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. ...

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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.

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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 

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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, ...

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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.

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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

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Executive Shares Insights on RCM Outsourcing

R1 RCMJuly 6, 2023

If you’re like most healthcare executives, you've probably spent countless hours thinking about a host of challenges including rising operating costs, the labor market, and how to improve the patient experience. You’ve probably read articles about RCM outsourcing, watched webinars and analyzed data about the impact it can have. Maybe you’ve ...

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Adventist, Ascension and LifePoint Share Their Experience with Revenue Cycle Outsourcing

R1 RCMJuly 6, 2023

Every night since the pandemic, countless healthcare financial leaders from around the country have spent sleepless nights contemplating their biggest concerns: rising operating costs, optimizing the use of new technology, navigating the labor market, and improving the patient experience. ...

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Understanding the PEPPER: “My Patients are Sicker than Everyone Else’s Patients”

Dr. Ronald HirschJune 21, 2023

We have all heard it, time and time again. In fact, I recall telling my hospital’s chief medical officer that my patients were sicker than others to explain why my average length of stay was longer than those of other internists on the medical staff. The difference, of course, was that for my patients, it was true, but not for the other ...

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