Healthcare Mergers and Acquisitions will Change the Future

As healthcare mergers and acquisitions continue at an alarming rate, it may come as no surprise that Aetna has a major corporation interested in buying them. However, which company that is comes as a shock to many.

As healthcare mergers and acquisitions continue at an alarming rate, it may come as no surprise that Aetna has a major corporation interested in buying them. However, which company…

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Do Payers Use Utilization Management to Their Advantage to Deny Claims?

Utilization management is a review process used to evaluate the medical necessity and appropriateness of healthcare treatments and procedures ordered. What happens when patients are being denied access to essential treatment through this met

Utilization management is a review process used to evaluate the medical necessity and appropriateness of healthcare treatments and procedures ordered. What happens when patients are…

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What You Need to Know About Healthcare Bundled Payments

Bundled payments are one of the alternative payment models developed by CMS under the new MACRA program. We explore the concept of healthcare bundled payments; challenges faced by providers under this model; and upcoming changes to this program.

undled payments are one of the alternative payment models developed by CMS under the new MACRA program. We explore the concept of healthcare bundled payments;…

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Healthcare Analytics Soar to New Heights

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 and 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, 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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Leveraging Healthcare Analytics for Smarter Care Decisions

What’s the current situation regarding analytics in Healthcare?  We review some resources for healthcare analytics and “business intelligence systems”.  Plus, you will find a link to our recent webinar on Analytics in Healthcare led by WIll Israel, who will also be on hand at the upcoming ANI conference where will launch our Analytics 2.0 upgrade

What’s the current situation regarding analytics in Healthcare?  We review some resources for healthcare analytics and “business intelligence systems”.  Plus, you will find a link to our recent webinar…

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2017 Healthcare Revenue Cycle Management Challenges Met by Technology

As the financial landscape of healthcare delivery changes in the United States, hospitals, providers, and ambulatory surgery clinics are faced with unique revenue cycle management (RCM) challenges…

As the financial landscape of healthcare delivery changes in the United States, hospitals, providers, and ambulatory surgery clinics are faced with unique revenue cycle management (RCM) challenges…

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Consumerism Impacts Patient Satisfaction: What Healthcare Providers Can Do

In a healthcare environment that is now centered around the consumer and customer experience, it’s more important than ever that healthcare providers get on board with strategies…

In a healthcare environment that is now centered around the consumer and customer experience, it’s more important than ever that healthcare providers get on board with strategies……

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Overcoming Healthcare Analytics Challenges

Successful healthcare organizations such as ambulatory surgery centers, hospitals, and clinics are embracing the world of big data analytics with the intent to reduce inefficiencies and improve clinical performance and quality. However, the uncertainty of where to start, which tools to use, and how to meaningfully implement analytics can pose major challenges on the road ahead. 

Successful healthcare organizations such as ambulatory surgery centers, hospitals, and clinics are embracing the world of big data analytics with the intent to reduce inefficiencies and improve clinical performance and quality….

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Getting Ready for New HIPAA Audits

HIPAA Audits being stepped up:  In coming months, onsite audits will be much more thorough and will look much deeper into organizations’ compliance programs. Not only will covered entities be required to show auditors documentation demonstrating compliance with HIPAA Rules, OCR will be looking for evidence of HIPAA in action.

MACRA, MIPS and Revenue Cycle Managers

How will the carrot and stick associated with MACRA play out in the year ahead?  It will require more attention, but a new study shows many healthcare providers aren’t ready.  When it comes to MACRA, MIPS and Revenue Cycle Managers, 2017 is an important year with a range of new incentives and penalties at stake.

How will the carrot and stick associated with MACRA play out in the year ahead?  It will require more attention, but a new study shows many healthcare providers aren’t ready.  When it comes to MACRA, MIPS and Revenue Cycle Managers, 2017 is an important…

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