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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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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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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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.

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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 ...

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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 ...

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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 ...

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