Remove 2021 Remove Medical Coding Remove Scheduling
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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Is your organization’s coding as complete as it could be? At Sharp HealthCare, staff members were doing everything right — they used the correct codes, obtained authorizations, and scheduled services appropriately. The properly coded claims were paid — but at a lower amount. Downcoding by Payers.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Is your organization’s coding as complete as it could be? At Sharp HealthCare, staff members were doing everything right — they used the correct codes, obtained authorizations, and scheduled services appropriately. The properly coded claims were paid — but at a lower amount. Downcoding by Payers.

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What You Need To Know About Value-Based Payment Models

Relias

But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. More healthcare organizations are now tying physician compensation to quality performance metrics, up from 26% in 2016 to 42% in 2021. Value-based care….

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Does the Hospital Price Transparency Rule Increase Your Audit Risk?

Relias

As a result, the Centers for Medicare and Medicaid Services (CMS) public rule on price transparency requirements for hospitals came into effect on January 1, 2021. Provide information about shoppable services A shoppable service is any service your hospital provides that a patient can schedule in advance, like a vaccination.