10 issues every healthcare leader should be thinking about

September 3, 2021Garrett SchmittNo Commentsautomation, care delivery, cost-effectiveness, COVID-19, cyber security, digital enablement, health analytics, health insights, health insurace, health IT, healthcare, healthcare IT, healthcare leaders, information security, Interoperability, IT effectiveness, IT performance, metrics, pandemic, Payers, post-pandemic, Reimbursement, staffing

As the toll of the pandemic has continued to be evident, many are contemplating what lasting changes healthcare providers and health systems may face at the end of pandemic. But what should healthcare leaders be thinking about now to prepare their organizations for the post-pandemic environment. Staffing Review your strategy for recruiting and retaining key…

The CMS New Rule On Ambulatory Surgical Centers Earns Only Partial Credit

June 2, 2021Garrett SchmittNo Commentsambulatory surgical centers, ASCs, CMS, HOPDs, Medicare, Reimbursement

The Centers of Medicare and Medicaid Services (CMS) recently announced a directive to relax the requirement that surgeries for Medicare beneficiaries be performed only on an inpatient basis to qualify for reimbursement. Starting January 1, 2022, more than 250 musculoskeletal surgeries will be eliminated from the “inpatient-only list,” with an additional 1,500 surgeries eliminated in…

Why Patient Access is Key to Revenue Cycle Management Success

May 6, 2021Garrett SchmittNo CommentsBilling, claim denial, copayments, COVID-19, data integrity, patient access, patient financial responsibility, patient registration, Reimbursement, revenue, revenue cycle, revenue cycle management, Workflow, Workflow Disruption

Patient access is generally the first encounter a patient will have with a healthcare organization, making it central to the patient experience. But this aspect of healthcare is also a major first for another area: revenue cycle management. During the patient access process, revenue cycle teams have their chance to get medical billing and reimbursement…

Reducing Low-Value Care Key to Value-Based Reimbursement Success

February 1, 2018acoNo CommentsReimbursement

Value-based reimbursement success hinges on decreasing low-value care across patient populations, explained Scott Weingarten, MD, MPH, Senior Vice President and Chief Clinical Transformation Officer at Cedars-Sinai Medical Center. While hospitals and health systems have flocked to value-based care strategies, such as population health management programs and high-risk patient interventions, the non-profit academic healthcare organization in…

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