Don’t Take Chances with Risk Adjustment

As noted by Healthcare Financial Management late last year: “A health system’s financial success under payment contracts that include some sort of risk adjustment depends largely on the extent that its physicians can accurately and completely document and code their patients’ conditions and treatments.” Risk adjustment is an ACA program designed to align payments received […]

Adding Fuel to the Fire of Revenue Collection

Earlier this month, we talked about the impact of high health insurance deductibles on revenue collection and the importance of training staff to handle sensitive financial conversations with patients. In a recent article, “15 things to know about hospital billing and patient payments,” Becker’s Hospital Report looked at this issue from a different perspective, adding […]

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 […]

Coding ICD-10: Key Documentation Tips for PCS Procedures

ADVANCE for Health Information Professionals recently published an online article bylined by our own Deborah Neville, RHIA, CCS-P. We’ve heard so much recently about the ICD-10 transition, on track for October 1 of this year, in regards to outpatient procedures and CPT codes. In this article, Deborah discusses ICD-10 in terms of PCS coding, or […]