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Forum members can network during live webinars or access a library of past webinars on topics such as bundled payment, charity care, and ICD-10.
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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.
Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
If you are submitting electronic insurance verification and claims and receiving your remittances electronically, you have the data to measure and improve your revenue cycle.
The Centers for Medicare & Medicaid Services Medicare Learning Network® is releasing a series of podcasts to teach hospitals how to avoid common billing errors.
St. Anthony’s Medical Center’s revenue cycle leaders created a detailed strategy for the transition to the ICD-10 code system.
Dual coding improves coder productivity and builds coder confidence during the transition to ICD-10.
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?
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.
Five key areas should be considered when selecting an integrated patient accounting system.
This article discusses three issues related to E&M service codes that are being monitored and reviewed in the OIG work plan this year.
The GEMs should be viewed as a starter kit for I-9 to I-10 mapping. They are not a one-to-one conversion in most cases.
The transition to ICD-10 can be less stormy if the process is broken down into simple steps.
The new semi-automated RAC audits give providers an opportunity to justify their billing without the threat of an automatic recoupment.
Revenue cycle leaders should take a few steps to ensure that the transition to the ICD-10 code system will not have a negative impact on the organization’s case mix index.
One more update for ICD-9-CM takes effect on Oct. 1.
By auditing the revenue cycle, healthcare organizations can increase revenues and ensure compliance.
Revenue cycle leaders can employ four strategies to ensure that their organizations receive proper payment.
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.
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.
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.
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.
This practical approach will help you identify and fix root errors to speed cash flow in the revenue cycle.
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
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.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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