The inherent challenges of managing the revenue cycle for a small hospital require the wearing of many hats – from Registration in the business office, to Medical Records, Case Management, and Physician Billing. Wallace Thompson Hospital in South Carolina optimized staff efficiency, eliminated redundant steps and manual tasks, and found new revenue to improve the bottom line.
Orlando Health, an eight-hospital system in Central Florida, leverages near real-time claims intelligence to have productive dialogue with payers and to strengthen denial prevention efforts. They also have found new ways to monitor employee productivity and physician behavior impacting revenue cycle performance across the system.
Learn how Tampa General validated its ICD-10 readiness and also helped identify some potentially problematic claim issues.
While many healthcare industry stakeholders have been working for months and even years on initiatives to transition to ICD-10 based systems, healthcare organizations should be shifting tactics to prepare for the October 1 transition date.
This article provides a brief analysis on system readiness and payer testing and suggest actions for using the remaining time before October 1st wisely.
The 2014 State of Value-Based Reimbursement is a national opinion research study of 464 payers and providers, conducted by ORC International, and commissioned by McKesson Health Solutions. The study clearly documents a transition from a volume-based model of reimbursement to models based on measures of value.
This paper outlines a four-step, data-centric Risk Assessment and Mitigation Framework designed to help providers prepare for and succeed during upcoming health reform events.