Capturing Transitional Care and Chronic Care Management Appropriately
What is the difference between coding for transitional care management and chronic care management?
Ensuring Proper Payments for Substance Abuse Services
Substance abuse treatment providers can maximize payments through contract negotiations and eligibility verification and precertification processes.
Linking Professional Fee and Facility Fee Data to Get the Big Picture
Matching patient and encounter data helped one Vermont hospital overcome the challenges of working with two different billing systems for its facility and physicians.
Ask the Experts: Observation Status
How does your facility manage appropriate charging for observation hours, excluding any of the procedure times that are not permitted?
Embedding Revenue Cycle Leaders Into Physician and Hospital Operations
Ochsner Health System, New Orleans, gained $18 million in revenue by implementing a collaboration strategy between clinical personnel and revenue cycle leaders.
Closing the Loop by Selling Bad Debt
The increase of deductibles and self-pay accounts have hospitals and health systems looking at the sale of bad debt as a way to increase income.
Top Patient Concerns About Medical Bills
Patients named seven areas that concern them the most about their healthcare billing statements.
Using Human-Centered Design for Patient Statements
A design team used "human-centered design" to create an award-winning patient statement supported by online documentation.
Ask the Experts: Managing Denials
I am considering creating a denials team and managing all the denials in patient financial services. How have you managed denials and achieved success?
How South Shore Health System Protected Revenue During an EHR Transition
South Shore Health System created a formal revenue integrity department to mitigate revenue loss during its EHR transition and to monitor and track progress after implementation.