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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.
One health system managed the implementation of its organizationwide electronic health record by first gaining input from clinicians and working cooperatively with competitors.
The risks of participating in Medicare’s Shared Savings Program would likely exceed the potential benefits if the program unfolds entirely along the lines spelled out in CMS’s proposed rules.
Health systems can expand their primary care reach and reduce costs by collaborating with federally qualified health centers.
A brief summary of the development of the concept of accountable care organizations.
Publicly available data from Medicare can help hospitals benchmark their experience against the experiences of their peers to identify unexpected variations and opportunities for improvement.
There are four key strategies for reducing a provider’s audit risk, with corresponding action steps for each strategy.
This fact sheet provides a quick look at the Medicare and Medicaid EHR incentive programs.
There are a number of legal issues that the move to accountable care raises for hospitals.
To prepare for a RAC audit, Yale New Haven Hospital has developed a RAC readiness team, created an efficient workflow design, and implemented a new software solution.
Outpatient care presents special RAC-related risk, but several steps can mitigate that risk.
There are many factors to consider when evaluating the need for a RAC coordinator. Primary to the decision is the actual volume of requests and dollar amount of revenue at risk.
To meet the challenges presented by recovery audit contractors (RACs), hospitals should perform six tasks that require appropriate investments in staff.
As hospitals prepare for a new world of shared payments under the ACO model, they need to make determinations with respect to four key areas of concern: integration, cost versus benefits, patient loyalty, and risks versus rewards.
There are four key steps providers can take to position themselves for a RAC audit.
Healthcare providers cannot afford to delay their detailed meaningful use planning.
Hospitals can take four key steps to prepare for the challenges of Recovery Audit Contractor audit requests.
This slideshow from GloryAnne Bryant, RHIA, RHIT, CCS, CCDS, Kaiser Foundation & Hospitals, covers topics relating to RAC updates, issues and appeals.
Determining the eligibility of a clinical study for Medicare coverage requires a detailed review to identify what can be paid by Medicare or third-party payers.
Providers are devoting scarce resources to complying with ICD-10, HIPAA, Stark, and numerous other regulations and enforcement efforts.
Healthcare providers and RACs seem to operate at cross purposes, with RACs trying to spot instances of overpayment and providers trying to prevent the loss of payment.
Although the recovery audit contractor (RAC) process may be financially terrifying, the RAC preparation process need not be. Here are some tips for smooth sailing through the RAC waters.
RAC contact information by region.
A successful ACO strategy starts with clearly articulating a patient-centered strategic plan that supports organizational goals.
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.
Scott Schmidt, vice president, Cerner RevWorks, LLC, shares insights on best practices for maximizing a revenue cycle management partnership.
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