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. ...
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 ...
Denial prevention and effective denial management strategies are key to maximizing the revenue potential for the healthcare services you provide to your patients.
It’s no secret that running an efficient modern healthcare call center can be a struggle. Health systems are currently facing unprecedented challenges, including skyrocketing costs, high labor shortages and increasingly more money left uncollected, resulting in monumental losses and long-term negative margins.
In the United States, prior authorization (“PA”) is a cost-containment tool utilized by payers to reduce payment for medically unnecessary or inappropriate patient care. Despite its laudable policy goals, the use of PA faces
Dear Health Leaders,
In the world of revenue cycle ...
The proposal from the Centers for Medicare & Medicaid Services to codify the requirement that all Medicare Advantage plans use the Two-Midnight Rule for determining admission status of all patients has some talking that the use of commercial criteria will become obsolete. ...
EDITOR’S NOTE: Listen to Dr. Ronald Hirsch’s live reporting Monday on Monitor Mondays with Chuck Buck at 10 Eastern.
The No Surprises Act of the 2021 Consolidated Appropriations Act (“NSA”) established requirements for healthcare providers to deliver Good Faith Estimates (“GFEs”) for scheduled services or upon patient request.
Key Takeaways:
Federal price transparency requirements for hospitals from the Centers for Medicare & Medicaid Services (CMS) provide patients with an unprecedented amount of insight into the costs for medical services.1
In theory, more pricing information should ...
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