With public and private healthcare spending significantly outpacing that of other countries, U.S. hospitals face intense pressure to find new ways to capture greater value. More and more, organizations are finding that partnerships with existing vendors can help unlock next-level performance gains in a transformative environment.
Take Nebraska Medicine, for example. In the early 2000s, the health system created multidisciplinary committees to boost revenue integrity and adopted new revenue
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revenue integrity
RCM: 4 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. With sound revenue cycle management and, in turn, revenue integrity is essential to survival, the decision to buy, build or replace a revenue integrity solution is one of the most important a hospital can make.
Crucial differences separate revenue integrity solutions from one another.
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3 Ways to Build a Back-to-Basics Approach to Revenue Cycle Management
Sixty-nine percent of healthcare revenue cycle leaders say they will put more money toward technologies that boost revenue integrity, eliminate human error and unlock greater efficiency in the year ahead, an HFMA/Navigant analysis found. But for many organizations, the biggest untapped opportunity to improve performance comes down to a single word: data.
For all the buzz at about the ways in which digital innovation and automation could transform revenue cycle management, healthcare
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KLAS Names Epic, Pivot Point, Accenture Overall Best in KLAS 2020
- Epic was named the top Overall Software Suite for the tenth consecutive year in the Best in KLAS 2020 Software & Services report. - Pivot Point Consulting, a Vaco Company, was named the top Overall IT Services Firm, edging out last year’s winner, Impact Advisors. - Accenture earned the award of top Overall Healthcare Management Consulting Firm.Today, KLAS Research announced released their annual Best in KLAS Software & Services that recognizes the leading vendors for solutions,
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New Year, New Codes: Best Practices for Keeping Your Chargemaster Up-To-Date
While Q4 is busy for every industry, it is especially taxing for those in the healthcare space. In addition to the quarterly update of HCPCS codes, Q4 brings the release of next year’s Current Procedural Terminology (CPT) and HCPCS codes and also sees the release of the final rules for the prospective payment systems.
On top of the work going on behind the scenes, the end of the year is a notoriously busy time for hospitals as patients make a mad dash to complete their final visits for the year.
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eSolutions Acquires Medidal to Strengthen Its Position in Hospital Revenue Recovery
- eSolutions acquires Medidal, a provider of Transfer DRG, Payer Search, and Pharmacy Reimbursement solutions for an undisclosed sum. - As healthcare reimbursement challenges continue to increase, eSolutions adds to its revenue cycle expertise with new capabilities that ensure providers are paid accurately. eSolutions, an Overland Park, KS-based healthcare technology company working to strengthen providers’ revenue health, announced that it has acquired Medidal, a provider of Transfer DRG, Payer
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7 Best Practices to Improve Professional Fee Revenue Cycle for Better ED Bottom Lines
Most healthcare organizations partner with physician services groups for niche coverage. While outsourced medical services are available across all specialties, common areas for external physician support include anesthesia, radiology, wound care, and emergency medicine. However, when outsourced physician services are used, challenges to ensure accurate reimbursement for both components of care—the hospital portion and the physician’s professional fee—increase.
Snafus are largely attributable
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Providers Struggle to Integrate Revenue Cycle Operations with Clinical Operations
- Navigant executive survey conducted by HFMA finds providers struggle to integrate revenue cycle operations with clinical operations. - Survey of 108 hospital and health system chief financial officers and revenue cycle executives find 62% suggest EHR adoption challenges have been equal to or outweighed benefits specific to their organization’s revenue cycle performance.- More than 60% of providers struggle to derive optimal value from their electronic health records (EHRs).Only 3% percent of
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Change Healthcare Unveils AI-Infused Charge Capture for Providers
- Change Healthcare unveils a new AI solution, Charge Capture Advisor that will help providers capture more revenue—automatically.
- Charge Capture Advisor identifies potentially missing charges for services that providers performed before claims are submitted.
- Change Healthcare’s AI for charge capture is trained on more than 500 million service lines and 180 million unique, de-identified claims that touch $245 billion in charges.
Change Healthcare today introduced Charge
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Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program
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 considered or quantified the potential dollars lost when
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