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
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 close is the most critical step of every sale, but long, drawn-out processes can cause deals to fall through. Top-performing sales teams use e-signatures to close deals quick and speed time to revenue.
Hotels and resorts with function space may well have an opportunity to boost their
overall property revenue, given the escalating demand for function space and the
fact that many of them have already maximized the value of their guest rooms
through sophisticated revenue management capabilities. Success generally starts
with a next-generation technology solution that can empower sales and catering
personnel. Success also requires having in place the right organizational resources,
business processes and performance metrics.
A loyalty program can deliver a number of important benefits to restaurants, coffee shops
or other food and beverage operations. It provides restaurant operators with a way to
reward customers and encourage repeat business. It is also an effective, measurable
marketing tool – by gathering details about your guests, such as their e-mail address and
location or date or birth, you can target them with promotions to help grow your revenue.
Restaurant operators often speak of innovation in terms of putting new signature dishes and food creations on the menu. But where the biggest innovation is happening today, arguably, is less on the menu and more in the technology that is driving increased efficiency and effectiveness across all parts of the food and beverage services industry. Next-generation restaurant management and POS systems are having a profound impact on business operations, guest satisfaction, revenue growth and overall profitability.
Published By: Workday
Published Date: Jun 05, 2017
Today’s professional services firms operate in a highly competitive environment where gaining new business, delivering profitable customer engagements, and hiring the best talent are continual challenges.
Because professional services firms are uniquely people-driven organizations, it’s critical you have a solid strategy to find, develop, resource, and retain workers, since they directly impact company revenue and contribute the most to cost.
Apache Hadoop technology is transforming the economics and dynamics of big data initiatives by supporting new processes and architectures that can help cut costs, increase revenue and create competitive advantage. An effective big data integration solution delivers simplicity, speed, scalability, functionality and governance to produce consumable data.
To cut through this misinformation and develop an adoption plan for your Hadoop big data project, you must follow a best practices approach that takes into account emerging technologies, scalability requirements, and current resources and skill levels.
Published By: MarkLogic
Published Date: Jun 21, 2017
Remember Y2K – the IT “problem” that should have brought businesses to a screeching half? Despite the hype, the preparation led to widely documented business benefits and uncovered new opportunities that transformed organizations worldwide.
Similarly in today’s highly regulated Financial Services industry, enabling GRC by integrating data from silos can be the driver for future business use cases like machine learning and anti-fraud detection services. GRC can be your catalyst for new opportunities.
Listen in as our panel of financial services experts discuss the keys to reinventing your data strategy.
How to align your GRC strategy with a business transformation agenda
How to ensure your organization’s approach to data management isn’t just a one-off solution, but a comprehensive one adaptable to changing regulations
How to navigate the increasing regulatory demands for granular data security
How to turn your compliance spend into new opportunities to earn revenue