Hospitals and health systems are losing money on claims they believed were billed correctly. A claim comes back lower. The case lands on a downgraded DRG. The gap disappears into a pattern that continues to surface in the data. These DRG downgrades are no longer...
Why Clinical Intelligence Sets AI Apart in Healthcare Why are DRG downgrades still rising even as AI adoption grows? The answer points to a deeper problem than most AI vendors acknowledge: technology alone does not produce clinical accuracy. Denials keep climbing,...
Integrated Teams for Improved Outcomes in Hospital OperationsAligning clinical and financial teams in hospitals is now central to effective revenue cycle management. Documentation, coding, and financial outcomes no longer sit in separate operational lanes. Each...
Reimbursement Is Changing. Alignment Will Decide What WorksThe future of healthcare reimbursement is being driven less by any single policy and more by mounting pressures across the system. Costs keep rising, administrative complexity remains high, and patients bear...
New CMMI Models Signal a Structural Shift for HospitalsThe Centers for Medicare and Medicaid Innovation (CMMI) is reshaping how hospitals are paid, evaluated, and held accountable. The latest generation of payment models extends beyond incremental updates, increasing...
The Documentation Crisis No One Designed for – and the Shift That’s Fixing ItClinical documentation was never intended to carry the weight it bears today. At its core, documentation exists to capture clinical reasoning—what a clinician observed, assessed, and...
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CorroHealth Unveils PULSE, the Next Generation of AI-Driven Medical Coding AutomationAdvanced SaaS product transforms medical coding; 100 percent automation and up to 97 percent accuracy, providing 5–7x productivity liftPLANO, Tex. (December 06, 2023) – Leading health...
New VISION Technology by CorroHealth Empowers CDI and HIM Teams to Optimize Compliant Revenue Integrity for Hospitals PLANO, Texas (October 31, 2023) – CorroHealth recently launched its latest Clinical Documentation Integrity (CDI)-focused solution, VISION, a...
CorroHealth India Achieves Great Place To Work Certification, Earns Place as One of India’s Top Healthcare Companies  PLANO, Texas (August 15, 2023) – Global healthcare technology company CorroHealth has achieved a significant milestone in the company’s history,...
CorroHealth Names Dr. Jerilyn Morrissey Chief Medical Officer PLANO, Texas (February 1, 2023) – CorroHealth has named nationally recognized clinical revenue integrity and compliance leader Dr. Jerilyn Morrissey as the group’s Chief Medical Officer. Previously, Dr....
CorroHealth Names John Wallace Chief Commercial Officer PLANO, Texas (January 25, 2023) – CorroHealth has named John Wallace as the group’s Chief Commercial Officer. Previously, Wallace served as President of the company’s HCC coding and global services, growing the...
CorroHealth and Versalus Health Join Forces to Bring More Solutions to Hospitals Together, Versalus Health and CorroHealth enable transformative healthcare analytics for the full revenue cycle Versalus Heath’s clients will now have access to a broader range of...
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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...
Analyzing Recent OIG Findings: Strategies for Managed Medicare & Medicaid February 08, 2024Â |Â 11:00 AM PST | 2:00 PM EST Guided by recent Office of Inspector General (OIG) findings, we will explore their latest findings in managed Medicare and Medicaid and their...
Decoding Denials: Chart A Course Towards Financial Prosperity Presented by Annabelle Seippel, VP of Denial Management, CorroHealth January 31, 2024. |Â 2:00 PM EST | 11:00 AM PSTDenials often emerge as missteps that disrupt the rhythm of cash flow. But what if these...
Let's TalkWEBINARMaster Revenue Integrity with VISION: Unveiling Advanced CDI Technology for Hospitals December 5, 2023 | 11:00 AM PSTMaximize compliant revenue capture with VISION, a cutting-edge DRG revenue integrity technology by CorroHealth. Developed by...
On November 2, 2021, CMS released the anticipated CY 2022 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule (CMS-1753-FC), finalizing this year’s Medicare payment rates for hospital outpatient and ASC as well including regulatory guidance regarding several high profile policies for hospitals providing outpatient services. CMS evaluated industry feedback to the proposed modifications, including halting the elimination of the Inpatient Only list (IPO), broadening the impact of the Hospital Price Transparency Rule, and other updates.
Additional Funds, Delay in Reporting Requirements, and Audits The Provider Relief Fund (PRF) was established when Congress passed the Coronavirus Aid, Relief, and Economic Security (CARES) Act to support American families, workers, and healthcare providers in the...
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...
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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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