Healthcare Revenue Cycle and Finance

Audits, Audits Everywhere

By Dawn Crump – Like the heavy rains, flooding and snowstorms experienced early this year, a deluge of audits is putting hospitals and health systems in a potentially precarious situation. New audits and activity is already underway. It is imperative that healthcare providers adequately educate themselves and plan ahead for the plethora of audits ahead—old and new.


Avoiding One of the Most Common Analytics Pitfalls

By Christy Green & Cheryl Mason – Today’s hospital and health system executives cannot help but hear the clamor to advance data-driven care delivery models focused on proactive management of populations. Pressed by a sense of urgency to position for the future of risk-based reimbursement arrangements, executives can often overlook a cornerstone element to success with analytics: data normalization.





Reflections on CMS and the Successful Implementation of ICD-10

By Andy Slavitt – It was early 2015 and we had just gotten through a second successful season with HealthCare.gov, the turnaround that originally brought me into government, when the articles and letters started flying on our next big implementation – one that would affect nearly every physician and hospital in the country. And, anxiety levels were high.



Team Approach to Patient Care Between Visits

By John Smithwick – In the past few years, knowing what happens to patients between visits or after acute episodes hasn’t been a priority for provider organizations. As more and more reimbursements are tied to quality measures and outcomes, organizations are finding it vital to know the health status of their populations so they can spot problems earlier and intervene sooner to prevent the need for costly procedures.