There are numerous patient engagement strategies aimed at improving care. What are the outcomes that show these solutions are working? Patient engagement affects every patient interaction across the care continuum. Accordingly, the outcomes that you can expect will come from every area of the organization. When refining targeted outcomes, let metrics be your guide. Measurement […]
Claim denial prevention and management is crucial for a hospital’s financial health. Without an effective approach, organizations may lose or experience delays with reimbursement. A Change Healthcare study found a typical health system could lose as much as 3.3 percent of net patient revenue, an average of $4.9 million per hospital, due to denials. That’s […]
CMS proposes to ease burdens on providers. When it comes to the ever-changing Centers for Medicare & Medicaid Services (CMS) agency rules and regulations, one can’t help but be reminded of the classic tune by The Byrds: “to everything (turn, turn, turn), there is a season (turn, turn, turn).” The last several decades have been […]
Nearly all healthcare decision makers recently surveyed by KLAS said their organization saw financial gains after implementing a clinical documentation improvement solution. Provider organizations are seeing financial improvements after implementing clinical documentation improvement (CDI) solutions, a recent KLAS survey shows. Revenue improved for about 53 percent of healthcare executives, medical records directors and managers, and […]
Loading up MIPS reporting on one of three performance categories can help eligible clinicians prevent a negative payment adjustment in 2020, the AMA found. Eligible clinicians can avoid a financial penalty under the Merit-Based Incentive Payment System (MIPS) in 2020 by focusing their reporting on one of three performance categories: Quality, Improvement Activities, or Promoting […]
Hurricane Florence, described as an “extremely dangerous” Category 4 hurricane, was headed for the southern North Carolina coast. In a written statement to RACmonitor, Atrium Health, formerly Carolinas Healthcare System, said that its teams “remain focused on the safety of our employees, the coordination of resources across affected healthcare facilities, and most importantly, our commitment […]
The American College of Physicians (ACP) has voiced strong opposition to proposed changes in payments for evaluation and management (E/M) codes, arguing that they fail to appropriately recognize the value of cognitive care required for treating complex patients. As part of the proposed 2019 Medicare Fee Schedule (MFS) and Quality Payment Program (QPP) rules, these […]
There were many code revisions with guidelines, descriptions and instructional note changes. There six new codes in the Evaluation and Management (E&M) section in CPT. Guidelines were revised for Interprofessional Telephone/Internet/Electronic Health Record Consultations. New codes 99451 and 99152 were added to report assessment and management services. The codes are based on medical consultative […]
From reducing time in the operating room to eliminating hours physicians spend on paperwork , artificial intelligence innovations have allowed hospitals to boost productivity. Modern hospital executives face a number of financial challenges, as an increasing portion of Americans are going without insurance or enrolling in high deductible health plans. Under these circumstances, patients are […]
The Doctor in California collected nearly 40 percent of sitting A/R a month after digitizing medical billing and patient collections. In the age of smartphones, tablets, and other technologies that put information literally in the palm of our hands, why do doctors still rely on paper to reach their patients for medical billing purposes? That […]