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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.
A brief summary of the development of the concept of accountable care organizations.
Health systems can expand their primary care reach and reduce costs by collaborating with federally qualified health centers.
There are four key steps providers can take to position themselves for a RAC audit.
One health system managed the implementation of its organizationwide electronic health record by first gaining input from clinicians and working cooperatively with competitors.
There are a number of legal issues that the move to accountable care raises for hospitals.
This fact sheet provides a quick look at the Medicare and Medicaid EHR incentive programs.
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.
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.
To meet the challenges presented by recovery audit contractors (RACs), hospitals should perform six tasks that require appropriate investments in staff.
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.
Section 340B of the Public Health Service Act establishes a program under which certain hospitals may obtain significant discounts on drugs furnished to outpatients.
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.
Hospitals can take four key steps to prepare for the challenges of Recovery Audit Contractor audit requests.
Healthcare providers cannot afford to delay their detailed meaningful use planning.
Outpatient care presents special RAC-related risk, but several steps can mitigate that risk.
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.
Providers are devoting scarce resources to complying with ICD-10, HIPAA, Stark, and numerous other regulations and enforcement efforts.
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.
Hospitals should focus on three areas where poor performance is contributing to high numbers of Medicare readmissions: execution of the discharge plans, patient education, and coordination of post-discharge care.
This slideshow from GloryAnne Bryant, RHIA, RHIT, CCS, CCDS, Kaiser Foundation & Hospitals, covers topics relating to RAC updates, issues and appeals.
RAC contact information by region.
To reduce avoidable readmissions, the Centers for Medicare & Medicaid Services and other agencies have undertaken several measures.
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.
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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