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.
Business leaders expect two things from IT: keep mission-critical applications available and high performing 24x7 and, if something does happen, recover to be back in business quickly and without losing any critical data so there is no impact on revenue stream. Of course, there is a gap between this de facto expectation from nontechnical business leaders and what current technology is actually capable of delivering. For mission-critical workloads, which are most often hosted on databases, organizations may choose to implement high availability (HA) technologies within the database to avoid downtime and data loss.
Traditional backup systems fail to meet the database protection and recovery requirements of modern organizations. These systems require ever-growing backup windows, negatively impact performance in mission-critical production databases, and deliver recovery time objectives (RTO) and recovery point objectives (RPO) measured in hours or even days, failing to meet the requirements of high-volume, high transactional databases -- potentially costing millions in lost productivity and revenue, regulatory penalties, and reputation damage due to an outage or data loss.
Anything you do is an opportunity to learn and get better in creating the right experiences for your visitors, which is why you should always be testing.
Testing is well proven and will help you increase revenues. There are many elements you should be testing, and as you get more confident with testing, there are different levels of how you should be testing—from simple A/B to multivariant testing.
The global beauty company provides an exhilarating example of the power of context-driven commerce. When customers can rely on brands to achieve the outcomes that are important to them, brand owners can shift their focus from nonstop customer acquisition to long-term customer engagement.
The Sitecore Experience Platform and the underlying Sitecore Experience Database are foundation technologies for IT organizations wanting to implement context-driven commerce environments that function elegantly today and into the future. Sitecore puts an end to digital retailers’ obsession with cart abandonment, replacing it with opportunities to delight customers with personal, meaningful commerce offers.
Published By: Oracle Dyn
Published Date: Dec 06, 2017
Creating a highly scalable, reliable, and efficient DNS infrastructure takes time, money, and expertise. You can accelerate your success and contain costs with a cloud-based service. Cloud-based DNS also exposes myriad opportunities to leverage the DNS infrastructure for global load balancing and traffic steering across hybrid environments.
The EU's General Data Protection Regulation (GDPR) is the most stringent and burdensome privacy mandate in the world. The penalty for major violations can be up to 20 million euros or 4% of your company's annual global revenue.
The data quality tools market continues to show strong revenue growth, driven by cost, process optimization and digital business initiatives. Applying data quality tools to existing and emerging business scenarios will enable data and analytics leaders to deliver greater business value.
Every day, torrents of data inundate IT organizations and overwhelm
the business managers who must sift through it all to
glean insights that help them grow revenues and optimize
profits. Yet, after investing hundreds of millions of dollars into
new enterprise resource planning (ERP), customer relationship
management (CRM), master data management systems (MDM),
business intelligence (BI) data warehousing systems or big data
environments, many companies are still plagued with disconnected,
“dysfunctional” data—a massive, expensive sprawl of
disparate silos and unconnected, redundant systems that fail to
deliver the desired single view of the business.
To meet the business imperative for enterprise integration and
stay competitive, companies must manage the increasing variety,
volume and velocity of new data pouring into their systems from
an ever-expanding number of sources. They need to bring all
their corporate data together, deliver it to end users as quickly as
possible to maximize