The Right Observation Rate – I Have the Numbers, Sort of…
Dr. Ronald HirschAugust 16, 2023
If you have heard me speak or have read my articles you know that one of the questions most asked is “what is the target/benchmark/right observation rate?”
Transform the Patient Payment Experience with These Two Key Offerings
R1 RCMAugust 11, 2023
A successful patient engagement strategy requires effective implementation of patient account resolution tools and services that address the entire patient obligation pool. While digital tools have advanced self-service patient payment resolution, there will continue to be a need for modernized call center services with compassionate human ...
Texas Judge Vacates No Surprises IDR Fee Increase, Batching Rule
Kathryn Beard, JDAugust 9, 2023
Disclaimer: This information is for educational purposes only and is current as of August 8, 2023. Not intended to be used as or constitute legal or medical advice.
Plenty of Healthcare News to Cover as Summer Heats Up
Dr. Ronald HirschJuly 28, 2023
There has been lots of healthcare news in the past two weeks. First, I hope all of you read my RACmonitor e-news article from July 6 about the right observation rate. If you didn’t, here’s a preview: I did it. ...
Robust RCM Systems: Keys to Effective Coding, Billing and Collections
Jeff GruberJuly 25, 2023
Effective coding, billing and collection processes are vital to ensuring timely and accurate payment for practice services. In the absence of strong procedures and systems, you put your medical group's financial stability at risk.
Breaking News: Medicare Advantage Must Follow Two-Midnight Rule
Dr. Ronald HirschJuly 24, 2023
With an extremely compressed timeframe, the Centers for Medicare & Medicaid Services (CMS) released
All Healed Up with Nowhere to Go
Dr. Ronald HirschJuly 24, 2023
On the June 5 edition of Monitor Mondays and in a recent RACmonitor news article, Dr. Bonny Olney from Read More
Inpatient Rehabilitation Admissions Go Under the Microscope…in One State
Dr. Ronald HirschJuly 24, 2023
With little fanfare, last week the Centers for Medicare & Medicaid Services (CMS) announced another Review Choice Demonstration Project. Joining the ongoing Review Choice Demonstration for Home Health Services Project, CMS will require every admission to an Inpatient Rehabilitation Facility (IRF) in the state of Alabama to be reviewed, ...
Did a MAC Really Imply That the Inpatient Admission Order is Optional?
Dr. Ronald HirschJuly 24, 2023
MAC advice to one hospital seems too good to be true.
Evaluating RCM Technology Through Three Different Stakeholder Lenses
R1 RCMJuly 6, 2023
RCM outsourcing and technology go hand-in-hand. This robust technology can lead to reduced costs and increased revenue collections, which is especially important in light of new hospital margin data included in Kaufman Hall's
