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‘Significant Ramifications’: Medical Group Opposes HCC Coding Changes

By Amanda Norris for Health Leaders CMS recently released proposed changes to the CMS-HCC Risk Adjustment Model for payment year 2024 in February, with a public comment period that ending surprisingly quick. These changes will directly affect Medicare Advantage organizations as the model informs payments to Medicare Advantage plans. “The proposed changes (Model V28) would make significant changes to…

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5 Rev Cycle Strategies to Combat Denials

By Jasmin Ray for Health Leaders Executives are reporting an increase in denials, putting more pressure on system finances. Going back and forth with payers with denials is a time consuming and expensive process, and low reimbursement rates aren’t helping. In a new survey by the Healthcare Financial Management Association, CFOs noted a significant increase in denials,…

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Note from the Product Coordinator: Pack your bags for the 2024 ACDIS conference and meet us in Indy!

By Karla Kozak for ACDIS Blog The 2024 ACDIS conference is just around the corner, and if you haven’t registered yet, don’t worry! There’s still time, especially for those of you who are local to the Indianapolis area. And for those of you who’ve already registered, stay tuned for some packing tips later in this note. You…

Read MoreNote from the Product Coordinator: Pack your bags for the 2024 ACDIS conference and meet us in Indy!

There’s no denying RCM teams’ top challenges

By Andrew Cass for Becker’s Hospital Review Eighty-two percent of health system CFOs said that payer denials are higher than pre-pandemic levels, compared to only 2% who say denials have decreased, according to a report from the Healthcare Financial Management Association and Eliciting Insights.  “HFMA Health System CFO Pain Points 2024” is based on a…

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6 systems creating new C-suite roles

By Mackenzie Bean for Becker’s Hospital Review Health systems’ leadership benches have expanded in the last year, as new executive titles make their way to C-suites in response to changing industry dynamics and emerging challenges. Nearly two months into 2024, this trend shows no signs of abating. At least six health systems have appointed leaders to inaugural C-suite positions…

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Disputes over surprise billing continue to soar, new CMS data shows

By Rebecca Pifer for Healthcare Dive Dive Brief: Dive Insight: The No Surprises Act, passed in 2021, is viewed as the most comprehensive consumer health legislation since the Affordable Care Act. But implementation of the law, which is meant to hold patients blameless for unexpected out-of-network medical bills, has been less than perfect. Provisions protecting…

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Physicians report 15 hours of ‘pajama time’

By Andrea Fox for Healthcare IT News Some 93% of physicians feel burned out, but 83% said AI has the potential to reduce administrative burdens, according to athenahealth’s third Physician Sentiment Survey, conducted by the Harris Poll. For this year’s measurement of physician sentiments, atheneahealth added a new line of questioning focused on artificial intelligence…

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The ‘hottest new role in corporate America’ comes to health systems

By Giles Bruce for Becker’s Hospital Review Despite fears that artificial intelligence would kill jobs, the technology has helped create the “hottest new role in corporate America”: the chief AI officer, The New York Times reported Jan. 29. A variety of industries, including healthcare, have been appointing AI chiefs to keep up with new developments in the technology, such…

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