Article Written By Susannah Luthi | October 10, 2018 Senate Democrats on Wednesday failed in an attempt to overturn the Trump administration’s expansion of so-called short-term, limited-duration plans, although they gained a Republican ally. Sen. Susan Collins...
Here are some essential components of a HEDIS improvement that will efficiently and effectively move your numbers: 1. Powerful Analytics – Identifying and stratifying members with gaps in health care is the first step in maximizing scores. Models that predict how...
Containing clinical costs in a safe manner in hospitals is crucial in the new value-based era of care. Reducing patient lengths of stay has been one of the main targets for clinical cost containment in hospitals. One-way hospitals can contain costs is by implementing...
The Medical Audit Common Reviews and their Risk The Healthcare Industry (both Payers and Providers) has always had a measure of audits and their “ripple effect” carries down the line whether it be workload i.e. record retrieval, desk auditing, refund request, data...
In my recent article “your audit losses begin in medical records” I discussed the role of the release of information officer in the dramatic impact that they can have upon audit losses. In this series we want to more deeply delve into how to consolidate your audit...
Your Audit Losses – Step One Of all the sites I’ve ever consulted for there is always the same pattern and posture with auditing. Some are better than others but all have divided the audit losses into generally three categories. 1. Business Office Denials 2....
