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2018 Predictions: Tech-Human Interaction is the Future

January 3, 2018 / 0 Comments

Frost & Sullivan’s Growth Innovation Leadership (GIL) briefing titled, “Global Healthcare Market Key Predictions for 2018,” was held on December 13, 2017, and their experts predicted another year of big disruptions, transformations, and innovations as the healthcare industry — really, in health care??? As reported at HospiMedica.com: Human-machine collaboration will bridge the gap between artificial intelligence…

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ONC and Innovation

December 20, 2017 / 0 Comments

The 2017 ONC Annual Meeting, held November 30th to December 1st in Washington DC, was all about healthcare interoperability and health IT usability this year. The Office of the National Coordinator for Health Information Technology (ONC) is organizationally located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS) and leads the…

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A Revenue Cycle Turnaround Case Study

December 14, 2017 / 0 Comments

We recommend you buy a Starbucks coffee and set aside an hour to watch the “Coffee With Coker” presentation entitled “Revenue Cycle Turnaround: Rebuilding for an Advanced ROI – A Case Study,” which is archived here. Senior Vice President of Coker Group Jeff Gorke takes us through the components and challenges of building and maintaining…

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7 Strategies to Prevent Claims Denials

November 16, 2017 / 0 Comments

We operate in an already complicated reimbursements environment, so anything we can do to minimize the constant threat of denials is going to help the entire revenue cycle. Becker’s Hospital Review produced a helpful webinar discussing strategies to prevent claims denials that can be accessed here. In an article summing up the presentation, Becker’s distills…

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Selling a Latte For $5; Collecting Only 50¢ at Time of Purchase …

November 6, 2017 / 0 Comments

Sometimes it’s instructive to remind ourselves just how “different” the world of health care payments can be. Consider Dr. Andrew L. Pecora’s Starbucks metaphor in an article entitled The Quirky Way Physicians Are Paid: Imagine a hypothetical board meeting at Starbucks Corporation where a newly hired CEO tells the board how he intends to increase same-store…

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Becker “Power Panel” Makes 5 Key Observations on Managing RCM

October 19, 2017 / 0 Comments

Attendees at the Becker’s Hospital Review 3rd Annual Health IT + Revenue Cycle Conference in Chicago were treated to a panel of healthcare heavyweights discussing revenue cycle performance. The distinguished group included Vice President of Revenue Cycle Management at San Diego-based Sharp HealthCare Gerilynn Sevenikar; Vice President of Product Management and Revenue Cycle Analytics at…

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Payers Pressuring Providers for Robotic Process Automation (RPA)

October 5, 2017 / 0 Comments

A deep dive into revenue cycle issues in an article by Healthcare Informatics reveals a need for scale and cost reduction through process automation. “Commercial payers want more automation. The biggest movement we’ve seen in the past 12 months is a willingness to move ahead with electronic processing for pre-authorization for service. More recently, we’re seeing…

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EDI 835’s Close the Loop for Healthcare Fraud and Compliance

August 17, 2017 / 0 Comments

A comprehensive article at RevCycleIntelligence entitled “How Providers Can Detect, Prevent Healthcare Fraud and Abuse” offers insight into ways to “tighten the ship” regarding practices that cost the industry billions of dollars a year. Complying with the myriad of regulations can be difficult for providers who already focus on a range of priorities, including care delivery,…

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Hospitals Leaving $22M On the Table Says Advisory Board

August 11, 2017 / 0 Comments

Fierce Healthcare reviewed a report by The Advisory Board and lists four challenges in the area of Revenue Cycle Management. Most significantly, they point out that hospitals concentrating on costs are leaving big dollars on the table: The Advisory Board found that because of the focus on cost reductions over RCM revenues, the average 350-bed hospital…

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Small Practices: Time to Jump on the Tech Bandwagon

July 7, 2017 / 0 Comments

An article in RevCycleIntelligence points out that an astounding 95 percent of practices with less than five physicians identified their facilities as “not tech savvy,” according to a Black Book survey. Small practices tend to avoid or delay health IT adoption because of the costs associated with implementation and upkeep. A 2016 Medical Group Management Association…

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