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By Amanda Norris for Health Leaders Now is the time to shore up your revenue cycle as some providers may need to pay for incorrect modifier usage. According to the recent report by the OIG investigating instances of incorrect co-surgery and assistant-at-surgery modifier usage, 69 of 100 sampled procedural services did not meet federal requirements. An additional…
By Jeff Lagasse for Healthcare Finance Quality can go a long way in determining if a consumer is willing to pay more for their healthcare, as indicated by new survey responses published by revenue cycle company AKASA. Out of more than 2,000 respondents, the survey found that 57% would pay more for a higher quality…
By Susan Morse for Becker’s Hospital Review Hospitals will experience a slowing of inpatient admissions but an increase in the length of adult inpatient stays, the latter being fueled in part by long COVID-19 and a rise in chronic conditions, according to a new report from Vizient and its subsidiary Sg2. This will lead to greater financial…
By Georgina Gonzalez for Becker’s Hospital Review Machine learning can improve healthcare from streamlining administrative processes to carrying out medical and diagnostic analyses, Analytics Insight reported April 30. Here are nine areas of healthcare in which machine learning can be deployed to make meaningful differences: Machine learning can be used to create precision, personalized medicine by predicting specific…
By Katie Adams from Becker’s Hospital Review U.S. hospital margins are remaining narrow, prompting healthcare revenue cycle leaders to examine their processes and make sure no money is falling through the cracks. Donna Ellenburg, revenue cycle director at Birmingham, Ala.-based Grandview Medical Center, said hospitals can avoid losing revenue by adhering to the following process: verifying…
By Todd Shryock for Medical Economics COVID-19 has had far-ranging consequences for medical practices, especially on finances. With patient volumes in flux, it’s important to understand how revenue cycle management has changed due to the pandemic and what adjustments need to be made going forward. Medical Economics spoke with Anurag Mehta, president and co-founder of Omega Healthcare,…
By Susan Chapman for For the Record Health care organizations are increasingly adopting revenue integrity (RI) programs, which, as defined by the National Association of Healthcare Revenue Integrity, are valuable to “prevent recurrence of issues that can cause revenue leakage and/or compliance risks through effective, efficient, replicable processes and internal controls across the continuum of…
By Morgan Haefner for Becker’s Hospital Review Because of the COVID-19 pandemic, many hospital CFOs and revenue cycle leaders are dealing with erratic and unpredictable claim volumes, confusion over complex billing requirements and staffing issues, according to a new survey. The HFMA-commissioned survey was released by revenue cycle management company Alpha Health. The survey included…
By Rachel Popa for Becker’s ASC Review Six key revenue cycle from ASC experts: 1. Find causes of denials. Surgery centers can improve claims denial management by adopting proactive strategies, including identifying the root causes of denials, according to Mnet Health, a financial technology firm specializing in healthcare. Root causes may include flawed internal processes…
By Ayla Ellison for Becker’s Hospital Review Physician specialties that generate the most revenue for hospitals and Medicare payment rules were among the healthcare revenue cycle management topics that piqued the interest of readers this year. Here are the five most popular revenue cycle management stories published by Becker’s Hospital Review in 2019: 1. These…