Implement these 6 safeguards against fraud accusations in telehealth
Healthcare providers should take care to comply with payer policies around telehealth.
Ensuring value-based data sharing complies with HIPAA
Healthcare organizations engaging in value-based contracts may be at greater risk for a breach if patient privacy and HIPAA are not front and center.
4 new KPIs for value-based care
KPIs will move away from balance sheets, ledgers, and numbers to data that’s being collected and managed in the EHR.
Streamlining Efficiency to Improve Care Quality
UT Physicians achieved improvements in care quality through steps such as creating standardized workflows, streamlining provider documentation, creating dashboards, establishing clinical protocols, achieving PCMH status, and focusing on the patient experience.
Engaging Physicians in Value-Based Compensation Models
The University of Maryland St. Joseph Medical Center model layers a 50/50 share of any incentive payments on top of a work RVU-based component to account for revenue that is still generated by the number of patients that providers see.
Three Strategies for Improving Patient Access in Physician Practices
Stanford Health Care enhanced patient access at newly acquired physician practices by identifying key metrics, improving the efficiency of workflows, and leveraging technology.
Calculating KPIs for Value-Based Payment Models
If hospitals and health systems know the patients for whom they’re at risk and the benchmarks against which they are held accountable, they can lower costs and improve outcomes for an entire population—not just a single patient.
Launching Revenue Integrity Programs in Hospital-Owned Practices
University of Maryland St. Joseph Medical Center’s revenue integrity program ensures a formal process to perform regular audits and educate physicians and their staff about compliance, and under-coding as well as over-coding.
4 KPIs to Increase Profitability Under Value-Based Payment Models
Revenue cycle KPIs are evolving to assist healthcare finance leaders determine net profit rather than revenue.
How Chargemaster Maintenance Can Contribute to Price Transparency
CMS has proposed requiring hospitals to publish their standard charges online. Once this data becomes public, finance departments must be able to explain it to consumers.