EM/HM Integration, Improved Communication Drops Hospital Readmission Rates by 55 Percent
Envision Physician Services
October 24, 2019
Integrating emergency medicine (EM) and hospital medicine (HM) services promotes collaboration and engagement between disciplines. Within an integrated EM/HM model, EM clinicians and hospitalists share accountability for streamlining admissions processes and achieving lower average length of stay, reduced readmissions and improved patient experience.
At one Central California hospital, readmission rates exceeded the CMS Quality benchmark stipulated by the Affordable Care Act, resulting in a near 1.5 million dollar potential revenue loss from Medicare reimbursements in 2017. This facility sought the help of Envision Physician Services to address the source of these excessive readmission rates and create a solution to avoid Medicare penalties.
With Envision’s integrated EM/HM care model, the hospital reduced its 30-day readmission rate from 11.69 percent to 5.21 percent, ultimately avoiding 1.5 million dollars in revenue loss from Medicare reimbursements and creating a more patient-centric care model.
Charge Capture: Is it the Weak Link in Your Revenue Cycle?
October 21, 2019
The lack of a robust charge-capture program can have a significant impact on your bottom line. Many organizations neglect to focus on this aspect of the coding and billing process because claims are being submitted and paid. But overlooking missed, incorrect, and inconsistent charges is akin to leaving money on the table.
Read this whitepaper to determine the obstacles to successful charge capture, assess the strength of your charge capture program, and learn best practices for appropriately capturing all the charges for the services you’ve provided.
ED Optimization: Avoid Unnecessary Utilization, Reduce Costs, and Transform Patient Care
October 21, 2019
Annual emergency department (ED) visits in the US reached 145.6 million in 2016, a 20 percent increase in just ten years. By addressing utilization rates and optimizing workflows, emergency departments can increase throughput, improve efficiency, and avoid preventable visits and admissions—ultimately saving on care costs and increasing revenue while providing better quality care.
Learn how providers across the country are reducing ED utilization up to 81 percent by:
Coordinating with behavioral health programs to reduce ED utilization by behavioral health patients
Redirecting low-acuity 911 calls to more appropriate providers
Collaborating care for patients with SUD and tracking opioid misuse
How Telehealth Triage Evolved into the Nation’s Largest Pediatric Telehealth Program
October 8, 2019
Pediatric Associates, the largest privately-owned primary care pediatric practice in the country, cares for more than 500,000 patients—55% of whom are in risk-based contracts under Managed Medicaid.
The organization found that many of its patients were utilizing the emergency department for low-acuity conditions that could be better treated either in a primary care office or through telehealth. In this case study, Pediatric Associates discusses how the organization integrated telehealth into its triage line to divert unnecessary care from the ED and improve access.
Read the case study to learn how Pediatric Associates:
66% of consumers are willing to use telehealth, and 8% have tried it
Uses telehealth to decrease patient wait times by 75%
Reduced ER use by 60% among high ER utilizers for low-acuity conditions
Expanded beyond its triage line to care for pediatric patients across Florida
Three Revenue Cycle Strategies to Improve your Bottom Line: An Interactive e-Book
October 1, 2019
With today’s increasingly complex health system challenges, sustainability depends on taking a fresh look at opportunities for innovation, revenue improvement, growth and cost reduction.
More physician groups than ever are discovering the advantages of selectively leveraging industry experts to immediately innovate, enhance and scale revenue cycle operations for more predictable and efficient outcomes.
Organizations must lead on quality care delivery while finding a strategic operating partner that can take on financial risk, deliver optimal practice performance, align trading partners and ultimately help them thrive in this new economic era.
This e-book explores opportunities for building strategic outsourcing partnerships that immediately enable physician groups to focus on quality care delivery while mitigating financial risk and expanding opportunities for patient engagement.