Strategic and programmatic approach to transform team performance
Align critical metrics to your revenue goals
Proprietary data-driven review program to optimize patient admission status
We defend your patient care choices to secure fair reimbursement
Root-cause analysis and strategy to combat payer tactics
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...
Turning Healthcare Disruption into Strategic AdvantageHealthcare no longer moves in measured steps. Disruption comes in waves, challenging leaders to rethink operations, workforce strategies, and technology adoption all at once. Tami Knobbe, executive vice president...
Addressing the Rising Challenge of Bad Debt in Healthcare FinanceRising bad debt and charity care have emerged as a defining financial challenge for U.S. hospitals. What initially seemed like a temporary disruption has evolved into a sustained trend, prompting finance...
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...
