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MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
Find suppliers and products in this comprehensive vendor directory for healthcare finance professionals.
Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
Oftentimes, non-core businesses wind up being managed using incomplete operating statements with little focus on metrics.
A job description for a Corporate Compliance Specialist which could double for a Revenue Integrity position. This document posted courtesy of Christine Fontaine.Download Job Description
Hospital management's objective is to provide a charge capture system that maximizes revenue through a systematic charge capture process.
The critical role of accounting and finance requires technical competencies used in decision support for all areas of healthcare management, compliance, and development.
Knowing the full range of key topics that should be discussed with an actuary can help guarantee recognition of an organization's insurance program and better manage its liability.
Adapt this corporate compliance specialist job description for your facility.
Medicare-severity DRGs, implemented in 2007, are now an integral part of the overall value-based purchasing initiative.
Over the past nine months, I've read headline after headline on the front pages of major newspapers questioning the performance, pricing policies, and even the purpose of not for profit healthcare organizations.
With labor at a premium, how does one manage increasing volume without adding staff?
Do you have the right toolbox for your organization?
Peforming self-audits of claims and implementing the OIG's voluntary compliance program can help providers avoid audits by the government and other payers.
Providers that would like to respond to complex RAC reviews electronically should consider three strategies.
To assess the risk posed by improper billing, coding, and pricing for pharmacy items, hospital finance leaders should perform an audit of the pharmacy department's charge description master.
Centralized audit management and lean audit processes enhance the productivity and efficiency of a hospital's revenue cycle.
Centralized audit management and lean audit processes enhance the productivity and efficiency of a hospital’s revenue cycle.
Robert S. Miller highlights changes the Committee of Sponsoring Organizations of the Treadway Commission made in 2013 to its integrated framework for internal controls and the steps healthcare organizations should take to prepare to apply the new framework.
How can we know if we are collecting the correct charges from payers?
Is there a new standard for revenue recognition that healthcare organizations need to comply with? Also, how should we book contractual payment rates?
By adopting a six-step approach, healthcare finance leaders can help their organizations consider and address the ethical repercussions of a merger, acquisition, or consolidation.
A case study of a fictional hospital illustrates that even modest changes in contract terms from payers can produce large swings in revenue yield, emphasizing the importance of testing proposed contract modifications before entering any agreement.
The IRS issued proposed rules in April regarding community health needs assessments and other requirements that section 501(c)(3) hospitals must meet to maintain tax-exempt status.
Hospitals can improve their revenue capture by implementing an automated internal audit function that identifies the root causes of denials, thereby helping to prevent the denials from occurring in the first place.
Many healthcare organizations use self-insurance programs to control professional liability and workers’ compensation exposures.
Use of an external auditing firm allows hospitals and health systems to gain an objective review of their accounts payable systems without interrupting their staff’s day-to-day workload. Some firms conduct a more in-depth analysis of the supply chain, looking for root causes and making recommendations for change. Consider the following questions to select an external auditor that best meets hospital or health system needs.
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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