AI and machine learning – an intelligent approach to healthcare fraud prevention
The threat of fraud has only become more prevalent in healthcare as a result of three broad trends: Continued growth in the population of healthcare consumers The increase in care being delivered outside of traditional care settings, such as telehealth Exponential development of resources offering health and wellness services Moreover, as the baby boomer generation…
6 actions for physician practices on signing risk-based contracts
Physician practices are continuing to make the move into value-based payment, and for many, such contracts will present a substantial learning curve.
Care guidance offers a solution for addressing healthcare inequities
Access to healthcare is widely viewed among Americans as being a fundamental right. Yet health inequities continue to deprive many people access to high-quality, affordable care. It is incumbent on U.S. health systems to take the lead in addressing this problem.
Enterprisewide physician advisor programs are key to improving costs and revenue cycle performance
Making sure physicians understand the financial implications of how they document their care is critical to a health system’s financial sustainability.
How to determine appropriate patient status and navigate observation-level care
The financial implications of ensuring appropriate patient status throughout a hospital stay are substantial, so it is in organizations’ interest to enhance the process.
Point-of-service collection goes better if the right strategies and tactics are employed
Health systems need to adopt new strategies that will support a positive patient experience and improve collection efforts, all while minimizing the negative impact to patients.
Hospitals face increased need amid pandemic to improve patient throughput
An acute care hospital cannot begin to be able to deliver cost-effective care if it lacks a fully coordinated approach for moving patients from admission to discharge.
Hospitals require an integrated team approach to ensuring revenue integrity
Hospital and health system finance teams should not view payment audits and denials as being solely their concerns. Instead, these issues require an all-hands-on-deck approach.
Care coordination networks offer path to addressing problems of health inequity
Initiatives to improve access to care and address social determinants of health (SDoH) have been shown to work. To be successful, they need sustained support from all stakeholders within our nation’s healthcare system.
3 considerations and 8 steps for creating an HaH program
The prediction that HaH programs would continue to proliferate across our nation’s healthcare system has proven to be on target.b it now seems clear the innovative care model of providing hospital-level care in a patient’s home as a substitute for acute inpatient hospital care is finally getting the attention it deserves from hospital systems. The growing…