Healthcare Dive - Practice Management

JUNE 24, 2025

Providence will deploy initiatives to reduce wait times and increase self-scheduling, deepen its commitment to value-based care, revamp its acute and post-acute care offerings to include more virtual, ambulatory and in-home care options, and increase its use of AI tools.

Medical Coding

Relias

MAY 6, 2022

The Program for Evaluating Payment Patterns Electronic Report, or PEPPER, contains valuable information to help your hospice organization identify billing issues and prevent improper payment audits. Though it has been a widely available tool for hospice organizations to identify billing errors since 2012, statistics show that only 63% of U.S.

Hospice

Health Populi

FEBRUARY 29, 2024

In some parts of the world, such as Australia and Norway, “in-person at-home acute care has gained signification traction and has been offered in most hospitals for over 15 years,” the authors note. ” Thus the call for value-based payment which can, when well-designed, align the four stakeholders’ interests.

Hospital

The HIPAA Journal

APRIL 23, 2024

The reason for the exceptionally high number of data breaches was a cyberattack on the rehabilitation and long-term acute care hospital operator Ernest Health. Philips Respironics, a provider of respiratory care products, initially reported a hacking-related breach to OCR involving the PHI of 457,152 individuals.

Business Associate

Health Populi

JULY 24, 2023

For acute care, antibiotics aplenty, pain relief, GI, respiratory/cough, corticosteroids among others commonly prescribed in urgent care clinics and visits. in any one’s definition of value-based health care — most especially, a consumer’s. Cost, cost, cost, cost, and cost — above quality of care.

Insurance

Minority Nurse

SEPTEMBER 28, 2023

As the true lifeblood of healthcare delivery, nurses are central to patient care, from long-term and public health to acute care and home health. Whether this bill can make it through Congress and become law is unknown. In that regard, nursing education is a pipeline to the future. in 2022, the first decrease in 20 years.

Acute Care

Relias

DECEMBER 8, 2022

The PEPPER gives your organization a snapshot of your case mix, coding, and billing practices and compares you to other providers in the nation, Medicare Administrative Contractor jurisdiction, and state. Long‐term acute care hospitals. Short-term acute care hospitals. Home health agencies. Average case mix.

Acute Care

EvidenceCare

JANUARY 12, 2024

These notices play a crucial role in transparently communicating to patients the possibility that they may need to assume the financial responsibility of the care provided if Medicare does not extend coverage to specific services. Patients would need to check with the hospital to determine if they would be eligible for charity care.

Admissions

Mobius MD

AUGUST 8, 2024

Many organizations adopt Epic because it provides a comprehensive system for managing patient records, scheduling, billing, and clinical workflows. Like Epic, MEDITECH integrates its EHR into a suite of patient management, billing, and scheduling tools. Finally, Epic’s prestigious reputation gives it a leg up in the industry.

Acute Care

Minority Nurse

APRIL 18, 2022

I saw a huge need in the wound ostomy field of nursing with gaps in several aspects of nursing in the nursing home, skilled-nursing facilities, home healthcare, acute care, and even with nurses (including Advanced Practice Nursing). I offer wound and ostomy care services at Wound Care Solutions by Vanessa, LLC.

Certification

Relias

AUGUST 15, 2022

“Every day thousands of boomers are hitting the Medicare rolls, and a large number are choosing to age in place and receive home health services,” said Relias Director of Post-Acute Care Solutions, Trish Richardson, MSN, BSBA, RN, NE-BC, CMSRN. Mandatory Telehealth Reporting.

Hospice

Relias

OCTOBER 28, 2022

Comprehensive education for home health staff is vital to boost performance under HHVBP, observed Relias Director of Post-Acute Care Solutions Trish Richardson, MSN, BSBA, RN, NE-BC, CMSRN. Hospices should also be concerned about care coordination. Increased scrutiny in hospices.

Hospice

Minority Nurse

SEPTEMBER 10, 2024

You may have wanted to work in a particular specialty, had your sights set on the traveler lifestyle, or were focused on making sure you could pay the bills, give your kids a good life, and plan for your eventual retirement. For LPNs/LVNs , the decision to return to school can directly relate to wanting more career mobility.

Acute Care

Relias

OCTOBER 25, 2021

This change in authority allows more interdisciplinary care management, Vance said, and increased data accuracy in functional items that make up the PDGM payment in home health. With more accurate assessments, home health agencies have opportunities for improved coding, billing, and outcomes.

Care Plan

Relias

FEBRUARY 28, 2025

Key sources of IHS funding The IHS is primarily funded by federal appropriations, along with grants, Medicaid and Medicare reimbursements, and third-party billing. Third-party billing Many IHS facilities generate additional revenue by billing private insurers for services provided to patients with coverage.

Billing

Relias

APRIL 27, 2023

Healthcare leaders face constant changes in regulations, billing rules, payer requirements, and technology. There are also qualitative benefits, like fewer billing complaints. Patient access and billing staff should send a consistent message to patients. The healthcare revenue cycle process is more complex than ever.

Critical Thinking

Relias

JULY 4, 2023

Benefits of a well-balanced charge reconciliation sheet Timely charge reconciliation can help in the following ways: It identifies issues like underpayment, insurance denials, and pending bills. If left unchecked, these issues can create revenue shortages for hospitals and health systems.

