Coding Denial Trends—How to Create an Effective Appeal Strategy
The shift to value-based payment requires awareness of the latest trends in coding denials.
2019 Coding Highlights Focus on New Technologies
In 2019, changes to ICD-10 coding can impact healthcare provider payments going forward.
Hospital Executives Say Charge Capture is Essential to Financial Success
Although charge capture is a critical method for ensuring hospitals are paid for the services they provide, revenue cycle teams may not be spending enough time evaluating their charge capture activities.
2019 Coding Highlights Focus on New Technologies
What are highlights of the ICD-10 FY19 changes?
National Hospital Survey Shares Insight into CMS’s Price Transparency Requirement
Hospitals expressed uncertainty about the usefulness of information supplied in response to CMS’s IPPS transparency requirements, but also recognize that the rule amplifies healthcare industry efforts to provide meaningful price estimates for healthcare services.
Bridging the Gap: The Role of the Physician Advisor in Revenue Cycle Operations
Hospitals are deploying physician advisors to bolster the revenue cycle in a variety of areas, including clinical documentation, denials prevention, utilization review, and value analysis.
Missing, Lagging Charges Lead Provider Revenue Concerns
Jan. 18—Provider organizations’ leading challenges in the revenue cycle are missing and lagging charges, according to a new survey.
Taking the Next Step with HCCs
What is a logical next step to advance our hierarchical condition category (HCC) codes program from Medicare Advantage plans to commercial health plans?
Key Strategies for Performance Improvement
Developing engagement across a hospital or health system encourages collaboration and problem solving on costly claim denials.
4 Clinical Reasons for Denials
Denial prevention efforts should focus upstream in the revenue cycle, starting with patient status and continuing through documentation practices, coding, CDI, utilization review, and charge capture.