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
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Root-cause analysis and strategy to combat payer tactics
'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 However, outdated...
Empowering Healthcare Providers Against Rising Payer DenialsOriginally Published on Healthcare DiveIn the rapidly evolving landscape of U.S. healthcare, the tug-of-war between payers and providers is continually intensifying, raising the stakes on the strategic...
As payers become more sophisticated and aggressive in their audit and denial activity, many hospitals have struggled to keep pace. Operational silos and departmental driven metrics lead to disjointed, labor intensive, and ultimately unsuccessful efforts. These efforts...
If you follow politics, you are well aware that there is an ongoing debate between nationalism (primarily concerned with what goes on within a country’s borders) and globalism (trying to optimize outcomes for all nations). I will not wade into this debate, but it got...
Since the onset of the 2-midnight rule, hospitals have been spared the onslaught of medical necessity denials from Recovery Audit Contractors (RACs). The RACs have certainly branched into other areas of audit in hospitals, but tightened claim limits have significantly...
