News

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
Hospital Management
Medicare
Physician Advisory

Dr. Ronald HirschFebruary 20, 2020

RACMonitor: Price New Technology Right, or Else

There is nothing wrong with adjusting prices to fit your cost-to-charge ratio. New technologies have always posed a financial challenge to hospitals. While they want to provide cutting-edge care to patients, unless a positive margin can be maintained, the costs of those technologies can quickly lead to ...

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Article
CMS
Hospital Management

Dr. Ronald HirschJanuary 16, 2020

RACMonitor: The Dilemma of the Discharge Planning Conditions of Participation

It was way back in 2015 when the Centers for Medicare & Medicaid Services (CMS) proposed changes to the discharge planning conditions of participation. Their goal was noble; they understood that because discharge planning is a complex process, a successful discharge plan is crucial to reducing the risk of ...

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Article
CMS
Hospital Management
Physician Advisory

R1 RCMJuly 19, 2019

Becker's Hospital Review: Why the Outmigration of Cardiology Means Challenges for ASCs, Hospital Volume Loss

CMS' 2019 Outpatient Prospective Payment System rule cleared the way for some cardiac procedures to be performed in ASCs, creating financial uncertainty for hospitals, according to Ronald Hirsch, MD, vice president of regulations and education group for R1 RCM.

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Article
Hospital Management
Medicare
Physician Advisory

Dr. Ronald HirschJune 20, 2019

Physician Practice Audit Targets Become Hospital and Health System Compliance Risks

Twenty four percent of the federal budget was spent on Medicare and Medicaid in 2017.

 

The Medicare Trust Fund is forecast to be depleted in 2026. Over 8% of Medicare fee-for-service payments in 2017 were made in error. These factors have all led Congress to put more ...

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Article
Hospital Management
Revenue Cycle

R1 RCMMay 16, 2019

Becker's Hospital Review: Hospital Executives Top 3 Challenges to Revenue Cycle Transformation

Hospitals and health systems are exploring ways to transform revenue cycle processes to offset financial pressures. However, shifting to a new business model for revenue cycle management can be challenging. 

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Article
CMS
Hospital Management
Physician Advisory

Dr. Ronald HirschMarch 20, 2019

RACMonitor: OIG Audits Part A SNF Stays for Qualifying Inpatient Admissions

The federal watchdog did not, however, decide to demand recoupments.

 

It is said that great minds think alike. And that proved to be true when the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) released its report (CMS improperly paid ...

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Article
CMS
Hospital Management
Physician Advisory

Dr. Ronald HirschMarch 13, 2019

HFMA First Illinois Chapter Newsletter: Future of Hospital Cardiac Programs in Flux

Much of the talk in the last few months has been about the changes proposed by the Centers for Medicare & Medicaid Services (CMS) to the physician evaluation and management code selection and payment regulations in the 2019 Proposed Physician Fee Schedule Rule. And there was a collective national sigh of ...

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Article
Hospital Management
Physician Advisory
Revenue Cycle

Becker's Hospital ReviewJune 16, 2017

10 Ways Hospitals Can Improve Charge Capture

Charge capture is a crucial part of the revenue cycle process, as healthcare organizations that fail to accurately document information on the care provided at their facilities can potentially lose millions in revenue.

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Blog Post
CMS
Hospital Management
Medicare

R1 RCMSeptember 15, 2016

Why Do Hospitals Get Accredited by The Joint Commission?

Why accreditation? Quite simply, hospitals pursue accreditation because it is required in order for their organizations to receive payment from federally funded Medicare and Medicaid programs. Once a healthcare organization achieves accreditation through The Joint ...

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