News
Article
CMS
COVID-19
Physician Advisory
Dr. Juliet Ugarte HopkinsMarch 3, 2021
RACMonitor: Deconstructing the Concept of Condition Code 44
Dear Readers,
Diversity & Inclusion
Leadership
Partnership
Patient Satisfaction
Press Release
R1 RCMMarch 1, 2021
R1 RCM Issues Inaugural Environmental, Social, and Governance Report
CHICAGO – March 1, 2021 – R1 RCM Inc. (NASDAQ: RCM), a leading provider of technology-driven solutions that transform the patient experience ...
Billing
Blog Post
Physician Services
Revenue Cycle
Richard Lopez del RinconFebruary 23, 2021
3 Ways Revenue Cycle Partnerships Produce Financial Sustainability
This post is part two of a two-part blog.
There is no doubt that many practices are in a strenuous financial period. Organizations need to quickly identify opportunities to reduce costs and increase profitability, which is making them seriously consider
Billing
Blog Post
Physician Services
Revenue Cycle
Richard Lopez del RinconFebruary 23, 2021
Why CBOs Aren't Financially Viable for Practices
This post is part one of a two-part blog.
It’s no secret that over the past few years, physician organizations have faced several significant financial hurdles. From adjusting to value-based care, to serving more and more underinsured patients, to the most recent financial hit: ...
Article
Automation
Revenue Cycle
Sean BarrettFebruary 15, 2021
For the Record: A Look Inside Intelligent Automation
Over the past five years, there has been significant buzz in the health care industry around automation, including countless articles advertising how it can transform the revenue cycle while delivering major cost savings. For the most part, the fanfare is warranted; automation can help generate significant ...
Article
Patient Experience
Price Transparency
Revenue Cycle
Alexandra Wilson PecciFebruary 15, 2021
HealthLeaders: Price Transparency is Here, Actions to Take
The CMS price transparency mandate is in effect at long last, after a yearlong delay, court challenges, worries over confused patients, concerns about disclosing proprietary data, and COVID-19-related setbacks.
Article
CMS
Hospital Management
Dr. Ronald HirschFebruary 11, 2021
RACMonitor: Leaving Against Medical Advice
Against Medical Advice: Are A M A Scarlet Letters?
A recent discussion on Twitter caught my attention. A physician posted, “Left against medical advice” is not the same as ‘Left to attend sister’s funeral.’ Let’s choose our words better.” This doctor has a point. The choice of words we use to ...
Article
health
Healthcare
Patient Experience
Physician Advisory
Physician Services
Revenue Cycle
Nina YoungstromFebruary 9, 2021
COSMOS: Readmission Penalties May Be Worth Swallowing For Revenue
Hospitals may want to reconsider how hard they work to stave off certain Medicare readmissions because the penalties from the Hospital Readmissions Reduction Program pale compared to the loss of revenue and potential harm to patients who should be back in the hospital, a physician advisor said. That calculation ...
Blog Post
Coding
Finance
Financial Performance
Financial Recovery
Financial Resilience
Physician Advisory
Revenue Capture
Revenue Cycle
Revenue Integrity
Nicole ShinglerFebruary 8, 2021
Moving Past Revenue Cycle Recovery to Achieve Financial Resilience
After a fairly predictable start, 2020’s unforeseen turn into a yearlong (and counting) pandemic created a torrent of financial and clinical challenges for hospitals and health systems. Reduced volume, increasing care complexities and an uncertain economy still remain in 2021 as hospitals continue working toward ...
Article
CMS
Physician Advisory
Dr. Ronald HirschFebruary 3, 2021
RAC Monitor: Medicare Inpatient Pricer Now Available
When I teach Medicare regulations to physician advisors, case managers, and utilization review professionals, it is always interesting to see the reactions when I explain how Medicare calculates how much to pay for an inpatient admission. Most are aware of the Medicare Severity Diagnosis-Related Group (DRG) system ...
