As payment processes for healthcare services become increasingly complex, many healthcare provider organizations choose to outsource some or all their revenue cycle functions to a third party vendor. However, the perceived benefits of outsourcing can turn out to be illusory if five key considerations are not addressed in vendor contracts.
It’s more important than ever to read an ASC contract or amendment prior to signing it and again after receiving the finalized version. We recommend highlighting information for your business office manager so they may operationalize the contractual obligations and build them into policies and procedures so you can maximize your contract rates and avoid lost revenue.
Most medical coding and compliance programs can benefit from new technology geared to supporting these crucial roles. However, additional thought must be taken to ensure the technology is leveraged successfully. Review of existing processes, team structure, and goals is crucial in order to successfully implement new technology to support or redesign existing processes.
Healthcare organizations often underestimate the financial risk associated with implementing a new revenue cycle system implementation. These best practices will help organizations drive workflow transformation and performance improvement while minimizing common system conversion pitfalls.
Health systems that are seeking to transform themselves to deliver truly consumer-focused care must create a highly aligned physician enterprise with a culture focused on transparent decision-making, collaboration, and continuous innovation to meet consumer demands.
As baby boomers are reaching retirement, and the general population is living longer with more active lifestyles, the projected number of total knee arthroplasty (TKA) and total hip arthroplasty (THA) procedures for the Medicare and commercial patient population is expected to increase. Removing total joint procedures from the inpatient-only list enables cost reduction that results from performing these cases in the outpatient setting.
The goals of the four maternal care designation levels are to improve maternal and newborn outcomes and reduce healthcare costs. How do you prepare for the changes?
Data will enable patient centricity and allow organizations to become more responsive to their populations and evolving payment models.
We present the seven symptoms that reveal a lurking pathology in physician enterprise operations. Can you recognize some or all of them in your own organization? If so, then it may be time for an operational transformation.
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