Reimbursement
• Denied Claims Harm Patients and Providers
• Rev Cycling to a Better Bottom Line
• 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
• 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
• 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
• 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
• 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
• Tackling Coding Challenges at FQHCs
• Address Skill Gaps, Boost Coder Productivity
• 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
• Anesthesia Coding: Tips to Maintain Accuracy
• 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
• Getting Specific With Unlisted CPT Codes
• CMS Proposal Filled With Questions
• Quality Data Key to New Payment Rule
• Physician Advisors Command Leading Role in Risk Adjustment
• Why Physician Practices Need Coders
• Value-Based Payment Model Faces Familiar Barriers
• ROI Vendors Face Confusion Over Fees
• How to Improve the Query Process
• Best Practices in Coding Audits
• Are You Moving the CDI Needle?
• Reimbursement Analysis Offers Investment Protection
• Indefatigable RACs Plow Ahead
• Technology's Role in a Fee-for-Value Universe
• A New Line of Defense for Inpatient Claims
• Telehealth: Betting the Minimum or All In?
• 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
• Six New CDI Challenges to Overcome
• Taking Control of Transparency
• Assemble the Perfect Financial Analytics Team
• Put ICD-10 Nightmares to Bed
• 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
• Rehabilitation Facilities Tackle RA Complexities
• Take the Pain Out of Revenue Cycle Audits
• Pediatric Documentation — It's Not Child's Play
• 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
• Case Managers Show Their Worth
• Inside the Documentation Pressure Cooker
• The Pioneer ACO Program Reaches a Crossroad
• Risk Adjustment Creates Challenges
• Should Providers Bother With RAC Appeals?
• 2013 OIG Work Plan: HHS Targets Three Areas
• 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
• ACOs Face Quality Measure Challenges
• 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
• Are Post-Acute Care Transfers a Goldmine for RAC Audits?
• More Providers Looking to Implement New RCM Systems
• A Bridge to Better Reimbursement
• Winning Strategies for Collecting Patient Payments
• Recognizing Excellence in Revenue Cycle Management
• HIM's Role in the Revenue Cycle
• Jump-Start Your Revenue Cycle
• What Have We Learned From RAC Audits?
• Hospitals Scramble to Absorb 2011 IPPS Changes
• The Importance of Discharge Summaries
• 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
• 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
• Maneuvering Your Way Through RAC Audits
• Outta Here — Hit Your Backlogs Hard
• Transparency — A Recipe for Better Patient Care
• 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
• 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
• Seeing Green — Streamling the ROI Process Can Turn Headaches Into Revenue
• Price Check: Handling Patient Requests for Cost Estimates
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