Reimbursement

• The Impact of Generative Artificial Intelligence on Health Care

• Navigating Prior Authorization

• Best Practice Advice: Implementing RPA in the Revenue Cycle

• Maintaining the Chargemaster

• Seven Critical Factors for a Successful Risk Adjustment Program

• The Complexity of Payer Policy Changes

• Game On

• Denials With a Capital D

• Patient Identification Challenges

• The Complexity of Denials in Today’s Claim Culture

• Risk Adjustment Factor Methodologies

• Does Your Documentation Meet the MEAT Criteria?

• Take a Diligent Approach to Revenue Cycle Automation

• Coding Spinal Procedures

• Getting Back to Normal: Planning for RAC Audits

• Internal Audits Help Combat Payer Risk

• Be on the Lookout for New Critical Care Service Policies

• Systematic Coder Audits Help Stem Revenue Leakage

• Hit a CDI Roadblock? Maybe Your Success Metrics Need a Tune-Up

• IPPS: What’s New and What’s Ahead

• KPIs Shift With the Times

• CDI Flexibility Key to Value-Based Care Success

• OIG Data Brief Causes a Stir

• Health Care’s Telehealth Conundrum

• ‘Reasonable and Necessary’ Gets Redefined

The Future of Prior Authorizations Is Near

• The Quest for Clean COVID Claims

• Misconceptions Plague Use of Locum Tenens

• A Look Inside Intelligent Automation Platforms

• Leave No HCC Behind

• Cover the Revenue Cycle From All Corners

• How to Expel Acute Respiratory Failure Denials

• Days of Our Lives — A Dive Inside the Intricacies of the Two-Midnight Rule

• Consistent Financial Processes Key to Multilocation Health Care Practices

• What’s Driving the CDI Resource Crunch? — Alternative Options for Extending Your CDI Team

•

• Mobile Solutions Tackle Query Concerns

• Leveraging Prebill Audits to Combat Denials

• The Untold MPI Story: How ‘Dirty Data’ Affect a Value-Based Revenue Cycle

• Diving Deeper Into Denials

• Tackling Coding Challenges at FQHCs

• Rappin’ About RACs

• Address Skill Gaps, Boost Coder Productivity

• Working in Tandem

• Preparing Noncoders for New 2020 Codes

• New Care Delivery Models Mold Health Care’s Future

• Denial Reasons You Never Saw Coming

• Be Mindful of PA Documentation 

• The Value of Investing in Employee Education

• Reimbursement Relies on Understanding Payer Contracts

• Finding the Right Coding Vendor

• Through the Cracks

• Anesthesia Coding: Tips to Maintain Accuracy

• All-In for All-Payer CDI

• Tuesday’s Child: A Chat With Chuck Buck

• Key Telehealth Regulatory Issues

• The PDPM: Prepare and Prevail

• Coding Audits Shouldn’t Be Random

• TPE Program Sets Sights on Improper Claims

• Big Data Tackles Revenue Cycle Deficiencies

• Hitting the Mark on Coder Performance

• How to Report Shared/Split Visits

• Skilled Nursing Facilities Face Payment Changes

• Time to Shake Up PEPPER?

• Getting Specific With Unlisted CPT Codes

• CMS Proposal Filled With Questions

• Quality Data Key to New Payment Rule

• HIM's Role in HCCs

• Are Auditors Playing Fair?

• Physician Advisors Command Leading Role in Risk Adjustment

• Why Physician Practices Need Coders

• Joint Maneuvers

• Value-Based Payment Model Faces Familiar Barriers

• ROI Vendors Face Confusion Over Fees

• How to Improve the Query Process 

• Conflict in the EMR

• Be on the Lookout

• Keep an Eye on KPIs

• Best Practices in Coding Audits

• Are You Moving the CDI Needle?

• Reimbursement Analysis Offers Investment Protection

• Indefatigable RACs Plow Ahead

• The Future of Coding

• Technology's Role in a Fee-for-Value Universe

• A New Line of Defense for Inpatient Claims

• Don't Sleep on Z Codes

• Telehealth: Betting the Minimum or All In?

• Telehealth Coding Nuances

• Digging Deep for Revenue

• A 360° View of Patient Payments

• OIG Takes Notice of ICD-10 DRG Assignments

• Medicare Bundled Payments: Are AMI and CABG Next?

• Integrate Technology With Process Improvement

• Great Lengths, Big Trouble

• At a Disadvantage?

