Published By: MedAssets
Published Date: Aug 06, 2015
How can you prepare for regulatory reimbursement changes? Scenario planning is proving essential to cope with value-based reimbursement, shrinking networks and the Affordable Care Act. Strategize and plan for success by downloading this checklist.
Published By: TruBridge
Published Date: Apr 01, 2015
Rolling Plains Memorial Hospital achieved a substantial $438,000 reimbursement improvement in just 3 months by taking advantage of TruBridge’s Clinical Documentation Improvement (CDI) Training. Rolling Plains Memorial Hospital is an 85 bed community hospital located in Sweetwater, TX with annual revenue of $42 million. As the executives at this facility noticed a discrepancy in patients’ charts and the level of care the patients received, they knew something needed to change. TruBridge was able to make a dramatic difference in clinical documentation and capture the earned reimbursements.
Published By: MedAssets
Published Date: Aug 01, 2014
While the challenges of implementing ICD-10 are well documented, the impact to the revenue cycle is not as well known. Revenue cycle leaders must model their payor contracts now to mitigate the risks that ICD-10 will bring.
The 20 leaders gathered at the 2015 HealthLeaders Media Revenue Cycle Exchange in Austin, TX, tackled the challenges of clinical documentation, which they identified as the biggest threat to their organizations' revenue cycle efforts.
ICD-10 has presented monumental preparation challenges to U.S. healthcare providers, who have had to overhaul their billing departments and systems and retrain their staffs. And many may now think the heavy lifting is done, according to a recent survey of industry executives conducted by HealthLeaders Media and The SSI Group, Inc. But while providers may successfully get a bill out the door with a valid ICD-10 code, they may not be prepared for a payment delay or an actual drop in revenue when the payer sends it back for more details.
Denials are a pervasive and persistent problem. There is no single root cause for denials, and problems that lead to a denied claim occur throughout the revenue cycle. Read our whitepaper to discover how to analyze, prevent and manage denials.
Published By: Parallon
Published Date: Sep 16, 2015
A recent HealthLeaders Media Intelligence survey asked respondents to rank their top challenges impacting financial performance and to identify specific areas of concern within each of those issues. Their top three issues were system implementation and interoperability, recruiting and retaining talent, and reengineering the revenue cycle. On the surface, it’s tempting to think these findings aren’t surprising. Yet emerging external factors, including the cumulative effects of the HITECH Act (meaningful use), the Affordable Care Act, and an aging U.S. population, are creating new frameworks in which to view and solve these traditional problems.
Creating a state-of-the-art clinical documentation improvement (CDI) program isn’t just about boosting coding accuracy. It’s a key strategy in managing the transition from volume-based to value-based care, say healthcare leaders. That transition is a risky endeavor that is putting hospital and physician financial performance to the test. As hospitals participate in new care and business models aimed at improving value, leaders must ensure that their organizations are able to maintain reimbursement levels, effectively treat the chronically ill—especially in outpatient settings—and gather accurate data that will allow them to assess performance and segment their varying populations. While some organizations often believe they are leaving revenue on the table because of documentation and coding issues, CDI offers numerous opportunities for improving financial performance, finds a recent HealthLeaders Media survey of 149 healthcare executives at provider organizations.
Driving financial performance in the outpatient setting is a top-of-mind priority among senior health system leaders. But managing the differing clinical documentation methodologies and risk assessment strategies present the greatest challenges to optimizing this important source of revenue, according to a recent HealthLeaders Intelligence survey. Provider organizations are finding the ambulatory setting is still a ‘Wild, Wild West’ in terms of assessing risk, clinical documentation, coding billing and medical record keeping practices. Download this report to discover key targets to improve ambulatory revenue.
Provider organizations can realize tremendous gains in financial performance by integrating electronic health record (EHR) and revenue cycle management (RCM) systems. Especially in the face of the transition to ICD-10, results include optimizing revenue streams directly at the point of care, maximizing and speeding reimbursement, minimizing denials and streamlining the collection process.
Healthcare organizations are facing uncertain times, which is putting strains on their revenue cycle management. Automation can help lower staff costs, enhance clean claims rates, cut denial rates, improve patient collections and reduce bad debt.
Healthcare organizations are facing uncertain times, which is putting enormous strains on their RCM. This white paper will show how you can lower your staff costs, enhance clean claims rates, cut denial rates, improve patient collections and reduce bad debt.
