by Christopher Baggot | Oct 15, 2018 | Blog
Like with most things in healthcare, organizations need to keep following up after choosing the right vendor and signing an airtight contract to best protect data. In the last few years, cloud computing has moved from an option for healthcare providers to,...
by Christopher Baggot | Oct 10, 2018 | Blog, DRG Validation, HEDIS, Hospital Audits, Medicaid, Medical Records, RAC Audits, Revenue Cycle
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...
by Christopher Baggot | Oct 1, 2018 | Blog, HEDIS, Medical Records
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...
by Christopher Baggot | Sep 25, 2018 | Audits, Blog, Claims, DRG Validation, Hospital Audits, RAC Audits, Revenue Cycle
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...
by Christopher Baggot | Sep 13, 2018 | Aetna, Audits, Blog, CCMA, Medicaid, RAC Audits
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...
by Christopher Baggot | Apr 7, 2017 | Audits, Blog
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...
