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Stronger Documentation, Smarter Revenue The UM & CDI Advantage March 11th | 11:00 AM PST | Becker's Hospital ReviewChief Medical OfficerCorroHealthSenior Vice PresidentCorroHealthAs hospitals face increasing financial pressures and growing payer scrutiny,...
The $23.5 Million Difference in Patient Status DeterminationsHow One Strategic Partnership Catalyzed Hospital Utilization Management Strategies and Revenue Growth Overview A top-tier nonprofit health system in Southwest Florida is ranked among the top 15% of hospitals...
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...
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...
By Joseph Zebrowitz, MD Denials Are Bad…Maybe Not One of the central tenets of utilization management is that “denials are bad.” Our hospitals have developed a myriad of Key Performance Indicators (KPIs) that reflect this: we track denial rate and total number of...
Within the IPPS policy guidance, CMS has finalized an initiative requiring hospitals report payer-specific negotiated charges. Effective January 1, 2021, any hospital operating in the United States is required to provide clear and accessible pricing information about...
