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.
Digital technology is so intrinsic to our personal lives that we barely think
about the fitness trackers and smartphones that are as much a part of
us as the clothing we wear. For organizations, the shift to digital is more
disruptive and the stakes far higher. Digital transformation has been high
on the executive agenda for a few years and, for many, harnessing data
has become a significant force for value and revenue creation.
Agility has emerged as an organizational superpower as businesses
grapple with change and uncertainty in their own customer bases and in
the global political and economic landscape. IT has been thrust into the
spotlight as the unwitting hero of the story – tasked with delivering on
the digital vision, implementing all manner of applications and building
firm infrastructure foundations to support the latest digital initiatives.
In an increasingly on-demand world, it is this final point that often gets
overlooked in the rush for the next shiny new technologies. E
Published By: Monetate
Published Date: Oct 12, 2018
Product recommendations are a proven way for marketers to drive sales, boosting the revenue potential of every
shopping experience and increasing customer engagement overall. However, most current recommendations tools
have not kept up with the level of personalisation that customers have come to expect, and they often fall short of
the precision that marketing teams need to create meaningful business impact. It may be time to reevaluate whether
your solution is doing all it can to meet the needs of your customers and your team.
Maintaining a competitive edge today means building a Digital Enterprise capable of taking full advantage of social, mobile, web, cloud, “things,” (sensors and devices), and analytics technologies. Among the terms used to describe this business transition is “the API Economy,” an economy in which APIs are no longer just an IT concern, but the underpinnings of new revenue streams and new business models that are disrupting entire industries.
Read this paper to learn about:
New, modern applications being built for the enterprise
Application ecosystems and extending the value of your company in the API Economy
Two ways to integrate devices in the Internet of Things
The microservices approach to application development
The role of API management in the digital enterprise
There are so many opportunities for businesses to collect data that getting a clear picture of all of it can be an uphill battle—and leveraging it for insight can be nearly impossible. But whether you are a start-up or a multinational conglomerate, not taking advantage of the available data is a mistake you cannot risk making. According to a 2016 McKinsey & Company study, over the past three years, digital leaders have achieved revenue growth five times greater, an operating margin profit eight times greater, and a return to shareholder value two times higher than laggards.
Companies today need a closed loop system that combines data, insight, and action. Download this paper to learn about the goals of a system of insight (SOI), the common set of technologies that all systems of insight need, and how an SOI can make a difference in your business.
Gain a bird's-eye view of how online fraud affects the airline industry
Fraud continues to be a major source of revenue loss for the global airline industry. With airlines pushing for more direct bookings and the accelerating use of mobile as a booking platform, incidence of fraud is rising, albeit only slightly. Despite these factors, many airlines are not devoting the necessary resources and tracking the required metrics to measure and control fraud.
CyberSource partnered with Phocuswright to benchmark global metrics and trends in fraud management and protection among airlines. The study also explores airline awareness of various fraud-related issues and examines their approaches to and implementation of fraud management tools and services.
To learn more, download the study today
Published By: Carbonite
Published Date: Oct 10, 2018
In the last few years, businesses have changed the way they protect data.
Studies show they’re abandoning traditional backup and recovery in favor of disaster recovery as a service (DRaaS).1 With DRaaS, businesses enjoy the luxury of keeping a replica of their data hosted at a remote site that they can fail over to in an emergency—without bearing any of the infrastructure costs or maintenance responsibilities. All infrastructure and maintenance is the responsibility of the provider. Gartner predicts that global DRaaS revenue will reach $3.4 billion by 2019. The firm cited several reasons for the shift:
The cost of labor can be managed effectively when restaurateurs are equipped with the right training, tools and processes. Traditional methods for capturing critical forecasting data and formulating labor plans & budgets are incomplete and often inaccurate, rarely accounting for menu pricing changes or current economic conditions.
Even when the best practices of forecasting are employed, the information isn’t always available to the store managers who are attempting to manage the cost of labor. This ebook will walk you through the ins and outs of labor forecasting and best practices to build efficiency, grow revenue, and positively impact your restaurant’s bottom line.
Published By: HireVue
Published Date: Aug 10, 2018
In retail, your people are your greatest asset. In this eBook you'll learn how to proactively drive revenue with recruiting, and how to prove the value of your efforts.
Expect to learn:
• 3 ways to calculate the ROI of your recruiting
• How you can use the candidate experience to generate revenue
• How to use the hiring process to decrease employee turnover
• 2 approaches that remove the hiring burden on store managers
Want to start driving revenue through your retail recruiting?
Download the free eBook now!