Every Dollar Counts: Revisiting Pre-Bill Review to Recover Revenue
Michael Baney and Jeff McQuillan suggest pre-bill reviews as a proactive strategy to improve revenue cycle performance.
Examining the Economic Impact of a Physician Shortage
The changing regulatory environment in health care adds even more urgency to a looming physician shortage that will continue to impact health care and its delivery over the next decade.
Optimizing the Preauthorization Process
Senior healthcare provider and health plan leaders examine the difficulties associated with preauthorization and offer strategies for how stakeholders can collaborate to optimize the process.
Not Yet Free from Harm
Tejal Gandhi addresses ways healthcare organizations can pursue the goal of greater patient safety.
Leveraging Scale for Value in a Decentralized System
A major initiative to bring University of California Health’s five campuses together as a system began with a successful revenue cycle project.
Care Transition to Skilled Nursing Facilities
Derek McLaren discusses how hospitals can best forge strong partnerships with skilled nursing facilities.
The New, No-Norm World of Health Care
Reforms and trends in health care are causing healthcare organizations to look at their clinical and financial operations in a different light.
The Dangers of “Downcoding” in Emergency Medicine
Kenneth J. Heinrich discusses how “routine emergencies” can result in lost revenue due to incomplete documentation.
New Models Redefine Primary Care
CPC+ is among the advanced primary care initiatives that encourage providers to enhance their approach to health care in a way that boosts quality and patient engagement.
Ask the Experts: Revenue Cycle Metrics
Do you have data on top decile and 50th percentile performance for revenue cycle metrics?