The first part of this blog-initiated discussion of the criticality of physician’s time relative to medical systems and group practices. Consciously omitted were other impactful outcomes deriving from effective use of physician’s time in order to appropriately emphasize the direct impact to organizational revenue. Let’s delve into some of those... read more →
Jul
22
Jun
22
Health care is acknowledged to be a highly complex business. Running a large group practice, never mind a hospital or academic medical center, presents a formidable management challenge. Other, even relatively simple, businesses have multiple factors contributing to revenue production. Yet, in strictly business terms, the ‘means of production’ in... read more →
Jun
01
As both providers and payers continue to move towards risk-based contracts or alternative payment models, encouraging providers to practice in a more cost-effective model, the cumbersome prior authorization process is becoming less meaningful and more resource-intensive. The current process of acquiring prior authorization is obsolete if not archaic. While other... read more →
Nov
09
Release of the final rule for the 21st Century Cures Act by HHS’s Office of the National Coordinator (ONC) on March 9, 2020, and subsequent updates in April and May established compliance and enforcement dates for these regulations. November 2, 2020 stood as the compliance date for the Information Blocking... read more →
Nov
03
Last week we were delighted to learn the Department of Health and Human Services’ (HHS) finally extended the November 1st compliance date and timeframes for the Information Blocking contained within the ONC Cures Act. The extension allows providers the time to continue their focus on the COVID-19 response. This... read more →
Oct
06
Overview The accuracy of your coding, and the revenue opportunities it presents, is too often an unexplored component of revenue cycle performance and an untapped organizational revenue opportunity. There are a range of issues within and related to coding in provider organizations, with high impact to revenue and profitability. For... read more →
Sep
29
In most cases, payer denials are investigated and resolved through the functionality of Account Workqueues. Traditionally, Account Workqueues are separated by Payer or Payer Financial Class along with an account alpha-split for larger organizations to help manage staff workloads. This type of configuration results in all denials from the same... read more →
Jun
01
Let’s face it, most healthcare organizations today are not replete with useless infrastructure and initiatives that can easily be discarded when resources become more constrained, or when a global pandemic turns everything on its’ ear. The cyclical budget pressures, reimbursement changes, regulatory changes, and market forces over the years have... read more →
May
12
It is highly likely that in contending with the global pandemic, IT and support services leaders took whatever steps were necessary in order to support safe patient care and critical operations. While that is far from over, and those efforts continue, most organizations are determining how to resume a full... read more →
Apr
28
The following Q & A is a follow up to a webinar on this topic. If you'd like to view the webinar go to COVID-19 & Telehealth Related Coding Guideline Webinar Q: Is the modifier 95 and standard POS for all the telehealth codes, plus the most recent update... read more →
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