A non-profit hospital faced a tough decision when their Accounts Receivable (AR) vendor failed to perform, leaving a backlog of small balance accounts aged between 180 to 210 days.
Articles
Strategic Escalation in the Face of Rising MA Plan Denials
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...
From Cost Cuts to Revenue Gains: How Hospitals Can Turn Financial Pressures into Opportunities
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
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...
Case Studies
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Webinars
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Podcasts
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Regulatory Resources
Regulatory Insights
Medicare Advantage or Disadvantage?
OIG Raises Concerns About Service and Payment Denials Under Medicare Advantage Plans According to CMS, almost 37% of all Medicare beneficiaries will enroll in Medicare Advantage plans in 2019. In addition, the market remains very attractive to insurers who plan to...
Aligning Payor-Provider UR Practices – Proceed with Caution!
Over the last few years, there has been a trend toward automating the medical necessity UR screening process using software to extract clinical data and either apply commercial criteria or create an acuity score. As I have strolled across trade show floors, I see...
You Can’t Get the Right Answer if You Don’t Ask the Right Question
In 2013, the Centers for Medicare and Medicaid Services (CMS) finalized the “Two-Midnight” Rule addressing when beneficiary hospitalizations are appropriate for inpatient payment under Medicare Part A. CMS adopted the “Two-Midnight” Rule to simplify the beneficiary...
Regulatory Bulletins
Mentions
Dr. Jerilyn Morrissey Named Top 25 Healthcare Software Executives of 2024
The Healthcare Technology Report is pleased to announce the Top 25 Healthcare Software Executives of 2024…
How is the transition to value-based care (VBC) going and what changes do you recommend to improve its adoption?
“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
354+ healthcare revenue cycle management companies to know | 2024
Becker’s has compiled a list of 354+ companies with revenue cycle management solutions in the healthcare space.
CorroHealth in the News
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