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...
'We need everybody to work together': As denials grow, health systems are responding with strategic, data-driven approaches Originally Published on Becker's HealthcareThe nation's largest payers reported billions in profits in 2023. Yet, denials continue to rise. ...
Compliantly Supercharge Your Hospital's Bottom Line: The Strategic Power of CDI Programs Originally published on Healthcare DiveClinical Documentation Integrity (CDI) has traditionally been seen as a necessary cost for compliance and reimbursement. However, outdated...
Health System Sees 6x ROI with VISION Clinical Validation Technologyâ„¢ from CorroHealthIn 2023, a leading health system located in the Pacific Northwest U.S. underwent a transformative change in its Clinical Documentation Integrity (CDI) and Coding program with the...
Northeast Health System Secured $125M By Partnering with CorroHealthOVERVIEWÂ Â Northeast Health System is one of the most comprehensive academic health care systems in the country, providing treatment and services to more than three million patients each year. The...
PULSE by CorroHealth Boosts Efficiency and Finds $504M in Revenue for a Top U.S. Health SystemIn 2020, within the sprawling corridors of one of the largest health systems in the U.S., the once-resilient heartbeat of emergency medical coding began to experience...
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From Denials to Recovery: Upgrading Your Approach to DRG Downgrades Presented by Annabelle Seippel, VP of Denials Management Services, CorroHealthDRG downgrades significantly threaten hospital revenues. The payers continue to change the rules of the game. Unlike...
Let's Talk WEBINAR REVIVE Specialized RCM Automation: Revealing REVIVE: AI-Optimized Revenue Recovery for Aged Receivables Wednesday March 27th, 2024 | 11:00 AM PST / 2:00 PM EST PRESENTED BY Senior Vice President, Revenue Cycle This is AR recovery, reengineered....
2024 Regulatory and Coding Changes February 21, 2024 | 11:00 AM PST | 2:00 PM EST As with the start of any new year, it's crucial for healthcare professionals to stay informed about the latest updates in CPT® codes, alongside evolving rules and regulations. Led by...
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By Jerilyn Morrissey, MD Regardless of who your team reports to on the organization chart, there is no getting around the fact that Utilization Management (UM) is part of the clinical revenue cycle of your organization. Embracing that concept may challenge your...
Let’s talk about denials, a frequent and often unpleasant topic in Utilization Management (UM). One of the core beliefs of most UM teams is that denials are bad, and most of UM teams’ efforts are spent trying to prevent or reduce denials. You may have even purchased...
There is still a lot of confusion regarding the impact on Medicare beneficiaries from eliminating the Inpatient-Only List. As recent as last week, an article from The Washington Post titled New cost-cutting Medicare rule may add costs to patients, discussed how this...
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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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