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This March 12 webinar explains the current and emerging compliance requirements for 340B hospitals and health systems.
Focus, strengthen, and master the skills critical for individual and organizational success. Available in multiple locations.
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Get the perspectives of leading healthcare finance professionals on today's hottest issues.
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Listen to a March 18 webinar on charity care policies and gain access to past Forum webinars.
An ever-expanding collection of spreadsheets, policies, job
descriptions, checklists, and more that you can adopt and adapt.
Forum members can submit vexing questions to a panel of experts
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Get an objective third-party evaluation of products and services used in the healthcare finance workplace.
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.
Improve your organization’s approach to medical account resolution with these best practices.
Help patients understand the cost of services they receive, their insurance coverage, and
their individual responsibility.
This webinar reviews the OIG's Work Plan for Fiscal Year 2014 and helps you identify areas of potential concern for you organization.
The ability of a hospital to share with physicians cost savings generated in part by physicians' efforts has long been stymied by a law imposing civil money penalties on hospitals that pay physicians to limit care to Medicare beneficiaries.
As the legislative process for healthcare reform unfolds, proposed new payment structures, delivery mechanisms, and regulatory developments may change the way hospitals and physicians interact in a new healthcare market.
The demonstrations are over. This year, the Centers for Medicare & Medicaid Services (CMS) is rolling out its Recovery Audit Contractor (RAC) program nationwide.
Challenges include changes to the inpatient prospective payment system, RACs, ICD-10, and pay for performance.
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.
A brief summary of the development of the concept of accountable care organizations.
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.
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.
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