What You Should Know:
- Equality Health launches Social
and Cultural Risk Assessment (SCRA™) program to address social determinants of health
(SDoH)
- With Equality Health’s SCRA program, social determinants act as any other quality metric, with a far less
burdensome reporting process.
Equality Health, a whole-health delivery
system, has pioneered a comprehensive cultural care program that enables
providers to identify and
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Give Your EHR a Makeover—Not a Do-Over
David Lareau, CEO of Medicomp Systems
EHRs have long been blamed for fueling clinician frustration and burnout. According to a recent study published in the Journal of Informatics in Health and Biomedicine, 70 percent of clinicians reported experiencing stress related to the use of health information technology. In an effort to address those issues, healthcare organizations have spent countless hours and revenue to rip out inefficient clinical systems and replace them with new
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RCM Myth: Healthcare Billing Is Just A Back-Office Job
Marvin Luz, Sr. Director of Greenway Revenue Services at Greenway Health
Historically, there was a belief in healthcare that revenue cycle management (RCM) was only a job for the back office. But today, medical practices are well-aware all staff members are critical to the revenue cycle. This responsibility extends through every aspect of a practice, from the front office to back office with the clinical staff in between.
The front office, for example, plays a role in generating
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Charges for All Hospitalized COVID-19 Patients May Reach Up to $1.4 Trillion
What You
Should Know:
- FAIR Health brief finds the total costs for all hospitalized COVID-19 patients range from a low of $362 billion in charges and $139 billion in estimated allowed amounts to a high of $1.449 trillion in charges and $558 billion in estimated allowed amounts, depending on the incidence rate of the infection in the US population.
- The total average charge per COVID-19 patient requiring an inpatient stay is $73,300 and the total average estimated allowed amount per
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Wolters Kluwer, SAS Integrate to Power Real-World Evidence (RWE) Analytics
- SAS to leverage Wolters Kluwer’s Health Language portfolio of data quality solutions to power real-world evidence (RWE) analytics within SAS Health.
- Through a disease-centric approach, Health Language will enable SAS Health’s clients to more effectively manage reference data, such as ICD-10, CPT® and SNOMED CT, establish relationships between clinical and claims data and extract value from unstructured text within the medical record–providing a comprehensive view of a patient’s clinical
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Amazon Comprehend Medical Adds Ontology Linking to Help Clinicians Detect Medication and Medical Conditions in Unstructured Clinical Text
- Amazon Comprehend Medical, Amazon’s HIPAA eligible natural language processing service that uses machine learning to find insights in unstructured texts, announced a new capability of linking information to medical ontologies. - The new ontology-linking feature will help clinicians to detect medication and medical conditions in unstructured clinical text. Amazon will now support ICD-10-CM and RxNorm ontologies through Comprehend Medical. Amazon Comprehend, a HIPAA eligible natural language
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10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality
Moshe Starkman, Senior Director, Value-based Reimbursements, nThrive
The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment.
Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments. Between the Test Pace option, artificially low bar
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How Can Providers Support Meaningful Price Transparency to Address Consumerism in Healthcare?
Sloan Clardy, President, Technology Solutions at nThrive
The word “consumerism” and its derivatives have been tossed around the broader healthcare industry for the greater part of a decade. How we define consumerism and look at consumer behavior in relation to our institutions, systems, and programs seems key to unlocking the door to better outcomes and higher margins. However, in a landscape with more disruption than ever—greater vertical integration, technology, and regulation—we still lack
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Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program
Rebecca Marsh, VP of Advisory Solutions, nThrive
Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not
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AHIMA, AHCA Partner to Train Skilled Nursing Facilities in ICD-10 Coding to Prepare for New Patient Driven Payment Model
The American Health Information Management Association (AHIMA) has announced a collaboration with the American Health Care Association (AHCA) to provide in-depth coding and clinical documentation improvement (CDI) training programs. The goal of the collaboration is to help professionals in skilled nursing facilities (SNF) prepare for the upcoming payment reimbursement change.New, Value-based Patient Driven Payment Model (PDPM) Beginning October 1, 2019, the Centers for Medicare and Medicaid
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