Bridging the Gap: The Role of the Physician Advisor in Revenue Cycle Operations
Hospitals are deploying physician advisors to bolster the revenue cycle in a variety of areas, including clinical documentation, denials prevention, utilization review, and value analysis.
Third-Party Liability Claims Create Compliance Complexity for Providers
Understanding the complexities of third-party liability can mean the difference between revenue protection or revenue lost for providers.
The Time Is Now to Act on the 2019 Medicare Final OPPS Rule
Although some OPPS rule changes are being challenged by key stakeholders, hospitals and health systems should move forward with implementation and measure the financial impact.
The Origins of Blockchain and Distributed Ledger Technology
A growing variety of applications for blockchain offers an expanding range of tools designed to solve specific problems in the healthcare industry.
Medicare Physician Fee Schedule Final Rule: 3 Must-Do Steps for Physicians
The Medicare Physician Fee Schedule for 2019 includes a variety of new policies—and revenue opportunities for providers if they take a few key steps in relation to areas such as payment rates, documentation requirements, and new services.
CAHs and Cost Reports
A critical access hospital’s cost of delivering care to Medicare patients is estimated using the cost accounting data that these Medicare-certified institutions submit annually to CMS via Medicare cost reports.
Extent of Corporate Venture Funds in Health Care
Investment by hospital-sponsored or corporate venture capital funds in digital transformation initiatives is projected to increase substantially in coming years.
Investment Areas for a Digital Future
Healthcare organizations are preparing for their industry’s digital future by investing in 13 key areas.
Case Study: Dignity Health
One health system self -funds all of its digital initiatives, and it has created a standalone office to interface with key partners on such initiatives.
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.