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Big themes, big networking opportunities, big focus on careers, big payoff in educational content: ANI 2014. Register now.
This April 30 webinar covers several aspects of the Telephone Consumer Protection Act: auto-dialers, prior express consent, third-party debt collectors, and more.
Advance your own or your organization's revenue cycle knowledge base with our online CRCR course and exam.
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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.
Guidelines on how to make it easier for consumers to get information about healthcare prices.
Help patients understand the cost of services they receive, their insurance coverage, and
their individual responsibility.
The major takeaway from Halifax fraud case may be this: if a carefully constructed arrangement done with the best of intentions and with the blessing of experienced legal counsel can run afoul of the Stark Law, perhaps there’s something wrong with the Stark Law.
There has been some debate regarding which patients are entitled to drug discounts under the 340B program.
Section 340B of the Public Health Service Act establishes a program under which certain hospitals may obtain significant discounts on drugs furnished to outpatients.
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.
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.
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.
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.
Health systems can expand their primary care reach and reduce costs by collaborating with federally qualified health centers.
Challenges include changes to the inpatient prospective payment system, RACs, ICD-10, and pay for performance.
A brief summary of the development of the concept of accountable care organizations.
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.
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.
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.
An analysis of a set of Medicare RAC appeal decisions rendered by administrative law judges suggests ways that CMS might improve the process.
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.
A successful ACO strategy starts with clearly articulating a patient-centered strategic plan that supports organizational goals.
The successful development of ACOs would permit CMS to contract directly with providers in much the same way the agency contracts with insurers under Medicare Advantage.
An analysis of the ACO proposed rule focuses on how the program may affect participants and what hospitals should do to prepare.
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 postdischarge care.
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