Making Financial Conversations Less Painful & More Productive

As insurance deductibles continue to rise, so does the impact on consumers, leaving more and more patients responsible for greater portions of their healthcare costs. This situation puts pressure not only on consumers, but also on hospitals, which now are struggling to collect those patients’ higher share of their bills. As noted in a recent […]

Happy Belated Digital Learning Day

February 23 has come and gone, but online education continues to gain ground daily, according to various surveys and anecdotal evidence. Part of the reason for its ascendance likely can be found in our increasingly tech-savvy society, in which individuals already happily stare at, and interact on, electronic devices for hours each day. However, according […]

MACRA: A Glass One-Third Full

In a recent Health Catalyst®/Peer60 survey, only 35 percent of the healthcare executives polled said their organization has a MACRA (Medicare Access and CHIP Reauthorization Act) implementation strategy and are prepared for the new value-based reimbursement model. As explained in the survey report, MACRA consolidates and replaces a number of value-based reimbursement programs, including the […]

High-Deductibles and Maximizing Revenue

In a recent blog we announced the forthcoming addition of Healthcare Financial Management Association (HFMA) courses to the slate of eLearning available through the Elsevier performance management platform. This week, we’d like to focus in on one of the curricula – Patient Financial Communications – which presents best practices designed, as HFMA notes, to bring […]

2017 Brings In Considerations of Outpatient CDI

As recently reported by the Advance Healthcare Network, a white paper published by the Association of Clinical Documentation Improvement Specialists (ACDIS) shows that only about 10 percent of hospitals currently have an outpatient CDI program. At least, those were the results of a survey conducted in early 2016 to measure the extent of CDI implementation. […]

A Focus on RCM: A Sure Bet in an Uncertain World

On December 20, 2016, Black Book Market Research released the results of a survey on healthcare tech trends for the New Year. Among the nine listed was this: “Middle office functions such as coding and clinical documentation improvement initiatives will be recognized as critical functions in favorable revenue cycle performance.” While those squarely in the […]

2016 Recap – In Song

Revenue cycle, it took center stage. As new payment models became all the rage. How will we manage? What must we change? These are some issues that this year did bring.   Bitten by parrot? Smacked by macaw? New I-10 coding took care of it all. But what about coders? Do they still need to […]

A Macro View of MACRA

In our last blog about coding concerns in the New Year, we listed the new Quality Payment Program, noting that 50 percent of physicians say they are in the dark as to its meaning and ramifications on documentation, coding and reimbursement. Having raised the issue, we thought it only fair to shine a little more […]

Looking Ahead: Coding Concerns in 2017

Now that we have officially entered the holiday season, it’s natural to start thinking ahead to the New Year and what 2017 will bring. Even though on the calendar the ICD-10 transition is long gone, it’s to be expected that medical organizations and practices will still likely feel the effects of the changes into 2017 […]

New Coding Guideline Contradicts Quality Program Auditing Policies

The Workgroup for Electronic Data Interchange (WEDI) has released an issue brief on clinical documentation and the 2017 ICD-10 Official Guidelines. According to WEDI, the new coding guideline conflicts with reporting and auditing policies for several quality programs, as well as medical necessity rules and other healthcare regulations. As broken down in a recent RevCycle Intelligence article, […]