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AHA Associates Bringing Value Podcast Episode 58: Tackling Healthcare Denials While Maintaining Quality Care Effective Denials Management for Modern Revenue Cycle Management Healthcare denials pose a significant challenge, affecting both patients' access to care and...
'We need everybody to work together': As denials grow, health systems are responding with strategic, data-driven approaches Originally Published on Becker's HealthcareThe nation's largest payers reported billions in profits in 2023. Yet, denials continue to rise. ...
Compliantly Supercharge Your Hospital's Bottom Line: The Strategic Power of CDI Programs Originally published on Healthcare DiveClinical Documentation Integrity (CDI) has traditionally been seen as a necessary cost for compliance and reimbursement. However, outdated...
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...
Much ado is being made about the addition of Total Knee Arthroplasty (TKA) to the Program for Evaluating Payment Patterns Electronic Report or, as we all know it, the PEPPER. I would add my voice to the “ado,” not because I think this indicates coming scrutiny, but...
These waivers, known as 1135 waivers (due to being granted by Section 1135 of the Social Security Act), are allowed when 2 conditions are met: First, there must be a declaration of a Public Health Emergency (PHE) by the Secretary of the Department of Health and Human...
