Avoid ED Claim Challenges by Developing CDI Teams
UnitedHealthcare’s new policy of auditing certain emergency department claims should prompt hospitals to seek the expertise of clinical documentation improvement teams in outpatient claim processing.
PHI Disclosure Management in the Business Office: Two Options for Greater Efficiency
Don Hardwick describes ways healthcare organizations can improve the process of releasing medical records to insurers.
Enterprisewide Revenue Cycle Management Reduces Costs, Improves Patient Loyalty
Moving toward a holistic approach to revenue cycle management addresses increasing consumer demand for streamlined appointment scheduling, patient information sharing, and bill payment.
Ask the Experts: Credit Balances
How do other Florida hospitals initiate and work credit balances?
Revenue Cycle Departments Increase Productivity
A two-year rise in revenue cycle department productivity is attributed to outsourcing and staff ability to handle more claims in less time.
Are You Ready for MACRA and MIPS: The New Healthcare Payment Reform
Value-based payment models, such as MACRA and MIPS, will require that coders capture the severity of illness as well as acute and chronic patient conditions.
The Impact of Duplicate Patient Records on Revenue
Duplicate patient records have a negative impact on value-based payment strategies as well as staff productivity and patient satisfaction.
Metro Health Improves Cash Flow by Offering New Payment Options
Metro Health’s payment options include community benefit discounts, charity care sliding scales, and a zero-percent interest payment plan, which has improved cash flow and flattened bad debt.
Ask the Experts: ED Charges
Are any providers posting average charges according to the visit level assigned (1-5), or using any other method to make patients aware of the cost of an emergency department visit?
Ask the Experts: Cost Sharing Programs
I am looking for more information about how to manage patients covered by cost sharing programs.