There are many different factors that can lead to rising audits and denials within any healthcare organization. Even when all the boxes seem to be checked, denials continue to rise.
When an organization loses a key member of the management team, it creates a void that can impact care delivery and overall operations in many ways.
The COVID-19 pandemic has reinforced the importance for healthcare organizations to have an efficient emergency preparedness plan in place. Learn the different aspects leadership should consider when developming a compliant emergency preparedness plan to lessen adverse impacts, keep business on track and keep your staff and patients safe.
The healthcare industry has faced numerous challenges in finding effective ways to achieve the triple aim through improving the patient experience, improving health of communities and reducing healthcare costs, and implementing innovative payment strategies is essential in achieving those goals.
The opioid crisis and hospital drug theft have been appearing more frequently in headlines for several years, making drug diversion a front-running issue in the acute space.
The health care industry has experienced significant change in the past decade. The pace of change is breathtaking! Organizations have grown and consolidated by acquiring hospitals, service lines and physician groups. Many organizations are now faced with the burden of standardizing their operations.
The Office of Inspector General (OIG) is reviewing payments under the Post Acute Transfer (PACT) policy again. Why? The OIG wants to ensure claims are properly paid by the MACs with the controls they have put into place through claim editing. The OIGs follow-up will determine whether
Implementing a comprehensive internal audit program will position a facility to actively respond to the ever-changing healthcare regulatory environment. Achieving effective and compliant healthcare functions cannot occur without well-defined and ongoing compliance auditing.
The Utilization Review (UR) function in the emergency department (ED) serves as a critical component to ensure whether a patient is placed as inpatient or observation. Establishing the UR team to manage patient status at the point of admission is imperative to minimizing denials down the line. Too often, hospitals waste time and money by [...]