Month: October 2023

OIG Increases Scrutiny on Medicare Advantage Coding

Federal agencies are scrutinizing Medicare Advantage coding with inaccurate diagnoses for enrollees with certain high-risk diagnoses.

How to Prevent Burnout During an Electronic Healthcare Record Implementation

There’s no need to go into an EHR implementation unprepared. Having a readiness program in place can help smooth the transition to a new EHR.

Clarification of the Two-Midnight Rule: A Win for Physician Advisory

The 2024 Medicare Advantage Final Rule clarifies that Medicare Advantage (MA) plans must follow the Two-Midnight Rule set in 2013, and more.

Power of Belonging: Transforming Healthcare Workforce Engagement and Patient Care

The healthcare workforce has the greatest impact on patient experience, which is a driving factor in a patient’s decision to return.

Ensemble Health Partners, in Partnership with Health Systems, Receives Two 2022 Clarivate Healthcare Business Insights Revenue Cycle Awards for Strong Performance

Ensemble received two of the four 2022 Clarivate HBI Revenue Cycle Awards for strong performance on revenue cycle key performance indicators

Congress Investigates OIG Report That Medicaid MCOs Deny Prior Authorizations at Higher Rates

A report from the OIG found some MCOs have unusually high rates of prior authorization denials, with limited or no state oversight.

5 Key Focus Areas for Healthcare’s Future

In a rapidly shifting industry, here are five areas of focus to help you face healthcare’s future with confidence.