Claims Processing
New York hospital owes millions for improperly billed Medicare claims in 2012 and 2013, but the recovery period may have passed.
The next big healthcare technology innovation will increase transparency and save money.
Tool has helped Bellin Health close its reimbursement gap by about $2.2 million in one year.
In lieu of fees, healthcare organizations will pay a percentage of the recovered funds to ERI.
Staffing and productivity issues remain, and with grace periods over, that could spell trouble.
Hospitals that perform joint replacements on older, sicker patients under the program will suffer under reconciliation payment reductions, research suggested.
Coding quality is more important than ever, but other analytics tools are helping hospitals bridge the gap.
Bundles would cover a screening mammogram and other later diagnostic breast imaging services.
More than half of hospitals are not currently using revenue cycle vendors claims denials management tools, according to a new survey from Healthcare IT News sister company HIMSS Analytics, and that reality presents a large opportunity for providers to get more expedient payment.
CMS said the initiative is part of a broader effort to improve care and spend money more wisely by making use of available data.