Preventing Clinical Denials When Subjective Decision-Making is the Cause
Sponsored by
Aspirion
May 19, 2022
Everyone is talking and reading about the challenges associated with clinical denials. We all know something needs to be done about it—but how to best address these challenges is where the fuzziness comes into play.
Getting a handle on clinical denials can be difficult for any healthcare organization as subjective decision-making is at the heart of these denials. After all, the clinical judgment behind those denials is truly subjective.
So, how do you find the root cause of the denial when it comes to subjective decision-making?
This white paper explores:
Why subjective decision-making is the biggest challenge hospitals face in preventing clinical denials on both the provider and payer side,
The seven categories of objective data in subjective decision-making, and
Root cause analysis questions to help identify the causal factors of clinical denials.
Case Study: Helping Hospitals Maximize Funding Where It’s Needed
Sponsored by
Community Hospital Corporation
May 18, 2022
Faced with higher costs in operating internet and telecom systems in rural areas, it was imperative that CommonSpirit receive as much as possible in USAC funding to help with those costs.
Paying for these services has long been a frustration for rural healthcare providers because they typically face significantly greater expenses and obstacles to broadband access compared to their urban counterparts.
Read the Case Study on how maximizing funding is essential to the success of hospitals and health systems!
Pennsylvania Hospital Leans on Change Healthcare for Nurse Triage Services During the Pandemic
Sponsored by
Change Healthcare
May 18, 2022
Calls to a COVID-19 hotline launched early in the pandemic were overwhelming internal staff, and concerns were increasing about the sustainability of Grand View’s COVID-19 population health strategy.
Change Healthcare quickly stood up a dedicated registered nurse triage team to handle more than 4,000 hotline calls per month.
The RNs provided guidance around COVID-19 symptoms, testing, quarantine, and treatment, and were later responsible for scheduling all of the health system’s COVID-19 vaccinations.
6 Signs You Could Benefit from Augmenting or Outsourcing Revenue Cycle Functions
Sponsored by
Change Healthcare
May 18, 2022
With the shift to value-based care, healthcare providers are under increasing pressure to improve quality of care while dealing with declining reimbursement, higher risk, and tighter margins.
Hospitals, health systems, and physician practices of all sizes are being forced to reexamine their business strategies and design new rules of engagement with patients, staff, payers, and partners. There are many indications that it may be time to outsource revenue cycle management. Some are clear-cut; others may be less obvious.
This guide highlights six signs healthcare executives should notice to protect and improve their organizations’ financial outcomes and patient satisfaction rankings.
Patient Payments: Best Practices for a Changing Landscape
Sponsored by
Phreesia
May 16, 2022
Today, patients’ out-of-pocket responsibility is determining a larger percentage of provider revenue than ever before. And with reimbursement challenges growing, healthcare organizations are facing new realities about how to maximize profitability in a changing landscape.
The takeaway? There has never been a more important time to prioritize patient payments.
This whitepaper outlines the best practices and strategies to improve payment processes, increase front-end collections and give patients the modern, convenient financial experience they expect.
Your Third Workforce: The Benefits of Building a Flexible Float Pool
Sponsored by
CareRev
May 15, 2022
Your healthcare facility’s core staff is precious, and building out that team takes time. But when you need help right away, you need a flexible go-to addition: a float pool. When you build flexible nursing float pools from a diverse mix of clinicians, you'll be well prepared to staff your facility in a cost-effective manner.
Nurse float pools are economical, sustainable, and invaluable. Here’s how to build a flexible float pool with employees and per-diem clinicians.