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Automated
Accuracy in capturing medical codes automatically
Productivity Lift
Combined years of clinical and technological innovation packed into a single platform
PULSE clients with tailored automation technology
By Joseph Zebrowitz, MD Denials Are Bad…Maybe Not One of the central tenets of utilization management is that “denials are bad.” Our hospitals have developed a myriad of Key Performance Indicators (KPIs) that reflect this: we track denial rate and total number of...
Elimination of the Inpatient-Only List Regulatory and Operational Compliance Considerations Overview The CY 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS) Final Rule[1] included the Inpatient Only (IPO) List phase-out over 3 years. Over...
Within the IPPS policy guidance, CMS has finalized an initiative requiring hospitals report payer-specific negotiated charges. Effective January 1, 2021, any hospital operating in the United States is required to provide clear and accessible pricing information about...