Revenue Cycle Steering Committee Improves Financial Health
Leaders consider North Valley Hospital in Whitefish, Montana a community hospital. But for revenue cycle management staff at the non-profit, critical access hospital with 25 beds, that sense of...Sponsored by 3M
Developing a Hospital Claim Validation Strategy to Prevent Denials
The time to strengthen hospital compliance programs through claim validation is now. According to healthcare finance and information management leaders surveyed by HIMSS Media, clinical documentation...370 Groups Seek Prior Authorization Automation, Reform in MA
The American College of Rheumatology (ACR), along with 369 other patient, physician, and healthcare professional organizations, sent a letter to Congress on Wednesday calling for prior authorization...HHS Reduced Medicare Appeals Backlog by 19% Since Fall 2018
HHS has made significant progress with reducing the Medicare appeals backlog, decreasing the number of appeals pending at the Office of Medicare Hearings and Appeals (OMHA) by about 19 percent as of...AHA: Fixed Reimbursement Rates Not a Surprise Medical Bill Solution
In a recent testimony in front of the subcommittee on health, the American Hospital Association (AHA) strongly opposed proposed surprise medical bill legislation that would establish fixed...Sponsored by Definitive Healthcare
After EHRs, Providers Invest in Revenue Cycle Management for Success
Federal actuaries project national healthcare spending to account for over 19 percent of GDP by 2027. Despite the acceleration in domestic healthcare spending, the US is not experiencing better care...Sponsored by MD Clarity
Why Healthcare Needs Price Transparency and Better Technology
When patients prepare to receive medical care, a question naturally follows: How much is this going to cost me? It’s an important question for patients, but too often healthcare organizations...Top Hospital Chargemaster Management Vendors by Hospital Use
The hospital chargemaster is the heart of the revenue cycle, capturing the costs of every billable service or item delivered at the organization. To keep the heart pumping, providers are turning to...Recovery Audit Contractor Reform Eases Provider Burden, CMS Says
The Medicare fee-for-service Recovery Audit Contractor (RAC) program found approximately $89 million in overpayments and recovered $73 million in the fiscal year (FY) 2018, CMS Administrator Seema...Sponsored Article
Why Do We Need Artificial Intelligence in Healthcare?
Things are changing faster than ever in the world of business and technology. Society has reached a general consensus that we’ve entered the fourth industrial revolution, and the businesses that...Rethinking the Claims Clearinghouse Relationship Helps Hospitals
A growing network of post-acute care hospitals based in Pennsylvania recently achieved a near perfect clean claims rate and uncovered $12 million in inappropriate payer denials after switching its...Sponsored by MD Clarity
The Benefits of a New Revenue Cycle Paradigm
Technology is enabling patients and providers to connect in an unprecedented manner. The Internet, smartphones, wearables, and other technologies are allowing for instantaneous communication between...Bots Make Claim Status Inquiry More Efficient for Avera Health
Robots in healthcare do not have to be large human-like machines that replace providers. But bots embedded in software applications can be a key tool for reducing the burden of mundane, common tasks,...Sponsored by MD Clarity
