5 issues that are keeping healthcare compliance professionals up at night
Rarely has the compliance landscape been more muddled or presented more of a challenge for healthcare organizations. “I’ve been a compliance officer for about 20 years now, and I’ve been in healthcare forever,” said Kirsten Wild, RN, a nurse by background who now owns a healthcare compliance consultancy. “But the volume and the pace of…
Healthcare disruptor Glen Tullman says providers need more of a consumer-centric approach
One of the country’s most prominent healthcare entrepreneurs has a warning for legacy healthcare stakeholders. “Many of you in the audience are leading major health systems, and you’re the hub for healthcare today,” Glen Tullman said during a presentation at the HIMSS Global Health Conference and Exhibition, which took place the week of April 17…
Medicare’s proposed FY24 update to inpatient payments falls short, hospitals say
Hospitals are less than pleased with Medicare’s proposed FY24 payment update for inpatient care. In proposed regulations, the net inpatient payment update is 2.8% after factoring in a mandatory productivity adjustment of -0.2 percentage points. As usual, the update would be reduced for any hospital that does not fulfill quality-reporting requirements or qualify as a…
Healthcare News of Note: The healthcare sector was targeted by nearly 24% of cyber-attack activity in 2022
When it comes to the number of malicious cybersecurity events targeting customers in the Americas, the healthcare industry is second, just behind finance. Contrary to its previously announced plans, the U.S. Department of Justice is not pursuing a further challenge to UnitedHealth Group’s purchase of Change Healthcare. The average pay for physicians decreased 2.4% in…
The impact of claims denials on the financial health of healthcare
While their hospitals and healthcare centers have long had to deal with claims denials, the number of denied claims continues to rise and payers are showing little inclination to help solve the problem, according to several roundtable participants.
Automation from documentation capture to code: Insights from healthcare finance leaders
Read tips on strengthening return on investment and engagement as well as the role of process automation in navigating the documentation and workforce challenges facing healthcare in this roundtable with hospital leaders.
Healthcare News of Note: Medicare to negotiate reduced prices for 40 drugs by 2028, says study
Medicare drug price negotiation has the potential to benefit Medicare beneficiaries across some of the most common disease states.
Data capture and coding for social determinants of health are works in progress, per reports
In the effort to bring social determinants of health (SDoH) more under the purview of healthcare providers, one tricky aspect is establishing a data and coding infrastructure. Recent reports highlight this challenge. For example, a survey conducted for the American Health Information Management Association (AHIMA) found that although 78% of 2,637 respondents said their organizations…
Healthcare News of Note: New PCORI initiative targets industry’s slowness in adopting results of comparative effectiveness research
Over the past few weeks, I have found these industry news stories that should be of interest to healthcare finance professionals. 1. Goal of PCORI initiative: Reduce the estimated 17-year wait time to adopt new and better treatments Forty-two health systems have signed on to an initiative to translate new research into changes in…
How R1 RCM’s technology-driven solutions address health system challenges
Seeing challenges in labor shortages, shrinking margins and other complexities? Enter technology-driven solutions for revenue cycle management. Read the details in this peer review spotlight.