Ontario Systems: Maximizing Revenue While Improving Productivity
Shawn Yates, director, healthcare product management for Ontario Systems, discusses the value in leveraging technology to boost revenue recovery.
Catching Up on Your MIPS Strategy
A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.
Catching Up on Your MIPS Strategy
A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.
HFMA/Change Healthcare: Pre-Authorization and Medical Necessity Opportunities
Change Healthcare and HFMA partnered on a research study that analyzed the state of claims denials in the United States. It focused on understanding providers' first-pass claim rates, denials occurring from lack of pre-authorization and medical necessity processes, and pain points that are opportunities for innovation.
Present Opportunities for Professional Growth
A clinical documentation improvement (CDI) advancement ladder is a useful mechanism for attracting and retaining top talent among clinical documentation specialists in an increasingly competitive market.
Cost Scorecard Helps UCSF Surgeons Save $836K in Supplies
A monthly scorecard helped surgical departments reduce costs without requiring surgeons to follow a strict standardization process to limit the number of vendors.
Is There a Business Case for Readmission Reduction Efforts?
An analysis found that hospital readmission reduction programs inconsistently provide net savings to health systems. The average net savings per heart failure patient was $972, but the study found a $169 net loss per patient among general populations.
Choosing the Right Leader Can Help Organizations Overcome Roadblocks to Results
Many organizations are establishing results management offices to guide outcomes, accountability, transparency, and responsibility. These offices serve as the primary oversight structure for driving cost transformation.
Montefiore Targets the Social Factors That Drive Up Healthcare Costs
Montefiore’s care management approach includes embedding primary care and HIV care providers in methadone clinics and integrating behavioral health specialists in primary care practices.
Addressing ICU Overuse
Treating patients in the ICU who cannot benefit from that level of care may reduce positive patient outcomes and satisfaction, as well as introduce unnecessary costs.