Health System Develops Productivity and Quality Standards for Remote Employees
Texas Health Resources revenue cycle leaders measure productivity for remote workers by evaluating the daily number of accounts employees secure for insurance authorizations and pre-registrations.
Texas Health Resources Work-from-Home Program Increases Productivity, Employee Satisfaction
Since 2013, the health system has allowed more than 300 revenue cycle staff members to work from home. Employee evaluations show that remote workers perform at 113 percent productivity, while staff working in the office perform at 108 percent of the expected productivity level.
Hospital Requirement to Provide Auxiliary Communication Aids Continues
An appellate court ruled hospitals must continue to provide appropriate auxiliary aids to help hearing impaired patients exchange medical and financial information with hospital staff.
Partnering with Other Providers to Develop Community Needs Assessments
Four Milwaukee-area health systems are working together to complete federally mandated community needs assessments more efficiently. They partner with 18 local health departments to collect and analyze data that informs their local health improvement strategies.
Survey Reveals Opportunities for Physician MACRA Education
Most clinicians rely heavily on their physician groups and hospitals to report quality measures and that reliance will continue with Quality Payment Program participation.
Managing and Measuring Payer Performance
Healthcare providers should have a contract management system as the framework for managing the four components of the governance/communication processes―contract analysis and modeling, payment calculations, variance monitoring workflow, and payer scorecard and reporting.
Why Horizon BCBSNJ Likes Episode-of-Care Payments
Horizon Blue Cross Blue Shield of New Jersey’s episode-of-care program, believed to be the largest such program in the country, rewards physicians for successes but does not subject them to penalties. Horizon says that this arrangement creates better foundations for payer/provider relationships to move toward shared risk over time.
How South Shore Health System Protected Revenue During an EHR Transition
South Shore Health System created a formal revenue integrity department to mitigate revenue loss during its EHR transition and to monitor and track progress after implementation.
Understanding the Current State of MACRA
Hospitals and their employed physicians should take certain actions now to avoid penalties and ensure proper payment under MACRA, as well look at future education and staffing needs.
Finding Success with Provider-Sponsored Health Plans During Uncertain Times
Community Health Choice, a provider-sponsored health plan started by Harris Health System, has grown its marketplace membership from 300 enrollees to 150,000 over four enrollment periods. Despite uncertainty about the future of federal healthcare laws and the marketplaces, the health plan says that it may still experience growth in 2018.