A decade ago, hospital leaders viewed cost containment as a distant option to that of building topline revenue through increased volumes and rates. But with the road to profitability choked off by a recession, the ACA, and double-digit increases in healthcare inflation, most have been left pursuing a flurry of initiatives to cut operational costs and maintain positive margins.
Today, healthcare providers need payment clarity – visibility into when and how much they will be paid, by whom, and the ability to better navigate the many obstacles to payment. To learn more, Download the new whitepaper from RelayHealth Financial.
Read Part 1 of the Revenue Cycle Management Peer-to-Peer series authored by Cathy Dougherty, VP of Revenue Cycle Management at Gwinnett Health System. In this article, Cathy discusses how Gwinnett Hospital System handles the business side of caring by helping patients to understand and plan for what they owe, resulting in a positive and satisfying financial patient experience - See more at: http://www.relayhealth.com/solutions/financial-solutions
Published By: HPE APAC
Published Date: Jun 16, 2017
The bar has been raised higher than ever, and the role of IT is evolving to meet it. As a result, IT must support applications and services that make it possible for the business to provide new, diverse customer experiences while generating expanding revenues via the emergent crown jewels of business: big data, cloud, and mobility.
Read on to find out more.
Web application and DDoS attacks hit enterprises without warning or reason. Most Distributed Denial of Service (DDoS) attacks require little skill to launch with attackers can simply rent resources from DDoS-for-hire sites at a low cost.. In comparison, DDoS attacks typically result in:
• Operational disruption
• Loss of confidential data
• Lost user productivity
• Reputational harm
• Damage to partner and customer relations
• Lost revenue
Depending on your industry, that could add up to tens of thousands of dollars in damage – and in some cases it could be millions. Only 2% of organizations said their web applications had not been compromised in the past 12 months – 98% said they had.
With culture impacting your talent, products and services, clients and even revenue, it’s important to measure, review and nurture something that is so critical to your company’s success. Learn the 7 ways to help build a strong company culture now.
The constant churn of product selection is not just time-consuming, it requires meticulous attention to detail, a reliable product tracking system, and significant physical space. Mastering inventory results in much more than simply organizational improvements. It can lead to increased revenues, better theft control, improved forecasting and budget setting, and even smoother customer service.
To help forward-thinkers find success with marketing and sales ops, we’ve developed a comprehensive framework that defines the pillars and core responsibilities of Revenue Ops and will encourage innovative companies to build a world-class Revenue Ops
Published By: Curalate
Published Date: Aug 02, 2017
People control their own consumer journeys. Consumers expect a borderless world in which they roam freely between a brand’s social media channels, email campaigns, blogs and e-commerce site, effortlessly buying things that catch their eye. It’s led to a sporadic, personalized shopping journey that frequently begins on digital touchpoints that weren’t built for commerce.
That’s made it increasingly complex for brands hoping to meet customers’ needs and measure the results of their marketing strategies.
At the center of this new customer-driven revolution is visual content. Images and videos play starring roles in the decisionmaking process, and provide consumers with a whole new level of inspiration and knowledge. Every picture and video clip is now the entrance to a digital storefront, meaning brands can use them to drive not only engagement but revenue.
Published By: Curalate
Published Date: Aug 16, 2017
Digital technology has completely
changed how we discover products, engage with brands and share our
experiences with others. Amazon revolutionized customer feedback
and product reviews. Social media transformed the way people share
word-of-mouth recommendations, connecting shoppers to off-the-cuff
opinions, compelling visual content and real-life experiences from peers
and influencers they follow and admire. Sure, TV, radio and print ads are
still part of the mix but they hardly carry the same weight as they did in
years passed. This statistic speaks volumes: 92% of consumers trust
peer recommendations over branded advertising. With the advent of
social media and digital technology, brands have a powerful new tool
at their disposal that brings word-of-mouth to the masses: usergenerated
Cloud, social, big data, and the Internet of Things (IoT) are increasingly central to business decisions as the pace of digitization accelerates. The impact of software-defined networking (SDN), virtualization, and converged and hyperconverged infrastructure within the datacenter is substantial. These technologies add complexity but offer enticing opportunities for new business models, revenue streams, operating efficiencies, and agility that organizations must pursue if they want to remain competitive and viable. This pursuit requires businesses to keep up with current and emerging technologies and applications and transform the ways in which they conduct business. At the core of "keeping up" is an organization's datacenter strategy — with an associated technology and services strategy that will either create industry laggards or accelerate innovators.