Staying ahead of the curve is the best way to keep from falling behind, especially when it comes to the HEDIS® submission process. Reporting success begins and ends in the offseason. This...
For large integrated health networks, what impact do hierarchical condition categories (HCCs) have under value-based payment models? The short answer: a big one. Learn the seven steps to...
How can you succeed under new value-based reimbursement (VBR) models? For starters, healthcare systems must document and code full patient acuity, not just conditions treated during a visit...
CMS is moving aggressively to shift healthcare payments towards value-based payment models. How do hierarchical condition categories (HCCs) affect reimbursement for health systems and...
Learn how patient identification errors occur and how to avoid them with biometric identification technology. Identify the root causes of patient identification errors and obtain an...
In the landscape of healthcare today, it's not enough to simply find the balance between finances and care quality. Instead, forward-thinking healthcare organizations are embracing...
Beyond Dollars and Cents: A Closer Look At ValueBeyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.
Care Collaboration Success for Improved OutcomesThe nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.
Debunk the Myth: Outsourcing Doesn't Mean Losing ControlWith shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?
Healthcare mergers and acquisitions in 2016: Running listWhile 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.
Credible, Defensible EstimatesIn healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.
Clinical Quality Measures 101Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...
