News

Article
Patient Experience
Physician Services
Telehealth

Vijay KotteNovember 6, 2020

MGMA: Enduring the Second Wave - 4 Strategies to Prepare Your Practice's Revenue Cycle

When COVID-19 first hit, practices were forced to enter crisis mode and make tough decisions to remain open. More than 12,000 job losses occurred in the month of March alone,¹ and on average practices have reported a 55% decrease in revenue.² After facing the devastating financial impacts from the initial ...

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Article
CMS
Physician Advisory

Dr. Ronald HirschNovember 4, 2020

RACmonitor: IRF Care Again in Audit Crosshairs

Last week, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released an audit of OSF Saint Francis Medical Center in Peoria, Ill. In this audit, the majority of the errors were once again due to admissions to inpatient rehab that the OIG’s contracted auditor determined were ...

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Article
Billing
Physician Services
Revenue Cycle

Drew BoxerOctober 28, 2020

Physicians Practice: MGMA 2020 - Thriving Through Better Claims and Collections

Current revenue cycle management (RCM) processes in some practices may be well established, but there is always room for improvement and optimizations.

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Article
Physician Services
Revenue Cycle

Jacqueline LaPointeOctober 23, 2020

RevCycleIntelligence: Best Practices When Outsourcing Revenue Cycle Management

The revenue cycle is a critical healthcare process, and its management is central to the business of healthcare. But revenue cycle management is complex and frequently wrought with ...

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Article
CMS
Physician Advisory

Dr. Ronald HirschOctober 8, 2020

RACmonitor: New Rule - Providers Required to Transmit Electronically All Records to QIOs

In a provision glossed over by most, the 2021 Inpatient Prospective Payment System (IPPS) Final Rule introduced a requirement that all providers transmit all records to Quality Improvement Organizations (QIOs) via electronic means as of Oct. 1, 2020. As a reminder, the QIOs perform several types of reviews for ...

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Article
Coding
COVID-19
Physician Services

Brian SmitOctober 2, 2020

Physicians Practice: Leveraging Clinical Documentation Improvement for Post-COVID Financial Recovery

In the wake of COVID-19, physician practices faced a myriad of challenges creating a contactless and consumer-friendly patient experience, ramping up telehealth services, and transitioning non-clinical staff to work from home. Given these priorities, it’s understandable that clinical documentation ...

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Article
CMS
COVID-19
Physician Advisory

Dr. Ronald HirschSeptember 24, 2020

RACMonitor: New Medical Record Compliance Challenges – Payment for COVID-19 and Patient Appeals to the QIO

The Centers for Medicare & Medicaid Services (CMS) is targeting the hospital medical record for added scrutiny.

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Article
CMS
COVID-19
Physician Advisory

Ayla EllisonSeptember 2, 2020

Becker's Hospital Review: CMS to Require Positive COVID-19 Test for Medicare Pay Boost

CMS recently released guidance that includes a new requirement for hospitals to get a Medicare payment boost for caring for patients diagnosed with COVID-19. 

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Article
COVID-19
Physician Services
Telehealth

Vijay KotteSeptember 1, 2020

HIT Consultant: Maximizing Telehealth Success by Optimizing Operations & Revenue Cycle Management

In COVID-19’s wake, providers’ financial recovery will be crucial yet daunting. U.S. hospitals and health systems stand to collectively 

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Article
CMS
Physician Advisory

Dr. Ronald HirschAugust 20, 2020

RACMonitor: The Demise of the Medicare Inpatient-Only List – The Myths and Facts

Medicare’s often-misunderstood inpatient-only list may soon be departing, as the Centers for Medicare & Medicaid Services (CMS) has proposed to eliminate it over the next three years, as outlined in the 2021 Outpatient ...

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