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Hospital Administration

CMS Proposed Payment Changes for Outpatient Procedures

August 21, 2014 by Andy Salmen

On July 14, 2014, the CMS released its Proposed Hospital Outpatient Prospective Payment System (OPPS) schedule for out-patient departments, ambulatory surgery centers (ASCs) and the Medicare Physician Fee Schedule (PFS). Here are the key points to know about how the proposed changes will affect physician medical billing.[read more]

Visions of Care

August 20, 2014 by Christine Kapsa, NP, DNP

Americans want doctors who care about them, not just for them. Yes, we do want clinicians to be competent and skilled. But above all, we want doctors who genuinely care about our lives, listen to our concerns and allay our anxieties. So the visions of doctoring offered by two physician writers last week presented a jarring contrast.[read more]

To Up Patient Satisfaction, Hospital Supply Chain Units Need Better IT and Technology

August 20, 2014 by Shahid Shah

hospital / shutterstock

I’ve been looking at hospital supply chain automation and the IT surrounding it for a number of years now. Starting with Cardinal Health but then moving on to help a number of other vendors in the space, I’ve felt that there’s not been enough next-generation tech being applied to the low margin, high volume business of hospital supply management.[read more]

7 Ways to Reduce ER Admissions and Readmissions

August 18, 2014 by Abby Norman

ER revolving door

For many hospitals, the emergency room is the busiest place for both staff and patients. Overcrowding, long wait times and inefficient care plague a lot of U.S. hospitals, and there is a growing need for solutions. But there are certainly steps you can take to reduce the over-utilization of emergency services at your hospital.[read more]

Are ACOs Just HMOs in Disguise?

August 17, 2014 by Abby Norman

ACOs vs. HMOs / shutterstock

Even though on the surface it would appear that there are some meaningful similarities between ACOs and HMOs, the truth is, HMOs won’t survive in today’s healthcare climate - but the evolution of ACOs will, and it will lead healthcare to a transformation and focal shift that it desperately needs.[read more]

Why Your Point-of-Care Strategy Is Half-Baked

August 15, 2014 by Dorothy Wetzel

Conferences and vendor consortiums abound on point-of-care marketing. Yet many solutions miss an important point-of-care marketing opportunity: helping physicians extend care beyond the office. The idea was first suggested to me by one of the most patient-centric physicians that I have ever met, Dr. Frank Spinelli.[read more]

The Disturbing Confessions of a Medical Scribe: Adding to the Bill

August 13, 2014 by Jeanne Pinder

© 2009 Steven DepoloFlickr | CC-BY | via Wylio

We are often asked who’s the villain in the health-care marketplace: rapacious insurance companies, fat-cat doctors, overpaid hospital administrators, greedy patients, money-hungry Big Pharma, do-nothing regulators or politicians who’ve been bought and paid for by special interests?[read more]

Orthopedic Revenue Cycle Management: Two Major Concerns (and How to Fix Them)

August 13, 2014 by Andy Salmen

As anybody involved with revenue management will attest to, revenue cycle management is a crucial element for a physician office operation. Ensuring smooth revenue management processes ensures a well-focused, effective, efficient practice. Here are two chief concerns a practice can face and how to fix them.[read more]

Practice Pointers in the Wake of the Johns Hopkins Hospital Privacy Settlement

August 13, 2014 by David Harlow

Johns Hopkins Medicine

My advice to health care providers (Covered Entities under HIPAA) in light of the recent Johns Hopkins case recognizes the fact that there is no way to protect an organization against a determined bad actor, but there are ways to limit the damage that may be wrought by such an individual.[read more]

Understanding the Revenue Cycle

August 10, 2014 by Abby Norman

revenue cycle

Understanding the revenue cycle can be tricky for many of us who work in healthcare. Unless we are directly involved with patient accounts, the subtleties of the process may be lost on us. That is, until we find ourselves patients – at which point even the most minute details of the process evident to us.[read more]

ICD-10 Delay: What You Can Expect Over the Next Year

August 10, 2014 by Andy Salmen

ICD-10 delay (image: Stuart Miles/Freedigitalphotos.net)

The latest delay in ICD-10 implementation has caused both frustration and relief for people in the healthcare field. The primary purpose behind the several delays has been to give healthcare practices more opportunity to prepare for the transition. As a result, a great number of companies have gone far beyond mere readiness.[read more]

How Much Are Your Denied Claims Costing You? 4 Tips for Reducing Claim Denials

August 9, 2014 by Abby Norman

How to reduce claim denials

If you have a higher percentage of health insurance claim denials in your organization than you are comfortable with, you’re probably long overdue for a close look at what is driving these denials up – and I hate to be the one to tell you, but it’s not the payers![read more]