Strategies for Managing Third-Party Liability Claims
Boston Medical Center has achieved average cycle times of 90 and 120 days respectively for workers’ compensation and motor vehicle accident claims.
Governors Push Value-Based Pay Shift to Control Costs
Feb. 22—A bipartisan group of governors urged a range of steps by federal, state, and private payers to spur the shift to value-based payment and help control spiraling healthcare costs.
11 Metrics Reveal the Best Strategies For Cutting Outpatient Prices
A scoring methodology is the first step in evaluating outpatient service price reductions without sacrificing financial viability.
Administration’s Budget Proposals for Fiscal Year 2019
This summary provides highlights of the healthcare proposals included in the Trump Administration's fiscal year (FY) 2019 budget.
Payment on Motor-Vehicle Claims: An Untapped Source of Revenue in Uncertain Times
George Abatjoglou explains the importance of knowing how to process a common, but often mishandled, type of claim.
BPCI Advanced Improves Care, Physician Alignment, and Revenue
A healthcare thought leader explains how hospitals can generate savings, improve clinical care, and foster physician alignment by participating in BPCI Advanced.
Healthcare Challenge Roundtable: Making Price Transparency More Effective
Although health plans may need to take the lead on the issue of price transparency because of their unsurpassed access to pricing data, sustainable solutions will involve significant input from stakeholders across the spectrum.
The Impact of Accountable Care on the Revenue Cycle
Implementing value-based payment models requires changes to revenue cycle processes, including a greater focus on making sure claims reflect all services performed.
Ask the Experts: Medicare Adjustments During Appeals
Can we adjust a denied Medicare charge off of an account when an appeal is still open?
Developing a Specialty Medical Home Contract
University of Pittsburgh Medical Center gastroenterologists have teamed with UPMC Health Plan to develop a specialty medical home contract for patients with inflammatory bowel disease.