Automation and similar technologies are increasingly prevalent in revenue integrity but understanding best practices and long-term implications is still a major challenge. While organizations are learning how to best leverage technology as they adopt it, it’s just as important that revenue integrity leaders understand what these technologies can and can’t do.
Unless Congress acts soon, Medicare payment for physicians will be chopped by 8.5% and a golden opportunity to reform prior authorization—a major administrative burden for physician practices—may slip away. The AMA is urging physicians to contact their legislators and let them know this is unfair, unacceptable and unsustainable.
Researchers at MedStar Health, Brigham and Women's Hospital, and the University of Utah found electronic health record (EHR) vendor misconduct may have led to widespread use of suboptimal products for more than 70,000 clinicians across the country, as published today in JAMA Health Forum.
Readily available electronic health record (EHR) data can be used to reliably identify readmission risk for children of all ages while they are still in the hospital, according to a study from Ann & Robert H. Lurie Children’s Hospital of Chicago published in the journal JAMA Network Open. The newly developed and validated tool will be key in efforts to reduce hospitalizations within 30 days of discharge, which also should help free up scarce pediatric hospital beds.
The AHA and seven other national hospital organizations today urged congressional leaders to waive the Statutory PAYGO sequester before yearend to prevent nearly $10 billion in estimated cuts next year to hospital providers in fee-for-service Medicare.