News

Article
COVID-19
Patient Experience
Physician Services

Richard Lopez del RinconAugust 3, 2020

Medical Economics: Strategies for responding to the effects of COVID-19

With the spread of the COVID-19 virus continuing to be a top concern, patients are avoiding doctors’ offices. As a result, practices are experiencing significant financial hardships—one recent Medical Group Management Association ...

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Article
CMS
Physician Advisory

Dr. Ronald HirschJuly 24, 2020

RACMonitor: Total Joint Replacement Under Scrutiny Again

Hospitals are urged to devote the resources to ensure that medical necessity is met, and the proper status is ordered. The attention given to total joint replacement has been a recurring headache for both physicians and hospitals over the last several years, and it appears that there is little chance of ...

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Article
COVID-19
Physician Services
Revenue Cycle

Richard Lopez del RinconJuly 17, 2020

Physicians Practice: Succeed with an EHR-agnostic Revenue Cycle Platform Post-COVID-19

While COVID-19 has presented challenges to every healthcare industry sector, physician practices have taken some of the most significant financial hits over the past few months. A recent Medical Group Management Association (MGMA) survey found that 97 percent of practices have experienced a negative financial ...

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Article
R1 RCM
Revenue Cycle

Healthcare InnovationJuly 10, 2020

Healthcare Innovation: An Ascension ED Physician Leader's Message to Patients - 'We're Safe and Ready For You'

The health system’s vice president of emergency services speaks out to patients who still may be uncomfortable with getting necessary care, noting recent innovations that will protect them

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Article
Physician Advisory
Prior Authorization

Dr. Ronald HirschJuly 6, 2020

RACMonitor: Medicare Prior Authorization Program – 10 Things to Know

Today is the first day that prior authorization is required for Medicare beneficiaries to undergo specific surgeries. Here are the 10 things you need to know about the program.

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Article
Physician Advisory
Prior Authorization

Dr. Ronald HirschJune 18, 2020

RACMonitor: Prior Authorization for Medicare Two Weeks Away

We are two weeks away from the start of the Medicare prior authorization program, and as of June 17, the Medicare Administrative Contractors (MACs) were required to start accepting requests.

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Article
COVID-19
Hospital Management
Physician Advisory

Dr. Ronald HirschMay 28, 2020

RACMonitor: ASC Partnership as a Hospital Without Walls

Everyone is anxious for life to return to normal, but none more than those patients who had planned to have surgery in March or April, but had their surgery cancelled due to the COVID-19 pandemic. These patients have conditions that warrant surgery, but were deemed not to be urgent or emergent, and therefore ...

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Article
CMS
COVID-19
Physician Advisory

Dr. Ronald HirschMay 26, 2020

RACMonitor: Confusion Remains over Medicare Guidance on Treating Patient Homes as Hospital Departments

There is continued confusion over the use of patient homes as off-campus, provider-based clinics for Medicare billing purposes. This is the provision in the Centers for Medicare & Medicaid Services’ (CMS’s) second recent Interim Final Rule (IFR) that allows hospitals to bill for services provided by employed ...

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Article
Revenue Cycle
Revenue Integrity

Johnny PezzutoMay 19, 2020

HIT Consultant: Four Must Haves of a Revenue Integrity Solution

For multiple years in a row, chief executive officers (CEOs) participating in the American College of Healthcare Executives’ annual survey ranked financial challenges as the number one issue facing hospitals.[1] With sound revenue cycle management and, in turn, ...

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Article
COVID-19
Physician Advisory

Dr. Ronald HirschApril 19, 2020

RACMonitor: SNF-Eligible Patients with Nowhere to Go

With this pandemic new issues seem to appear daily. The increasing difficulty with skilled nursing facility (SNF) placement led me to write this article and it appears to have struck a chord with many. As with research into medical interventions, the timeline for contemplating, writing, and editing has shrunk ...

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