• Six New CDI Challenges to Overcome

• Taking Control of Transparency

• Assemble the Perfect Financial Analytics Team

• Put ICD-10 Nightmares to Bed

• "AFIRM"ative Action

• MACRA, MIPS — Slated to Make an M-pressive Impact

• Mitigate Medical Necessity Denials

• The Here and Now on Present-on-Admission Indicators

• ICD-10 and the Order of Things

• Hospital Care — Are We Getting What We Pay For?

• Automate to Accelerate the Revenue Cycle

• Shootout at the Coding Corral

• Short-Stay DRGs: Fix or Fiasco?

• How to Meet Value-Based Care Demands

• Is the Price Right?

• Rehabilitation Facilities Tackle RA Complexities

• Take the Pain Out of Revenue Cycle Audits

• Pediatric Documentation — It's Not Child's Play 

• Auditors Take Aim at DRGs

• How Important Data Get Lost

• The Cost of Doing ROI Business

• How to Succeed in a Value-Based World

• Twists and Turns in the RAC Program

• The Bottom Line on Telehealth

• Put a Jolt in Hospital Finances

• The RAC Trifecta of Trouble

• Case Managers Show Their Worth

• Inside the Documentation Pressure Cooker

• The Pioneer ACO Program Reaches a Crossroad

• Risk Adjustment Creates Challenges

• The Evolution of Telehealth

• Should Providers Bother With RAC Appeals?

• 2013 OIG Work Plan: HHS Targets Three Areas

• CDI's Far-Reaching Benefits

• The Dating Game

• Tips for Penning Appeal Letters

• APR-DRGs in the Medicaid Population

• Observation Services— A Keen Coding Eye Is Necessary

• RACs Take Aim on Short Stays

• Patient-Centric Initiatives Key to Profitability

• CDI Extends Its Reach to Outpatient Settings

• MTSOs Look to Keep the Cash Flowing

• Partners in High Finance

• ACOs Face Quality Measure Challenges

• The Nuts and Bolts of IPPS

• ICD-10 Testing Strategies

• How to Avoid Leading Queries

• DRGs Get Knocked Off Their Throne

• Compliance Strategies for the 72-Hour Rule

• Make Revenue Cycle Management a Team Effort

• Correctly Coding Catheter Infections

• The Ins and Outs of Observation Status

• Breaking the ASC Codes

• Are Post-Acute Care Transfers a Goldmine for RAC Audits?

• More Providers Looking to Implement New RCM Systems

• A Bridge to Better Reimbursement

• Time to Fear Medicaid RACs

• Winning Strategies for Collecting Patient Payments

• Tackling Revenue Disrupters

• Recognizing Excellence in Revenue Cycle Management

• HIM's Role in the Revenue Cycle

• Say Hello to Medicaid RACs

• Jump-Start Your Revenue Cycle

• What Have We Learned From RAC Audits?

• Hospitals Scramble to Absorb 2011 IPPS Changes

• The Importance of Discharge Summaries

• MAC Attack

• PEPPER Reports: A Helpful Financial Condiment

• Documentation Programs Boost Bottom Lines

• Medicaid Integrity Program Promises New Headaches

• Hospitals, Physicians Tackle RACs

• Denials Management Strategies

• Happy, Healthy & Wise — Keys to Smooth Practice Management

• Free Up Your Cash Flow With Point-of-Service Payments

• The Impact of the New ABN Form

• Coding Checks and Balances

• Discharge Codes: Let’s Go Home ... Or Maybe Not

• Financial Benchmarking Takes on New Importance

• DRGs: Still Frustrating After All These Years

• RAC Strategies — It’s Your Move

• 5010: Transitioning to the New Standards

• Enter the Age of Interoperability

• Managing the Ebb and Flow of the Emergency Department

• Take Documentation Out of the Dark

• Process Mapping and the Revenue Cycle

• RAC Appeals: More Than Simple Math

• Real-Time Adjudication

• Maneuvering Your Way Through RAC Audits

• Outta Here — Hit Your Backlogs Hard

• Transparency — A Recipe for Better Patient Care

• Living With Rejection

• Transcription and Revenue Cycle Management

• Tools to Tackle Uncompensated Care

• Building a Better Balance Sheet — Revenue Cycle Analysis Paves the Way

• Dirty Tricks: On the Lookout for Inappropriate DRG Denials

• A Panoramic View of Revenue

• Hospitals and the Next Debt Crisis

• Coding Under Scrutiny  — The Power of Auditing

• What CFOs Should Know Before Hiring a Revenue Cycle Firm

• Paired for Success — Concurrent Coding Programs

• RACs: New Sheriff in Town

• Seeing Green — Streamling the ROI Process Can Turn Headaches Into Revenue

• Price Check: Handling Patient Requests for Cost Estimates