Don’t Fall Prey to ED Charge Capture & Coding Vendors

The modern Emergency Department is a crucial and fast-paced environment, providing care at high costs.  It is imperative to obtain full reimbursement of services, yet many EDs struggle to charge and code their accounts effectively.  As a result, vendors look to sell niche solutions (with hefty price tags), advertising advanced charging & coding capabilities.  For […]

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Lost in Translation: The Value of Accurate Charge Capture

On average, hospitals lose roughly 1% of potential net revenue due to issues and deficiencies with charge capture processes1. The financial stakes of the matter are certainly real, and usually understood. And yet, difficulties continue to arise due to a large grey area between clinical modalities and revenue cycle operations, and it is in that […]

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Redefining Revenue Integrity

As healthcare has evolved with EHR practices, transitioning responsibilities have called for the need to re-define a fundamental discipline of the revenue cycle. Standardly, the revenue cycle is comprised of five main parts: access, charging, coding, billing and payments. When things are operating optimally, these components conspire together to submit a clear, accurate claim and […]

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A New Years’ Resolution You Can Keep…Clarity Around OPPS Impact!

Every year we make a plan to ensure our preparedness for the Outpatient Prospective Payment Systems (OPPS) impact…unfortunately, daily operations and multiple intersecting priorities replace good intent!  And each year January 1st quickly approaches, and healthcare organizations across the country struggle to update their workflows to accommodate the yearly changes.  This year’s 2018 Hospital OPPS […]

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‘I can’t find the Advanced Directive’ & Other Major Problems Your HIM Department Can Prevent

A few weeks back I wrote an article about the importance of not overlooking paper in today’s electronic healthcare world, while pointing out some critical considerations to take into account during a Document Management System (DMS) or Electronic Health Record (EHR) implementation.  Every healthcare organization that I’ve worked with still manages some paper, resulting in a […]

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Re-engagement: How Do I Start a New Project?

We’ve all been there. You’re sitting in a meeting and someone brings up something your department is not excelling at right now. You look around, kind of embarrassed and acknowledge that yes, we know this is something we need to work on….it’s just been at the bottom of the list under projects A, B, and […]

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To Scan, or Not to Scan…

Whether you are implementing a new Electronic Health Record (EHR), integrating your current EHR with another EHR, or installing a Document Management System (DMS) for the first time, there is something that you should not overlook: paper. Although the HITECH Act has spurred the EHR movement and encouraged electronic provider documentation, healthcare systems still find […]

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