Four Patient Payment Problems and Solutions to Lower Collection Costs

R1 RCMNovember 15, 2023

Patients have long turned to their healthcare providers for empathy and guidance through some of life’s toughest situations. However, when it comes to paying for the care they’ve received, many patients don’t experience the same guidance.

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Discharge Planning in Hospitals – Two Important Clarifications

Dr. Ronald HirschNovember 9, 2023

In 2019 the Centers for Medicare & Medicaid Services (CMS) adopted significant changes to the hospital discharge planning conditions of participation. As most know, the conditions of participation are rules by which a medical provider must abide to be able to provide care to Medicare and Medicaid patients and any other federally funded ...

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R1 RCM expands collaboration with Microsoft to accelerate integration of Azure OpenAI Service across the R1 enterprise

R1 RCMNovember 2, 2023

R1 launches its first LLM-based application to improve physician coding quality


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CDI Solution Drives Documentation Excellence and Improves Revenue Performance

R1 RCM ContentOctober 16, 2023

R1 RCM and Iodine Software’s comprehensive clinical documentation integrity solution connects managed services and intelligent technology

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Discrimination Against the Disabled? Not on CMS’s Watch

Dr. Ronald HirschOctober 9, 2023

Today I have two small things and then a really big thing to cover. First up, LinCare, a home oxygen supplier, was fined $29 million for improper billing of Medicare for home oxygen equipment. Medicare has a really complicated way of paying for certain durable medical equipment (DME). In the case of oxygen equipment like concentrators, ...

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$3.50 or $10,800,000? How Much Does a Service Actually Cost?

Dr. Ronald HirschOctober 2, 2023

Many of us eagerly, or with dread, await the yearly payment system rules that the Centers for Medicare & Medicaid Services (CMS) releases.

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Reducing Cost to Collect Amid Growing Revenue Cycle Challenges

R1 RCMAugust 28, 2023

Healthcare costs are rising. Labor shortages abound. Margins continue to shrink, and navigating the ever-changing revenue cycle landscape becomes trickier by the day. For many health systems, lowering the cost to collect seems unattainable given the growing number of revenue cycle challenges. However, with a smart ...

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Livanta Memo Highlight of Healthcare News Week

Dr. Ronald HirschAugust 28, 2023

The news cycle never seems to rest. First, a bill has been introduced in Congress to once again try to get observation days to count for the three-day stay requirement for Part A skilled nursing facility (SNF) coverage by Medicare.

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Important: Livanta Confirms Stance on One Day Inpatient Admissions

Dr. Ronald HirschAugust 28, 2023

As I reported last week for RACmonitor, Livanta released a newsletter about short inpatient stays at the end of July. Their case examples were, to put it mildly, surprising. And as I discussed, I provided them some feedback – and they were kind enough to respond to me. I expected them to backtrack on some points, based on my experiences ...

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A Perfect Storm: Agencies Collaborate on Medical Debt, Price Transparency, Charity Care

Kathryn Beard, JDAugust 17, 2023

Almost 40% of Americans recently reported they were deferring medical care due to the cost of treatment.1 This is particularly true for Americans with low incomes, who have reported cancelling treatment for even the most serious conditions due to an inability to pay for necessary services.


Financial ...

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