Your Guide to Payment Integrity Strategies for 2023 and Beyond

Sponsored by
Zelis

How does your Payment Integrity program measure up? This industry report by Aite-Novarica establishes the benchmark for Payment Integrity and Cost Containment Solutions on the harmony journey. Intended for Payment Integrity executives to help identify program strengths and areas of opportunity, key insights include:

 

The shift to pre-pay and beyond lies on the horizon.

Provider abrasion remains a sticking point.

Medicare and Medicaid claims require automation.

Technology adoption is well underway, but plenty of manual processes remain.

The path to automated adjudication is long.

Current communication leaves room for improvement.

 

Helping to Ensure a Better Transplant Testing Journey: 3 Stages of Testing

Sponsored by
Quest Diagnostics

Each transplant recipient requires frequent monthly testing, both before their transplant and long after, resulting in a complex and lengthy testing journey. As the number of transplant recipients continues to increase and advancing science enables improved survival rates, this process will only get longer and more complex. Here we break down the journey by stages.

Inside: Understand what’s needed at each stage of the testing journey

  • Pre-transplant evaluation and pre-operative testing—from blood type to crossmatch testing
  • Post-operative monitoring—a timeline for infectious disease testing
  • Ongoing follow-up and care—the testing needed to support better long-term outcomes

Improving the Transplant Testing Process for Better Outcomes

Sponsored by
Quest Diagnostics

As more and more transplant operations continue to occur in the US, it’s imperative for health systems and transplant centers to find ways to further enhance the process. One way to do this is to streamline the transplant testing process so that it better aligns with clinical workflow. Collaborating with a reliable laboratory services provider that offers an end-to-end solution can help.

Inside: 3 ways to better align transplant testing with clinical workflow

  • Provide clinicians with access to all the tests their patients need by working with a lab services provider that offers extensive LIS/EMR connectivity
  • Enable expedited clinical-care decisions by collaborating with a lab services provider that has a nationwide footprint
  • Ensure testing adherence by making testing more accessible and convenient for patients and donors

Best Practices for Data Governance in Healthcare

Sponsored by
Syntellis

Healthcare organizations have spent years collecting huge amounts of data and struggling to use it to advance the mission. Leaders wonder whether data analytics, reporting, machine learning, or artificial intelligence designed for healthcare will unlock the secret insights hiding in billions of data points –   many learn the hard way that there is no silver bullet for leveraging data. 

The trick is a changed mindset. 

Leading hospitals and health systems are rethinking their approach to leveraging healthcare data and adopting a data governance mindset. Data governance includes guidance around the people, processes, and technologies involved in collecting and using data.  

Read the e-book to learn about data governance from healthcare leaders and experts, including how organizations:

  • remove data silos
  • collect the right information
  • share insights to improve operational and clinical performance

How-to Guide: Strategic Outsourcing During a Staffing Crisis

Sponsored by
Conifer Health Solutions

A shortage of clinicians isn't the only staffing issue hospitals are experiencing. Revenue cycle teams have also been impacted. According to one recent survey, 55% of healthcare finance leaders say they have a shortage of billing specialists and 42% said they have a shortage of patient follow-up staff.

While hiring more revenue cycle staff could help, that's increasingly not an option in today's highly competitive market. One solution to mitigate these challenges - strategically outsourcing the revenue cycle management.

Remote Monitoring of Heart Failure Patients

Sponsored by
Vizient

Exploring heart failure and the technology that powers remote monitoring for patients in advanced stages.

Heart failure is a nationwide problem that affects nearly six million people, and approximately 670,000 Americans are diagnosed with heart failure annually. Heart failure is a pervasive health issue – and a costly one. The most notable cost of heart failure is readmissions – a cost that can occur often for some patients. The good news is that combining traditional treatments with remote cardiac monitoring can help curb some of these costs and benefit both patients and clinicians.

Download this content to learn:

  • How to integrate technology into heart failure treatment plans
  • Clinical and financial benefits of implementing remote monitoring programs

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