By Ashish Jha – Now we’re giving star ratings to hospitals? Does anyone think this is a good idea? Actually, I do. Hospital ratings schemes have cropped up all over the place, and sorting out what’s important and what isn’t is difficult and time consuming.
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By Paul Bradley – The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real-world denial rates often range from 12 to 22 percent.
By Sarianne Gruber – In his paper Disruptive Entrepreneurship is Transforming U.S. Health Care, Jonathan Rauch metaphorically and warmly refers to today’s entrepreneurs as “health care’s mammals”. A Senior Fellow with the Governance Studies at the Brookings Institution, Rauch envisions health providers, insurers and other health-related institutions as saurians, lizard like dinosaurs that once roamed the earth.
By Sarianne Gruber – On October 31, 2014, the Centers for Medicare and Medicaid Services (CMS) released the Final Rule for the 2015 Physician Fee Schedule, the annual 1,100 page list of what the Federal Government pays physicians for Medicare patient visits and services.
By Sarianne Gruber – On October 31, 2014, the Centers for Medicare and Medicaid Services (CMS) released the Final Rule for the 2015 Physician Fee Schedule ,the annual 1,100 page list of what the Federal Government pays physicians for Medicare patient visits and services.
Here is what you can find if you are looking for answers on Revenue Cycle Management at this year’s HIMSS conference in Chicago, starting April 12th.
By Tawnya Bosko – With increased focus on payment based on value, physician practices and those involved with physician practices need to plan for how to transition to new reimbursement models. Here are the top considerations to keep in mind when implementing value-based structures:
By Sarianne Gruber – The Excess Factor and Penalty Impasse – The Patient Protection and Affordable Care Act created the Hospital Readmissions Reduction Program and required CMS to penalize IPPS hospitals with high readmission rates.
The Office of the National Coordinator for Health IT (ONC) publishes a treasure trove of resources and guides to support providers in their health IT adoption efforts. One such guide outlines a process for managing and maintaining e-prescribing.