Five Areas to Focus on When Preparing for Value-Based Reimbursement

Date: October 23, 2018
Category: Revenue Cycle

In today’s quality-focused healthcare environment, more organizations and payers are expressing interest in value-based contracts. However, the trend does seem slow to gain traction for a variety of reasons: there are few existing programs to model contracts off of, contract negotiation can be difficult, CMS pilots are moving slowly (i.e., MIPS), and more. In fact, […]

Charting Value Analysis Expansion and Evolution

Date: October 19, 2018
Category: Supply Chain

The Supply Chain Academy’s Best Practice Report Preview In the context of broader cost containment efforts, healthcare organizations are identifying the supply chain and product optimization as opportunities for improvement. Specifically, standardization and value analysis are demonstrating the potential to save money and resources without reducing care quality or patient satisfaction, which makes them ideal […]

Pulse Check: Secret shopping is essential to understand and mitigate poor patient satisfaction scores from HCAHPS and Press Ganey

Are your HCAHPS scores, Press Ganey results, and other patient satisfaction indicators telling you that the patient experience is not living up to your organization’s mission, vision, and values? HCAHPS and Press Ganey are great for pointing out that a problem exists, but they fail to reveal the underlying reasons for the negative impressions. You […]

Proposed Immigration Rule Could Increase Uncompensated Care

Date: October 17, 2018
Category: Revenue Cycle

Health systems may need to prepare for an increase in uninsured immigrant patients—and thus uncompensated care—if a new proposal from the Department of Homeland Security is finalized. The agency issued a proposal on October 10 to have the types of public benefit usages the U.S. is allowed to consider in denying immigrants lawful permanent residence […]

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 […]