Revenue cycle compliance is a dynamic organizational issue that carries significant downside risk and requires a high level of managerial commitment to remain consistent in its achievement.
Health information exchange continues to be complex.The recent regulatory and reimbursement environment mandates HIE.This blog describes what organizations should do to establish their HIE strategy.
With good reason, the Centers for Medicare & Medicaid Services (CMS) has signaled a move toward holding providers accountable for 90-day readmission rates as opposed to 30 days that have been the focus since the Hospital Readmission Reduction Program (HRRP) was first announced in 2010.
Each month, Accountable Care News asks a panel of industry experts to discuss a topic suggested by a subscriber.
CMS has proposed cutting back on mandatory bundled payment models. Why not improve them instead?
You’ve gone live with your shiny new EHR after months and months of planning, configuring, testing, and training. It’s been a long climb to the top, but you’ve finally arrived. It wasn’t perfect, but patients are being seen, notes are being documented, orders are being sent, and claims are going out the door. And odds are good that they’ll even be paid. It’s time to breathe a sigh of relief and pat yourself on the back. The hard part is over … right?
With bundle episode lengths increasing and the list of clinical episodes growing, population health management will continue to align with the implementation of bundled payments.
CMS released its proposal for CY 2018 Hospital Outpatient Prospective Payment System (OPPS) payment rules, containing significant changes to reimbursement for hospitals participating in the 340B Drug Pricing Program.
Physician compensation models based on work relative-value units should consider not only industry median benchmarks but also variations across different productivity levels.
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