Reimbursement & Regulations: E&M, Social Determinants of Health, Kickbacks

Return readers will be happy to hear that the CMS is delaying its changes to E&M payments. In the 2019 Medicare Physician Fee Schedule Final Rule, the CMS stated it will not be reducing E&M payments from five levels to two, but to three levels, and that it will not be doing it until 2021. […]

Rethinking the Check-In Process

Date: December 7, 2018
Category: Revenue Cycle

As organizations turn their attention inward to identify possible areas of the revenue cycle that can be updated or streamlined, one area that may be primed for improvements is the check-in process. While traditional check-in methods can be complicated for both patients and staff, many organizations are finding ways to harness technology to make the […]

Pulse Check: Maximizing Medicaid Expansion Benefits

Three more states voted in this previous election to expand Medicaid. Virginia will be going forward with Medicaid expansion on January 1, 2019. Though Medicaid reimburses you at a very low rate, they will pay more than most self-pay patients and the cost to collect is much lower. The payer mix shifting from uninsured to […]

Pulse Check: Teaching Staff the Big Picture

In the past few months, I have been hearing a lot about organizations wanting to train staff on how to effectively resolve claims, interact with patients, have financial discussions with patients, and give holistic revenue cycle training. While training and resources around these are very important, many organizations struggle to connect these training opportunities with […]

Key Considerations When Choosing and Installing an Infant Security System

By: Vakhulaa Parthasarathy
Date: November 23, 2018
Category: Supply Chain

Define Your Requirements Before shopping for systems, hospitals should review their existing infrastructure— including security systems, human resources, hardware and software support, technology devices, storage facilities, and IT services—to support a smooth integration of infant protection solution. Hospitals can form an interdisciplinary team of clinicians, safety representatives, nursing leadership, and educators to outline the facility’s […]

Pulse Check: HBI Takes PFS Onboarding to Higher Education Realm

HBI is proud to present a unique training opportunity for current and potential revenue cycle staff in the Los Angeles area. Offered through California State University Los Angeles and taught by real revenue cycle leaders at Cedars-Sinai, HBI created a semester-long curriculum that prepares students to work as a patient financial services representative in a […]

A Look Ahead: 3 Healthcare Quality Trends to Know for 2019

By: Sarah Williams
Date: November 20, 2018

The fourth quarter poses a challenging balancing act for all organizations: Leaders must simultaneously execute on current priorities while setting strategic focus areas for the year ahead. As 2018 draws to a close, HBI’s Cost & Quality Academy has been polling the membership community in order to identify pressing priorities for the year ahead. After […]

What Do the Midterms Mean for the Future of Medicaid Work Requirements?

By: Courtney Zott and Anna Miller
Date: November 20, 2018
Category: Market Events

A federal policy guidance document released by CMS in January 2018 showed states how to implement Medicaid work requirements, sparking a wave of proposals from Republican-led state legislatures to require certain enrollees to complete work or community engagement activities. Some states have already garnered federal approval, while others are waiting for authorization, though the results […]

Responding to Frequent Drug Shortages

Drug shortages continue to pose challenges for provider pharmacies in the final quarter of the year. While the causes for drug shortages can vary from natural disasters to voluntary recalls, one thing remains consistent: provider organizations need to have the ability to react to the inevitable shortages. Hospitals and health systems that are unable to […]