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REVENUE CYCLE NEWS

Phil C. Solomon's Blog - Healthcare Financial Performance, Revenue Cycle Optimization and Healthcare Industry Trends

  • Emergency Waivers Help Providers Care for Hurricane-Affected Patients

    Healthcare providers, if you serve Medicare, Medicaid and Children’s Health Insurance Program (CHIP) patients in the counties and geographical areas impacted by Hurricane Irma and Hurricane...

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  • Hurricane Harvey’s Created a Public Health Catastrophe

    Hurricane Harvey’s Created a Public Health Catastrophe

    Hurricane Harvey wreaked havoc in southeastern Texas last week and created a public health crisis.  The tropical cyclone or what is called a category four hurricane caused unprecedented and...

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  • Don’t Miss This Webinar: HCC Coding and Auditing Strategies

    Don’t Miss This Webinar: HCC Coding and Auditing Strategies

    Don’t gamble on your risk adjustment HCC coding. Learn about how to stay in compliance and maximize reimbursements September 21, 2017 | 2:00 to 3:00 pm EDT Register today: Webinar: The In’s and...

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  • CMS Seeking Comments for Abandoning Cardiac Bundles and Limiting CJR Model

    CMS Seeking Comments for Abandoning Cardiac Bundles and Limiting CJR Model

    CMS Seeking Comments for Abandoning Cardiac Bundles and Limiting CJR Model The proposed rule change posted to the Federal Register on August 10, 2017 indicates the Centers for Medicare and...

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  • Industry Groups Fuming about OPPS Proposed Rule Cuts of 340B Payments

    The Centers for Medicare & Medicaid Services (CMS) is pursuing changes that would cut 340B payment rates to hospitals and may impair safety-net hospitals’ ability to treat low-income patients. The...

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  • 2:00 PM Today – Webinar: The Ins and Outs of HCC Coding for Better Reimbursement

    2:00 PM Today – Webinar: The Ins and Outs of HCC Coding for Better Reimbursement

    Webinar: The Ins and Outs of HCC Coding for Better Reimbursement August 10, 2017 | 2:00 to 3:00 pm EDT Do you have risk-adjusted physician services contracts for your Medicare Advantage patients?...

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  • 25 Keys to a Patient-Centric Revenue Cycle

    25 Keys to a Patient-Centric Revenue Cycle

    Optimizing your revenue cycle management process is a key component for addressing a multitude of industry trends such as changes in regulations, consumerism and new reimbursement structures....

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  • CMS Actuary and CBO Differ on Predictions for Costs and Uninsured for the AHCA

    CMS Actuary and CBO Differ on Predictions for Costs and Uninsured for the AHCA

    The Centers for Medicare and Medicaid Services has estimated that the House-passed American Health Care Act (AHCA) would reduce insurance coverage by 13 million people by 2026—10 million less than...

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  • Announcing: HCC Reimbursement Strategies Webinar June 22, 2017, 2-3 pm EDT

    Announcing: HCC Reimbursement Strategies Webinar June 22, 2017, 2-3 pm EDT

    Announcing New Webinar: HCC Reimbursement Strategies Do you have risk-adjusted physician services contracts for your Medicare Advantage patient? Then read on…you may be leaving money on the table...

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  • The Key Roles Medical Billers and Coders Play in Health Care

    The Key Roles Medical Billers and Coders Play in Health Care

    Medical billers and coders typically don’t make headlines but they are imperative to the success of any medical facility. Carrington College has submitted the following infographic which describes...

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  • New Webinar: Improve HCC Reimbursement with Risk Adjustment Coding Strategies

    New Webinar: Improve HCC Reimbursement with Risk Adjustment Coding Strategies

    Join us for our upcoming free webinar: Improve HCC Reimbursement with Risk Adjustment Coding Strategies June 22, 2017 | 2 pm – 3 pm EDT Register Now: Improve Reimbursement with Risk Adjustment HCC...

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  • Providers Leaving Money on the Table – Proper HCC Coding Eliminates It

    Providers Leaving Money on the Table – Proper HCC Coding Eliminates It

    The Centers for Medicare and Medicaid Service’s (CMS) Hierarchical Condition Category (HCC) risk adjustment model calculates risk scores, which will adjust capitated payments made for aged and...

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  • Administrative Burden of EHRs Opens Doors to Medical Scribes

    Administrative Burden of EHRs Opens Doors to Medical Scribes

    A physician’s responsibility is to provide the best possible care for sick patients.  A key for delivering quality healthcare is open communication between the physician and patient to discuss...

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  • The Business of Healthcare Overview That You Don’t Want to Miss

    The Business of Healthcare Overview That You Don’t Want to Miss

    Interesting Facts About The Business of Healthcare If you have a question about the hospitals and the healthcare industry, you will probably find the answer here.  This article will give you some...

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  • American Health Care Act Update Review

    American Health Care Act Update Review

    The House proposal to “repeal and replace” the Affordable Care Act (ACA), the landmark and controversial legislation that is a signature of President Barack Obama’s administration, indicates that...

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  • Consumers, Employers and Providers Take the Hit  from Rising Healthcare Spending

    Consumers, Employers and Providers Take the Hit from Rising Healthcare Spending

    Since the adoption of the Affordable Care Act (ACA) and the subsequent rules changes that have taken effect, comprehending the changes to the healthcare industry has become a difficult task for...

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  • OIG Compliance – The Line In The Sand You Don’t Want to Cross

    OIG Compliance – The Line In The Sand You Don’t Want to Cross

    Understanding OIG Compliance Background On October 15, 1976, President Gerald Ford signed into law legislation creating an Office of Inspector General (OIG) at the Department of Health, Education...

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  • Healthcare’s Newest Security Threat:  IoT

    Healthcare’s Newest Security Threat: IoT

    One of the greatest technological achievements in the 21st Century was is the creation of the Internet.  Its formation has effectively changed almost every aspect of business and personal...

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  • Enforcement Procedures Adjusted for Two-Midnight Rule

    Enforcement Procedures Adjusted for Two-Midnight Rule

    OIG Report Reveals Two-Midnight Rule Vulnerabilities A study by the Office of Inspector General (OIG) has revealed “vulnerabilities” under the Two-Midnight hospital policy that initially went into...

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  • ACA – First Steps Towards Repeal

    ACA – First Steps Towards Repeal

    Trump’s executive order on the ACA: 5 things to know This is an excellent summary written by Emily Rappleye of Beckers Hospital Review about President Trump’s position on the ACA and how he and...

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