Passive Cost Containment Stopping Medical Audit Loss Before It Begins By Christopher Baggott, CEO Medlinks Cost Containment, Inc. “Passive Cost Containment” refers to the process of records request reviews. In order to reduce audit loss, the provider must...
This article originally appeared in The Report on Medicare Compliance Volume 24, Number 36 Dated: October 12, 2015 Money may be slipping through hospital hands when commercial payers adjust payments for certain room and board charges, consultants say. Payers are...
Geisinger Health System CEO and President Dr. David Feinberg is moving to Google, where he’ll take a healthcare leadership position. Dr. Jaewon Ryu will take over as interim president and CEO of Geisinger on Dec. 1. Google’s healthcare efforts are...
Defense for Claim Sweeping of “Routine” Supplies Recently a hospital client asked us to review claims where the supply items had been removed from the claim. In response to the request, we found the health plan had “swept” a few particular revenue centers, claiming...
Ballot initiatives to expand Medicaid health coverage in three Republican-leaning states have momentum heading into Tuesday’s midterm elections. Voters in Idaho, Nebraska and Utah could follow the lead of voters in Maine who last November voted to expand Medicaid for...
Walmart stores in several states are transforming extra parking lot space into “town centers,” some of which could include health clinics, according to Business Insider. “The Walmart Town Center concept is an exciting approach to how we serve our...
As reimbursement rules catch up, providers embrace technologies for remote care and patient monitoring. Centralized care, with a hospital as the “hub,” is the standard in the U.S. today. But this familiar model is changing rapidly, as providers embrace remote care at...
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,...
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...
