Reimbursement & Regulations: Emergency Plan, H&P, & Transplant Centers

Since the OIG only has two new Work Plan focuses this month, and because neither deal with hospital reimbursement on a broad level, this month I will only focus on a new Rule proposed by the CMS. On September 20, 2018 the CMS released a new proposed rule with the purpose of reducing more of […]

Pulse Check: Standardizing the Patient Experience

Recent work here at HBI has had me thinking about how detrimental it is to your organization when the patient experience is poor. My colleague Elisabeth Callahan has written in the past about the importance of giving the patient a good first impression. Our most recent webinar featured the work Hospital Sisters Health System did […]

Three Lessons You’ll Learn During HBI’s Price Transparency Roundtable

Date: October 8, 2018
Category: Revenue Cycle

Hospital prices have been coming under increased scrutiny amid rising patient consumerism and regulatory attention. Most recently, CMS issued a new regulation requiring providers to publicize standard charges online on January 1, 2019. In this climate of transparency, organizations’ strategies for informing patients of their care costs are more important than ever. Leaders from University […]

Pulse Check: Empower Your Employees through Customer Service Training

We usually think of restaurants or retail stores when we think of people providing customer service. Servers and store clerks try their hardest to accommodate the needs and wishes of their customers, making modifications to orders and fulfilling special requests, all while remaining cheerful, unflappable, and seemingly happy to serve the customer. I, myself, come […]

All You Need to Know About FY 2019 ICD-10 CM and PCS

By: Gaganpreet Sachdev
Date: October 1, 2018
Category: Revenue Cycle

Under an annual ICD-10 code update that takes effect today, coders, providers, payers, auditors, educators, and consultants will be expected to familiarize themselves with 616 ICD-10-PCS and 473 ICD-10-CM changes. CMS and the National Center for Health Statistics periodically update the ICD-10 classification systems. These agencies are constantly working to specify the unspecified codes, update […]

Severe Maternal Morbidity: Trends and Solutions

By: Vyshnavi Manda
Date: September 27, 2018

Women in the United States are becoming injured in childbirth at rising rates that far outpace other developed countries. This occurrence, called severe maternal morbidity, refers to unexpected outcomes of labor and delivery (like hemorrhage) that lead to short- or long-term consequences for women’s health. To address this public health issue, it is important for […]

Pulse Check: Reduce High Self-Pay Accounts Receivable

In one of our recent engagements with an organization our analysis determined that the organization had a large volume of highly-aged self-pay accounts. Based on further analysis, their self-pay vendor and bad debt vendor reflected collection rates in line with HBI’s latest benchmarks. In addition, we took a look at the hospital’s charity care which […]

Researchers Assess Reprocessing Practice Efficacy for Endoscopes

Date: September 25, 2018
Category: Revenue Cycle

According to the CDC, healthcare-acquired infections affect 5-10% of the patient population, resulting in approximately 100,000 deaths and generating nearly $20 billion in healthcare costs per year. One potential vector for infectants is exploratory scopes. Total rates of scope-related infections are not well documented, but, in January 2016, according to FDA’s Manufacturer and User Facility […]

The Ideal Revenue Cycle Leader: Top 5 Qualities

By: Jerica L Hopkins
Date: September 25, 2018
Category: Revenue Cycle

In the past several years, revenue cycle leaders—from supervisors and managers, to directors and C-suite executives—have seen their oversight expand in a number of ways, necessitating that their knowledge base, staff, and skills expand with it. Whether overseeing new care settings- or new positions, leaders may no longer have a tenured, ground-up experience in all […]