Journey
Last we talked about the critical need for hospitals to have a medical necessity program in place to ensure they’re prepared for any regulatory change that’s coming down the pike next. An effective medical necessity program needs to begin with Patient Access checking...
Press Releases
ATLANTA, June 11, 2014 – As U.S. healthcare organizations face increasing pressure to lower costs and manage risk, many are challenged with the ability to accurately track and capture charges, especially with continually changing charge rules and regulations. To help...
Journey
Understanding how auditors view claims is vital. Units of Service (especially pharmacy) can be considered hot buttons to auditors. An auditor sees thousands of claims and develops a keen sense of medical necessity failures based on past experiences. One example is...
Journey
Does your hospital have a process to ensure that medication doses administered are correctly converted into billable units? This calculation is tricky. It involves the amount of the drug purchased, the dose administered, and the units of measure that are allowed as...
Journey
Are you struggling to identify the many sources of revenue risk throughout your hospital? Many are feeling data rich and information poor today – that is, until they gain clarity into what to do. To gain the visibility needed to reduce revenue risk, leaders are...
