Hospitals Closed 2019 with An Uptick in Volume, Patient Revenue
Hospitals nationwide ended 2019 with an increase in hospital profitability, with increases in both net patient revenue and service volumes, according to a recent Kaufman Hall report. According to...Sponsored by 3M
Overcoming Growing Pains Through Effective Hospital Compliance
Medical billing and coding of ambulatory services can be a whole new ballgame for hospitals and health systems focused on the inpatient side of care. But it is a game many organizations must quickly...CO Healthcare Costs Keep Climbing Due to Hospital Cost-Shifting
Hospital cost-shifting is behind rising healthcare costs in Colorado, according to a new report from the state’s Department of Health Care Policy & Financing. The report found that, despite...Medicare Overpaid Surgeons by $2.6B for Postoperative Care
Medicare overpaid surgeons by $2.6 billion for postoperative care even though only four percent of minor surgical procedures resulted in postoperative care, according to a recent study from RAND...Sponsored by 3M
3 Components of a Proactive Hospital Compliance Program
There is a lot at risk in healthcare. Patient safety, quality of care, and patient privacy are always on the line with every encounter at the hospital. But as the healthcare industry moves to a more...Prior Authorization Costs Rise as Electronic Adoption Remains Low
Prior authorization costs accounted for just two percent of overall medical industry spending on administrative transactions in 2019, but the process was the most costly, time-consuming transaction for...American College of Physicians Endorses Single-Payer System
The second-largest physician group in the US recently recommended the implementation of a single-payer system or public option to achieve universal coverage. According to a policy plan released on...MedPAC Recommends 3.3% Hospital Payment Boost, No Change for Docs
The Medicare Payment Advisory Commission (MedPAC) voted unanimously last week to recommend higher hospital payment rates to Congress later this year. The group tasked with advising Congress on issuing...Sponsored by Brault
Strategies to Mitigate Shrinking Reimbursement in Emergency Medicine
Many emergency providers are starting to find themselves caught within a perfect storm, with pressure from reduced reimbursements building steadily across all payer types. Medicare payments for...Out-of-Network Billing for Hospital Care Boosts Spending by $40B
Patients receiving care at in-network hospitals face a significant risk of out-of-network billing for services performed by hospital-based anesthesiologists, pathologists, radiologists, and assistant...Sponsored by 3M
3 Ways to Build an Effective Hospital Compliance Program
As the healthcare industry becomes more value-based and consumer-centric, strengthening hospital compliance programs to ensure accurate coding, complete clinical documentation, and clean claims is...Sponsored by Zotec Partners
Automating Revenue Cycle Management Improves Patient Experience
For the longest time, revenue cycle management has been the man behind the curtain. Healthcare organizations have focused on improving the clinical experience using technology and provider education...Providers Ready for AI Clinical Documentation Improvement Tools
Forty-four percent of healthcare organizations already use artificial intelligence (AI) in one form or another, and more hospitals are looking to apply the technology to coding and clinical...Federal Hospital Reimbursement to Take $252B Hit by 2029
Twelve legislative acts, as well as regulatory changes from CMS, are estimated to reduce federal hospital reimbursement by $252.6 billion by 2029, a new report from the health economics consulting firm...Prior Authorizations, Quality Payment Program Burden Practices
A vast majority of medical group practices experienced growing regulatory burden in the last year, with prior authorizations and Medicare’s Quality Payment Program topping their list of the most...Sponsored by 3M
3 Coding Compliance Strategies to Improve Reimbursement, Quality
Medical coders are typically behind the scenes of patient care, analyzing records, selecting codes for billing, and managing patient data. But to Jannifer Owens, a revenue cycle expert with over 20...Sponsored by 3M
