Revenue Cycle Management
To get ready to participate in integrated care funded by bundled payments, behavioral health providers need to establish a new business model, with particular emphasis on establishing episode of care rates.
It's not particularly helpful, but the Centers for Medicare and Medicaid Services has finally addressed the impending ICD-10 delay.
It is now official: you must wait until 2015 to use ICD-10 code W6112XA -- struck by macaw. But it's no laughing matter: President Barack Obama has indeed signed the SGR patch legislation, which includes another delay of ICD-10 implementation.
The decision by lawmakers to delay implementation of ICD-10 by a year will give hospitals extra time to get ready for the transition, but will have a negative financial impact.
With Medicare's "two midnight rule" set to take effect later this year and audit appeals facing lengthy backlogs, the Recovery Audit Contractor program may be headed in some new directions.
The House of Representatives passed a bill yesterday to forestall scheduled cuts to Medicare physician payments through April 1, 2015, to delay the ICD-10 implementation deadline for one year, and to suspend enforcement of the controversial two-midnight policy.
Avoiding readmissions penalties has an obvious and direct impact on a healthcare organization's revenue. In an effort to improve patient care and keep your organization's revenue healthy, effective communication is essential.
The quality of a hospital or health system is usually linked to patient outcomes, not to administrative or financial efficacy. But smooth interactions between patients and the hospital business office should also be viewed as critical to an organization's quality, says one CFO.
Most healthcare managers recognize the importance of liquidity, but many fail to take the necessary steps to increase it.
As Oregon transforms how it delivers care to 780,000 Medicaid patients, it hopes to generate better outcomes at lower costs. The problem for Oregon hospitals is that these goals conflict with the traditional aim of boosting revenue through ER visits and inpatient stays.