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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.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
Guidance for understanding and communicating about the price of health care.
Guidelines on how to make it easier for consumers to get information about healthcare prices.
Medicare-severity DRGs, implemented in 2007, are now an integral part of the overall value-based purchasing initiative.
Peforming self-audits of claims and implementing the OIG's voluntary compliance program can help providers avoid audits by the government and other payers.
Hospital management's objective is to provide a charge capture system that maximizes revenue through a systematic charge capture process.
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
When the number of missing charges skyrocketed with the implementation of a new OR health information system, department managers at NYU Hospital for Joint Diseases created a more systematic approach to charge capture.
With labor at a premium, how does one manage increasing volume without adding staff?
Do you have the right toolbox for your organization?
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.
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.
Oftentimes, non-core businesses wind up being managed using incomplete operating statements with little focus on metrics.
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.
Audits often reveal overpayments and unredeemed credits for purchased goods and services that can add up to millions of dollars in large, complex health systems.
Many healthcare organizations use self-insurance programs to control professional liability and workers’ compensation exposures.
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.
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.
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.
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.
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.
Amy Amick, president, revenue cycle management, and William Davis, vice president, revenue cycle advisory solutions, both with MedAssets, share insights on the industry and techniques to drive sustainable performance improvement.
Eric Ward, president and CEO, Parallon Revenue Cycle Services, discusses key trends in revenue cycle management and factors providers should consider when partnering to advance their revenue cycle performance.
Doug Festermaker, managing partner and executive vice president of health care, Warbird Consulting Partners, shares strategies to leverage outsourced CFO expertise to lead special projects or fill interim roles while recruiting is underway.
Dale Hockel, senior vice president of operations, and Jim Fanelli, CFO, TriMedx, share strategies for elevating clinical engineering through innovative management programs.
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.
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