MACRA challenges -

What are the MACRA challenges for hospitals this year? MACRA is the title given to the Quality Payment Program (QPP) set forth by CMS in 2015. Because MACRA officially went into effect in January of 2017, now is a good time to see what's working in the program and what's not. Let's review these MACRA challenges and the proposed rule intended to address some of these issues.

What are the MACRA challenges for hospitals this year? MACRA is the title given to the Quality Payment Program (QPP) set forth by CMS in 2015. Because MACRA officially went into effect in January of 2017, now is a good time to...

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Smart Hospital Revenue Cycle Management -

Solutions for smart hospital revenue cycle management continue to evolve as technologies, workflow processes, and cross-team integration strategies improve.  Even so, a recent report showed larger hospitals are on average leaving $22 million in revenue capture on the table.  What can be done to address this?

Solutions for smart hospital revenue cycle management continue to evolve as technologies, workflow processes, and cross-team integration strategies improve.  Even so, a recent report showed larger hospitals are on average...

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Will Medicare and Medicaid spending be cut or only capped on future growth? Is moving to a single-payer healthcare system a possibility in the near future? We examine these questions that linger in the minds of healthcare leaders and finance officers in detail.

Will Medicare and Medicaid spending be cut or only capped on future growth? Is moving to a single-payer healthcare system a possibility in the near future? We examine these questions that linger...

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MIPS Quality Payment Program -

Is the MIPS program from CMS what providers need for smart Medicare payments and rewards? Not all of the healthcare stakeholders, including hospitals, physicians and related groups, are happy with current MIPS Quality Payment Program rules, though some see the changes proposed for the next couple of years as positive.

Is the MIPS program from CMS what providers need for smart Medicare payments and rewards? Not all of the healthcare stakeholders, including hospitals, physicians and related groups, are happy with current...

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Healthcare Analytics -

Now that most hospitals have adopted electronic charting and order entry systems, the time has come to implement healthcare IT tools designed to increase revenue through the meaningful, performance-driven analysis of healthcare data.

Now that most hospitals have adopted electronic charting and order entry systems, the time has come to implement healthcare IT tools designed to increase revenue through the meaningful...

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Ambulatory Surgery procedures improve in quality -

Will outpatient surgery centers be the new "normal" trend in healthcare? It looks like the answer to that question is, "yes"! As more patients seek out this option for care, ambulatory surgery procedures are improving with policies to decrease infection and wrong-site procedures, and increase price transparency.

Will outpatient surgery centers be the new "normal" trend in healthcare? It looks like the answer to that question is, "yes"! As more patients seek out this option for care...

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olutions for Improving Hospital Claim Collection Rates -

Regarding claims management, the holy grail for hospitals continues to be a high clean claim rate... but how do you get there?  What KPIs — Key Performance Indicators — does your revenue cycle team follow?  Is the clinical side dialed into the process?  We take a look at some recommendations in this article.

Regarding claims management, the holy grail for hospitals continues to be a high clean claim rate... but how do you get there?  What KPIs — Key Performance Indicators — does your revenue cycle team follow?  Is the clinical side dialed into...

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The healthcare audit management solution boils down to focus, training, and the best methods for efficiency in your organization. -

What should your hospital team focus on when it comes to auditing for services, fraud, coding and cyber security? When it comes to healthcare, the solution boils down to what you will benchmark, training, and the best methods for efficiency in your organization. A lot of industry leaders share the idea that audits are the best start toward better compliance management these days.

What should your hospital team focus on when it comes to auditing for services, fraud, coding and cyber security? When it comes to healthcare, the solution boils down to what you will benchmark, training, and the best...

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