News

Article
CMS
COVID-19
Physician Advisory

Dr. Juliet Ugarte HopkinsMarch 3, 2021

RACMonitor: Deconstructing the Concept of Condition Code 44

Dear Readers,

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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 ...

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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

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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: ...

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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 ...

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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.

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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 ...

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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 ...

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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 ...

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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 ...

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