Interoperability is quickly rising to the top of a large and growing list of priorities that every provider grapples with. An essential building block of interoperability is accurately identifying the patient across multiple EHR’s, billing systems, as well as a multitude of ancillary systems such as lab, radiology, oncology, decision support, and more.
Getting full reimbursement from Managed Care Contracts requires careful attention to detail throughout the Revenue Cycle. Below we'll explore some of the specific areas you can address and actions you can take to improve cash collections.
As a follow up from our post last week about how fundamental it is to have a strong integration plan, let's discuss the basics of creating the framework that will set your healthcare organization up for success.
There are times that healthcare organizations (specifically healthcare IT) fail to make integration planning and leadership a fundamental component of general IT operations. While they recognize the importance of doing so, time and expertise are often in short supply. Integration needs get missed entirely, or are addressed on an ad-hoc or reactionary basis.
Topics: Financial Optimization
Remittance Processing. Cash Balancing.
As the daughter of two aging parents with chronic diseases and working in healthcare IT for the last few decades, I am thrilled to see CPT 99490. You might say – really?, thrilled about one little Medicare Physician Fee Schedule change? I say, YES, really! We have long been talking about the financial burden chronic diseases are on the healthcare system, not to mention the patients. Two thirds of Medicare beneficiaries have two or more chronic illnesses such as Alzheimer’s, Arthritis, Asthma, Cancer, COPD, Diabetes, Depression, Heart Failure, and Osteoporosis. One third have four or more. (Source, Source) Those conditions are hard enough to manage one at a time, but the coordination of care on multiple chronic disease conditions is time consuming, expensive, and complicated. I think about it each time I see my parents’ long medication list and fear that the drug-drug interaction alone is like a Jenga game – one false move and my parent will fall apart and end up in the hospital receiving great, but expense care. My goal is to keep them out of the hospital and as healthy as possible.