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HealthLeaders Media Finance - January 25, 2010 | Denials Bleed You: Four Ideas to Fix It
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Denials Bleed You: Four Ideas to Fix It
Karen Minich-Pourshadi, Senior Editor-Finance
We can all sympathize with the frustration a person feels when they are unjustifiably denied their medical coverage. From a CFO's perspective, claims denials are a daily occurrence, and they are made more frustrating when it means your hospital is bleeding hundreds of thousands of dollars annually. Here are the key components to getting your denials in order.
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January 25, 2010
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Editor's Picks
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How Wasteful is Your Care Delivery?
When presented with pay-for-performance metrics, clinical benchmarks, and other statistics about the care they provide, physicians typically react one of two ways: (1) they bristle at the notion of being measured and quantified to such extremes, or (2) they jump at the chance to find out how they measure up to their peers. When you're trying to eliminate wasteful care delivery, you're hoping for the latter reaction from your doctors. Find out how one health system is working to achieve that end and save money in the process.
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Episode-Based Payments: Finding A New Way to Pay for Quality Care
When looking for ways to pay for quality healthcare, we tend to look at two endpoints: fee-for-service and full capitation. So what's in between? Episode-based payments. Learn more about how these payments may work to improve quality care.
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Coakley's Failed Senate Bid: Four Lessons for Healthcare Marketers
There are lessons aplenty for marketing, advertising, and communications professionals from the Massachusetts U.S. Senate race that put Republican Scott Brown into the seat previously held by the late Ted Kennedy. Our Senior Marketing Editor Gienna Shaw fills you in on four of them.
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Finance Forum
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The Top 10 Mistakes in Setting Goals
For years healthcare leaders have been evaluated by means of a "Does Not Meet/Meets/Exceeds" scale. But a far more fair method is the use of a clear, objective, and weighted evaluation based on specific goal achievement, says contributor Bill Bielenda. However, initial implementation of this leader evaluation system can be challenging for some organizations. Here, Bielenda provides the top 10 most common mistakes made during the first year of rollout and how they can be handled.
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Finance Headlines
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The unfinished business of health reform: Lower costs, better care
WBUR.org - January 25, 2010
Good funds with big healthcare exposure
iStockAnalyst - January 25, 2010
Fair value: Eyes wide open
CFO - January 25, 2010
The bill for the Senate's bill
CFO - January 25, 2010
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Sponsored Headlines
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| From HealthLeaders Magazine |
Five Strategies that Prove Healthcare is Still a Growth Industry
Here is a review of growth opportunities that will increase revenue, decrease costs, or enhance services in the areas of leadership, finance, physicians, technology, health plans, quality, and outcomes.
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| Service Line Management |
The Sports Center
Famous athletes and big sports programs may be the public face of sports medicine, but at its core are local communities and, increasingly, the unconventional athlete.
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Money Talk
A look at one hospital's struggles to improve
Boston Medical Center, MA
Rating: Baa1
Outlook: Negative
Affected Debt: $245 million
Agency: Moody's Investors Service
Remarks: Downgraded from A3 based on significant cuts in supplemental state funding, which have resulted in the erosion of balance sheet measures.
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Audio Feature
Seattle Children's Hospital Builds Lean: An interview with Cindy Evans, vice president of ambulatory and regional services and medical specialties at Seattle Children's Hospital, looking at a creative, "Lean" approach to construction of an outpatient facility.
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