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Root-cause analysis and strategy to combat payer tactics
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...
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...
The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) issued separate announcements last week that I think will interest you. HHS Updates HHS announced two additional distributions from the Coronavirus Aid,...
The $2 trillion Coronavirus Aid, Relief, and Economic Security (CARES) Act includes more than $100 billion in aid in a Provider Relief Fund for healthcare organizations. In recent weeks, the Department of Health and Human Services (HHS) has issued guidelines on how...
By Jerilyn Morrissey, MD and Jay Ahlmer, CFA As COVID-19 case volumes continue to grow and hospitals prepare for an anticipated patient surge, the stress on healthcare facilities to weather an unprecedented health and financial crisis has skyrocketed. While the $2...
