
Changes to the CMS Inpatient Only List
Procedures added or deleted from the Inpatient-Only List directly impact the financial health of hospitals. … Read More

Procedures added or deleted from the Inpatient-Only List directly impact the financial health of hospitals. … Read More

Hierarchical Condition Category (HCC) coding is the risk adjustment model used by CMS to determine future care costs for a specific patient. … Read More

Accurate documentation of medical necessity leads to an improved patient experience and sound clinical and financial outcomes. … Read More

Here are 5 steps you can take now to be the difference, drive positive associate engagement and achieve exceptional organizational results. … Read More

The higher the level of employee engagement, the more willing employees are to deliver an outstanding patient experience. … Read More

This guide explains the Two-Midnight Rule, one of the most impactful rules affecting hospital’s financial and compliance well-being. … Read More

Take a closer look at how hospitals should approach defining the septic patient and demystify why denials are occurring. … Read More

Not keeping track of payers’ pharmacy policy updates means delays in payment, loss of revenue and extra work for the revenue cycle back-end. … Read More

Clinical Documentation Improvement plays a critical role in proper healthcare reimbursement, a complex component of the revenue cycle. … Read More

Medical data breaches are on the rise, making patient data security one of the most pressing issues in the healthcare industry. … Read More