Unbilled Management combines discharged not final billed + discharged not final submitted, while relying on strong cross-departmental effort. … Read More
Physician Advisor STAtus (PASTA): a recipe for changing the culture of physician-to-physician communication in Utilization Management. … Read More
Procedures added or deleted from the Inpatient-Only List directly impact the financial health of hospitals. … Read More
Hierarchical Condition Category (HCC) coding is the risk adjustment model used by CMS to determine future care costs for a specific patient. … Read More
Accurate documentation of medical necessity leads to an improved patient experience and sound clinical and financial outcomes. … Read More
Here are 5 steps you can take now to be the difference, drive positive associate engagement and achieve exceptional organizational results. … Read More
The higher the level of employee engagement, the more willing employees are to deliver an outstanding patient experience. … Read More
This guide explains the Two-Midnight Rule, one of the most impactful rules affecting hospital’s financial and compliance well-being. … Read More
Take a closer look at how hospitals should approach defining the septic patient and demystify why denials are occurring. … Read More
Not keeping track of payers’ pharmacy policy updates means delays in payment, loss of revenue and extra work for the revenue cycle back-end. … Read More