With thousands of Medicare patients discharged to post-acute care facilities annually, hospitals need to identify claims that failed to transfer under Medicare’s Post-Acute Care Transfer rules....
In order to advance patient care and process improvement, the flagship facilities of a major health network - a 415-bed hospital and 243-bed secondary facility - utilized...
Denials management continues to be a significant challenge for healthcare organizations in 2021, and beyond. Earlier this year, NAHRI conducted a survey to its Leadership Council on denials management, and 100 leaders,...
Healthcare organizations are looking for better ways to stem the flow of denials, which have been even more challenging to manage in the last year and a half. The pandemic triggered a significant shift to virtual care services and many other changes that impacted billing, claims, and coding...
At my hospital, the function of provider education on coding and documentation rolls up to the revenue integrity department. I am interested in what the structure of education looks like where you work.
Is your organization considering a transition to a new accounts receivable (A/R) system? If so, there are many decisions that need to be made regarding the legacy system.
