Tag: COVID-19 pandemic

Denials Management Versus Denials Avoidance: CDI Can Capitalize

Typical CDI programs are intended to drive reimbursement through diagnosis securement, contributing to improved case mix index. The COVID-19 pandemic is placing monumental financial stressors upon hospitals, with added costs to treat patients with high acuity and long length of stays, coupled with significant revenue loss associated with postponement of more profitable elective surgeries, like […]
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Advanced Technology Will Help Drive Reimbursement Change

Telehealth, remote monitoring will boost patient outcomes and value-based care results Limited by the slow pace of change in traditional reimbursement models, shifts in the paradigm for patient care have also lagged far behind the possibilities created by transformative technology. The COVID-19 pandemic has changed that, catalyzing improvements in reimbursement by both commercial and government […]
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Industry Voices – How To Tackle Telehealth Cybersecurity Threats

Many healthcare organizations quickly adopted telehealth programs out of necessity at the start of the COVID-19 pandemic, expanding their attack surface with the integration of new technology such as mobile telehealth apps and wearable heart rate and blood glucose level monitors. What’s more, nearly half of security researchers (48%) believe the healthcare industry is the […]
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Medicaid Physician Reimbursement Rates Lag Medicare

Medicaid physician reimbursement rates in the fee-for-service part of the program were about 72% of Medicare rates for the same service, a new study finds. Medicaid physician reimbursement is significantly lower than commercial payer and even Medicare payments for the same services despite growing enrollment in the public healthcare program, reveals a new Urban Institute study. […]
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The Role of Health Systems in Empowering Communities

With all that has happened over the past year, from the coronavirus pandemic to ongoing social justice movements, healthcare workers and organizations are standing in solidarity with their communities like never before. While these corresponding pandemics emphasize the need for healthcare organizations to empower the communities they serve, they also highlight the necessity to do […]
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Top Challenges, Opportunities of Medical Coding and Billing

By April of last year, seemingly every news station in American was featuring the heroic efforts of physicians, nurses, and other clinicians fighting COVID-19. These providers transformed healthcare, implementing telehealth and virtual care, standing up new wards in hotels, sports arenas, and schools, and finding new ways to stretch precious supplies. But behind those transformations […]
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Scale, Efficiency Key to Provider Success in 2021 and Beyond

The COVID-19 pandemic has permanently changed the healthcare business model, causing providers to rely more on scale and efficiency to maintain financial stability in 2021 and beyond. At least those are the strategies industry leaders at Providence and UW Health are implementing to adapt to a more virtual, leaner environment as the pandemic continues, health […]
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4 Key Trends For Payers and Providers in 2021

  A year since COVID-19 hit U.S. shores, the pandemic is still raging as deaths and cases strain hospital resources. Amid the scrambling, however, providers and payers are adjusting to a new normal likely to continue for months if not beyond. Though arrival of vaccines has prompted hope, the rollout has been slow and fragmented, left up to […]
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Digital Health in 2021: 5 Strategies to Transform Care & Conquer Adoption Barriers

The uptake of telehealth services during the COVID-19 pandemic has shone a spotlight on the use of digital technologies in healthcare. Telehealth platforms have connected patients and clinicians remotely, but telehealth’s growth has obscured a broader movement that had already been underway for some time:  the use of digital health to transform care. Advances in […]
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