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Reimbursement

Reimbursement

Home Health is a burgeoning and besieged industry; its growth connected to our aging population and increased competition. Here we address deficiencies in documentation and coding, and make...
Information sharing enables health plans to leverage data and analytical assets to deliver sustained value. The shared-risk payment models that are central to health reform require tight...
This case study illustrates how a payer with 10 accountable care arrangements and a number of other provider risk-sharing contracts used Geneia's advanced analytics platform to improve...
Code groups, also called value sets, are defined sets of codes that represent clinical concepts derived from one or more standard terminologies. In this white paper, we'll cover the...
Read this supplement as part of the May/June edition of Healthcare Finance.
Read this supplement as part of the May/June edition of Healthcare Finance.
Terminology is core to everything in healthcare--from procedures to diagnoses, healthcare IT systems (HIT) represent clinical concepts in various coded clinical terminologies. Unfortunately...
A dramatic increase in the number of patients insured by high-deductible, high-copay plans has led to providers spending more time collecting payments. These challenges are intensified by a...
Healthcare reforms have prompted hospitals across the country to improve cost efficiencies wherever they can. In response, the accounts payable department of Southern Louisiana's...
New Bedford Corporation was expending too much time and staff manually entering medical charges generated by 50 of its healthcare provider customers into its practice management application...

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