Follow-Up

Relias

JANUARY 11, 2023

Completely changing the way providers practice and bill for services requires time and planning. For example, providers who contract their medical coding and billing services must work with a service provider who can support the changes that VBC requires. All parties need to transition together.

Patient Satisfaction

Relias

APRIL 28, 2022

In addition, coding requirements, regulations, and medical billing systems are subject to change, requiring your new and existing staff members to update their knowledge and skills at regular intervals to avoid mistakes that can lead to lost reimbursements.

Documentation

Guideway Care

JANUARY 14, 2025

Advocates play a pivotal role in bolstering the efficiency of bundled payment programs by offering patients all-encompassing assistance throughout their medical journey, thereby fostering increased satisfaction with care received, greater adherence to prescribed treatment protocols, and an overall enhancement in the standard of care delivered.

Patient Advocacy

Relias

JUNE 1, 2023

10 – Consider outsourcing Third-party vendors can perform billing and collections, either specific tasks or the entire revenue cycle process. Now, patients review and initial the armband — which is already preprinted. This saves time — and also a lot of paper,” said Hermosillo.

Admissions

Relias

JUNE 1, 2023

10 – Consider outsourcing Third-party vendors can perform billing and collections, either specific tasks or the entire revenue cycle process. Now, patients review and initial the armband — which is already preprinted. This saves time — and also a lot of paper,” said Hermosillo.

Admissions

Relias

DECEMBER 13, 2021

The increased pressure of the COVID-19 pandemic has presented never-before-seen growth opportunities for home health agencies and their workforce, as Bill Dombi, President of the National Association of Home Care and Hospice (NAHC), noted in a December 2021 webinar titled The State of Home Health.

Hospice

Relias

MARCH 15, 2022

The department also outsources the billing clearinghouse and statement mailing. Most of this is done for budgetary and sometimes technical reasons.

Customer Service

Relias

OCTOBER 10, 2022

As a post-acute care provider, you need to prove that your organization meets the expected standard of care, safety, and other compliance and regulatory requirements. Whether your focus is skilled nursing, home health, hospice, or another post-acute sector, are you confident in your survey readiness?

Acute Care

Arkenea

JUNE 27, 2024

Cloud-based EMR fits the bill aptly. They don’t need complex installation processes and neither a heavy pocket to pay the bill. Based on Design Settings Types of EMRs based on design settings are of two distinct types – ambulatory and acute care EMRs. Currently, the cloud-computing market is expected to reach $947.3

Acute Care

Minority Nurse

APRIL 20, 2023

On the other hand, for one of your nurse colleagues, success may mean getting a BSN, finding a job to pay the bills, and putting a child through college. What works for Jane, the nurse, doesn’t necessarily add up for Bill, the nurse. For another, it’s taking a year off and traveling the globe on an around-the-world ticket. And why not?

Acute Care

Arkenea

DECEMBER 2, 2024

According to a report published by Chime, 83 percent of acute care organizations stated high use of patient portals by users in 2021, as compared to 74 percent in 2020. It also minimized human errors by ensuring an optimized medical billing process. Online payments allow patients to self-manage their bills and balances.

HIPAA

Relias

NOVEMBER 15, 2022

Consider the following data sources: Administrative data includes data gathered from claims, encounters, enrollment, and providers, such as type of service, units of service, diagnosis and procedure codes, locations, and amounts billed and reimbursed. Patient medical records include documentation of patient histories and care.

Follow-Up

Minority Nurse

DECEMBER 6, 2022

Negotiations to either end a contract early happened because patient census has decreased, or, where travel RN agencies benefited from federal and state funding by drastically increasing their billing rates, hospitals have been re-negotiating contract rates. Nurses must have safer and more secure workplaces to provide the best care.

Unit Organization and Environment

Relias

MARCH 13, 2023

To achieve price transparency compliance , hospitals must publish their billed prices and negotiated rates for all inpatient and outpatient services and prices that they negotiate with insurers. If applicable, clearly state that prices are estimates or ranges, and any additional services or alterations in care could change the final price.

Hospital

Healthcare Dive - Practice Management

JUNE 17, 2025

Following that, UHS plans to launch the technology at all of its 29 acute care hospitals. “We The health system plans to roll out the technology to more than 10 additional U.S. hospitals within the next few months due to the positive reception, a spokesperson said. Please select at least one newsletter.

Follow-Up

The HIPAA Journal

DECEMBER 14, 2022

On January 5, 2021, the HIPAA Safe Harbor Bill (HR 7898) was signed into law by President Trump and amended the HITECH Act. The purpose of the HIPAA Safe Harbor Bill was to encourage healthcare organizations to adopt recognized cybersecurity practices to improve their defenses against cyberattacks.

HIPAA

Relias

FEBRUARY 1, 2023

“It will be imperative for medical practices and organizations to focus on their billing and denial management to maximize revenue in 2023,” noted Cristy Good, MPH, MA, senior industry advisory and coding expert at MGMA. Claim denials cause revenue loss at a time when hospitals are facing a serious financial crisis.

Insurance