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This Sept. 17 webinar explains how a hospital group transformed a labor-intensive financial planning process into a streamlined model—which supports operational and strategic decisions—that aligns with the ACA.
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.
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.
Many lab tests are coming under audit scrutiny. Here’s a step-by-step approach for improving documentation and coding—and preventing lab denials.
Providers still need basic education on 5010 and ICD-10 and identification of risk mitigation strategies.
Incorrectly coding the place of service could subject physicians and their billing agents to recovery actions for overpayments.
Providers can take several proactive steps with vendors and payers to meet the Jan. 1, 2012, compliance deadline.
What determines the applicability of code 99053 (after-hours code for the emergency department?
Hospitals should focus on three areas in an era of reform to improve revenue cycle performance: processes related to eligibility, denials management, and documentation and coding.
Key considerations for assigning codes for chondroplasty procedures as they relate to different knee compartments are discussed.
Come Jan. 1, 2012, if you don’t transmit electronic claims using the new 5010 transaction standards, they will be rejected.
How to code medications associated with an implantable infusion pump refill depends on circumstances of the service and billing requirements of MACs, private insurers, and Medicaid programs.
Choosing the correct J code for oral medications can be confusing.
Understanding the reasons why some pain codes are often denied can help patient financial services professionals ensure that they submit clean claims.
Revenue cycle leaders should have a project plan in place to help ensure a smooth transition to ICD 10.
The new HIPAA 5010 EDI standards will profoundly affect coding and claims preparation in the short and long term.
Peforming self-audits of claims and implementing the OIG's voluntary compliance program can help providers avoid audits by the government and other payers.
Medicare rules for billing prolonged service codes are more restrictive than the CPT definitions of these codes.
The charge capture management process can be centralized or decentralized. Either way, the use of technology will greatly increase the effectiveness of the process.
There are three circumstances under which a second surgery within the global period may be billed.
Medicare rules for billing for an assistant at surgery have specific requirements.
If your hospital isn’t billing correctly for anesthesia services, you could be underbilling or, worse, at risk for compliance action.
This practical approach will help you identify and fix root errors to speed cash flow in the revenue cycle.
A recent clarification of the 72-hour rule offers new opportunity to increase revenues. Or does it?
Read how split/shared services should be reported to payers.
A major challenge facing providers is that, in many cases, both consumers and regulators feel they are either overpaying for the services they are receiving or they are paying for services they are not receiving.
Modifiers are necessary to clarify, interpret, and provide more detail when a CPT code alone does not provide enough information to accurately identify the entire service provided.
Learn when it is necessary to obtain an advance beneficiary notice (ABN) from a Medicare beneficiary.
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.
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.
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