Strategic Escalation in the Face of Rising MA Plan Denials Originally published on Becker's Hosptal ReviewRelationships between providers and Medicare Advantage (MA) plans have become more strained as payers aggressively deny claims. To ensure providers' financial...
AHA Associates Bringing Value Podcast Payer Wars: Winning the Battle for Revenue Integrity Boost Hospital Revenue Through Regulatory Alignment: Lessons from Dr. Morrissey “Regulatory requirements should be the foundation of your financial strategy,” CorroHealth Chief...
From Cost Cuts to Revenue Gains: How Hospitals Can Turn Financial Pressures into Opportunities Originally Published on Becker's HealthcareImagine losing millions of dollars in potential revenue simply because of a classification error. For hospitals grappling with...
How Hospitals Can Mitigate Financial, Legal, and Compliance Risks By Geoff New Inadequate clinical documentation can lead to serious consequences. Historically, poor documentation has resulted in significant financial losses through penalties, damaged...
Inside AI-Driven Medical Coding Exploring AI and ML Technologies in Healthcare Workforce shortages, regulatory complexities, and economic challenges have put hospitals and health systems under immense pressure to improve operational efficiency, accelerate payments,...
The Limitations of CMI as a KPI by Sam Dominik, Senior Vice PresidentTraditional hospital performance metrics like denial rates, CMI, LOS, and readmission rates hinder progress. It’s time to shift your perspective on KPIs. Traditionally, a higher CMI indicates a...
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“The journey to VBC is an evolving process, heavily influenced by geographic factors. However, a key issue we’ve consistently noticed is a profound lack of awareness about engaging in and succeeding with these types of contracts.” – Pat Leonard, CEO, CorroHealth
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Clinical Documentation Transformation: Key Opportunities to Reduce Risk, Compliantly Boost Revenue & Improve Patient Care Originally published in Becker’s Healthcare Top priorities for healthcare executives today include stabilizing the revenue cycle and cash...
A winning game plan for overcoming payer denials — Insights from CorroHealth + CommonSpirit Originally Published on Beckers Hospital Review During a feature session as part of Becker’s 14th Annual Meeting, Jerilyn Morrissey, MD, chief medical officer with...
In this article, Chief Medical Officer Dr. Jerilyn Morrissey sheds light on the murky waters of Medicare Advantage plans and the Two Midnight Rule, revealing that payers like to dance in the shadows of regulation. Discover how Medicare Advantage plans clash with the Two Midnight Rule, causing confusion and compliance issues in healthcare. Dive into the full story.
