John Andrews
Some experts are predicting a spike in denials beginning on Oct. 1, 2016 when the Centers for Medicare and Medicaid Services will require claims to be more specific. Forward-looking providers are assembling teams to prepare now.
ICD-10: Providers can recoup millions of dollars in lost revenue by analyzing claims denials, data …
Advanced analytics and machine learning technologies are critical to pinpointing problems in large datasets that could be losing providers money. That’s why some organizations are investigating every single denied claim to better understand trends.
Hospitals are starting to hire younger, more diverse people to handle the new coding. The shift will likely benefit healthcare organizations in time, but it won’t happen overnight.
The healthcare industry appears to have successfully withstood the transition from ICD-9 to ICD-10. But are the sighs of relief premature? Is another shoe waiting to drop?
Across the healthcare industry, "the state of decision-making is really bad." Following the so-called Three Ps could point a way forward.
Construction process is revealing more layers of procedure needed to elevate the industry's clinical and business model, experts say.
By leveraging the historical data included in the records, healthcare providers can target patients, populations more than ever.
Fifteen years after the Y2K panic, the healthcare industry is once again closely watching the calendar. Not since Jan. 1, 2000, have so many industry professionals had their eyes on a deadline as they do on Oct. 1, 2015.
Stage 3 of meaningful use is shaping up to be the most challenging and detailed level yet for healthcare providers. Among the elements that warrant attention are quality reporting, clinical decision support and security risk analysis.
For providers considering how to assemble a viable accountable care organization, experts say the key is to first have a strong care coordination system in place.