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This Aug. 21 webinar explains how consolidation methodology expedites value analysis efforts and improvement management of high-variability items.
Advance your own or your organization's revenue cycle knowledge base with our online CRCR course and exam.
If you're a subscriber to any of our three newsletters, you have access to online education that awards CPEs. Learn more or subscribe.
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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.
The Medicare appeals backlog has become an intractable problem, troubling not only providers, but also administrative law judges and others within the Centers for Medicare & Medicaid Services.
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.
Section 340B of the Public Health Service Act establishes a program under which certain hospitals may obtain significant discounts on drugs furnished to outpatients.
This fact sheet provides a quick look at the Medicare and Medicaid EHR incentive programs.
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.
To reduce avoidable readmissions, the Centers for Medicare & Medicaid Services and other agencies have undertaken several measures.
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.
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.
Lisa Schneider, CFA, managing director, non-profits & healthcare systems at Russell Investments, offers insights on today’s asset management environment and what to look for when working with a solutions provider to optimize a healthcare organization’s portfolio strategy and manage risk.
Todd W. Lillibridge, president and CEO of Lillibridge Healthcare Services Inc., and executive vice president of medical property operations at Ventas, discusses trends in healthcare real estate strategy and key considerations when choosing a partner for managing a healthcare organization's service and capital needs.
Paul Weygandt, MD, JD, vice president of physician services, talks about the importance of integrating clinical documentation improvement with patient care in real time, and how Nuance is turning the EHR into a tool valued by physicians.
Robert Reid, CEO, of Intacct discusses healthcare providers' urgent need to manage growth, and how the right cloud financial management application can make all the difference for their financial leaders.
Chris Armstrong, principal and ICD-10 practice leader for Deloitte Consulting LLP, and Steve Burrill, partner and health care provider advisory practice leader for Deloitte & Touche LLP, offer strategies to consider for determining the best path forward during the delay.
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