Solid Negotiation Skills Have an Impact on Health Plan Terms
Using human factors—knowledge, attitude, authority, objectivity, and negotiation skills—can help hospital contracting staff develop favorable terms with health plans.
HIPAA Breaches Make News, Cost Money
Three Boston hospitals that were recently slapped with HIPAA violations for allowing television crews into their facilities are reminders of the intricacies of patient privacy laws.
Shared Birthdays Cause Patient Matching Errors
Patients who share similarly spelled names and the same birth dates are particularly susceptible to patient record mismatches.
Patient Matching in the Era of EHRs
It is not uncommon for clinicians to have incomplete or inaccurate pictures of patients’ medical histories and conditions because the record and the patient do not match. This exposes healthcare organizations to medical errors, increased costs, and negative patient experiences.
The CFO’s Role in Innovation
Setting aside less than one percent of operating revenue for innovative projects can help organizations improve patient services and advance the Triple Aim. “The high performers in innovation are not necessarily the high percentage investors,” says Adam Ward, an innovation consultant.
Rethinking Revenue Cycle Management
Fully managed revenue cycle functions present challenges and opportunities. When successful, they better align with an organization’s clinical and financial goals.
Understanding the 7 Options for CMS’s Hospital Charge Posting Rule
Hospitals can choose to post charges in a variety of ways, but not all methods comply with CMS’s recent rule that takes effect on Jan. 1, 2019.
CMS and OIG Seek Input on Fraud Laws
Recognizing the transition to value-based payment and care coordination, HHS is asking interested parties to identify regulatory obstacles to achievement of that goal.
The Internet of Things Presents Security Concerns
The sheer number of networked healthcare devices means larger cybersecurity attacks are easier to execute. For healthcare providers, these breaches are not only disruptive, embarrassing, and expensive, but they can lead to serious medical complications for patients.
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.