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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Since the onset of the 2-midnight rule, hospitals have been spared the onslaught of medical necessity denials from Recovery Audit Contractors (RACs). The RACs have certainly branched into other areas of audit in hospitals, but tightened claim limits have significantly...
It is a truism that hospital financial outcomes result from an interdependent web of departments contributing specific functions and deliverables, commonly referred to as the revenue cycle. Each silo – admitting, managed care contracting, utilization management,...
By Jerilyn Morrissey, MD Twenty years ago, few hospitals thought of using a physician as a regular resource for utilization review purposes. My colleagues, Drs. Corrato, Zebrowitz, and McCarter introduced the Physician Advisor role to the industry in the early 2000s....
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The Healthcare Technology Report is pleased to announce the Top 25 Healthcare Software Executives of 2024…
“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
Becker’s has compiled a list of 354+ companies with revenue cycle management solutions in the healthcare space.
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