicare beneficiaries initiating new episodes of OUD-related care get benefits from telehealth use, changes to inventory management strategies are coming for many sectors, and HAIs hit community hospitals hardest during the pandemic.
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.
Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process
One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.
TransUnion’s Transfer DRG solution simplifies the underpayment process
One company reviews how its SaaS solution can simplify identifying transfer DRG underpayments for hospitals.
TransUnion Medicare DSH solution helps hospitals identify reimbursement opportunities
Medicare disproportionate share hospital payments payments help serve low-income populations, but comes with a set of challenges such as identifying eligible patients. See one company’s solution by leveraging unique processing and data integration.
Helping healthcare organizations proactively verify and search for missed insurance coverage
Review how one company helps healthcare organizations verify and search for missed insurance coverage throughout the patient lifecycle and stay on top of benefits coordination.
PMMC’s Estimator PRO increases pricing transparency and upfront collections
Looking to invest in software? One company uses a patient estimation system, which has resulted in enhanced productivity for more than 500 hospitals with an average 10 to 1 ROI.
Improve cash flow and cost of reworking denials with the efficientC claim scrubber technology
In five years’ time, denial claims have shot up 20%. Learn about a decision support and claims management technology platform that stops claims before they get denied.