News
Article
CMS
COVID-19
Physician Advisory
Dr. Juliet Ugarte HopkinsMarch 3, 2021
RACMonitor: Deconstructing the Concept of Condition Code 44
Dear Readers,
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 ...
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.
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 ...
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 ...
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 ...
Article
Patient Access
Patient Collections
Patient Experience
Patient Payments
Patient Satisfaction
Revenue Cycle
Hospital Access ManagementFebruary 3, 2021
Hospital Access Management: Physicians, Patients Rarely Discuss Cost
Physicians order tests, prescribe drugs, give referrals to specialists, and recommend surgery — almost always without ever addressing how much all of it costs.
Article
Automation
Revenue Cycle
Sean BarrettJanuary 25, 2021
HIT Consultant: Intelligent Automation in RCM Yields Financial Results
Healthcare provider networks are experiencing enormous pressure to manage financial margins and invest in contactless patient experiences. With overall financial losses projected to exceed $323 ...
Article
Automation
Revenue Cycle
Sean BarrettJanuary 4, 2021
Health IT Outcomes: Misconceptions When Applying Rev Cycle Automation
After an extremely difficult year – one where health systems now face losses projected to exceed $323 billion due to COVID-19 and as much ...
Article
Consumerism
Physician Services
Revenue Cycle
Richard Lopez del RinconDecember 21, 2020
Physicians Practice: Revenue Cycle Partnership Addresses Consumerism
Healthcare consumerism has been a trend on the rise for many years, but has never been more relevant than in the COVID-19 “new normal.” Since millions of patients are dealing with financial struggles, loss of insurance, and an overall sense of apprehension when it comes to resuming care treatments, they are ...
