Many healthcare organizations work the back-end denials management process without ever taking time to understand the root cause. Countless hours are spent appealing denials, but little attention is focused on fixing and preventing the issue. Often, the cause of denials can be achieved through process improvements - and sometimes the solution can be a relatively simple fix.
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Many ACOs have taken on increased risk and improved their clinical and financial performance. But with various complex risk models currently in place and on the horizon, there's no one-size-fits-all approach that guides ACO executives in taking on the right amount of risk. The right partner can help.
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When University Health was faced with a 135-day privatization deadline and challenges in operationalizing and enhancing revenue cycle operations, the hospital emerged with a sustainable revenue cycle infrastructure and a significant increase in monthly cash collections.
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Despite all the data available today, most provider organizations are not routinely tracking some key metrics critical to supporting value-driven Patient Access. These important indicators can help revenue cycle leaders better assess their Patient Access operations, enhance the patient experience and improve financial results.
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Becker's Hospital Review caught up with finance leaders from two distinct healthcare organizations - Moffitt Cancer Center (Florida) and Medical Center Health System/MCH ProCare (Texas) - to discuss how they are specifically approaching the shift towards value-based care and how this move is redefining the hospital-physician relationship.
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Like many providers, Brookwood Baptist Medical Center struggled to provide patients accurate payment liability estimates which led to various revenue collection issues. Learn how Brookwood leveraged technology, analytics and governance to transform patient access and secure revenue.
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As rising healthcare costs continue to be a concern for your employer clients, it's more important than ever to provide them with a care management solution that lowers costs and promotes health in the workplace. Learn how cost-effective care management is helping this third-party administrator grow.
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Are your revenue cycle operations achieving your performance objectives? A variety of treatment options exist to help. Learn about four essential components that can help your hospital or health system achieve a healthy, more modernized revenue cycle.
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Without a well-established clinical documentation improvement program in place, healthcare organizations' risk rankings falling short of achieving clinical documentation integrity which underscores how critical accurately delivered and documented care reflects the well-being of individual patients and an organization's financial health. Here are three reasons why implementing a CDI program can prove beneficial to your healthcare organization.
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To achieve its top priorities of better health, better care, better quality and lower cost for managed lives, KentuckyOne Health Partners needed improved data integrity to transition its fast-growing provider network to a fee-for-value model. Learn how one of Kentucky's first Medicare ACOs generated $18.1 million in shared savings by optimizing its care management technology.
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