4 Ways Utilization Management Staff Can Help Prevent Denials

Date: May 28, 2019
Category: Revenue Cycle

Medical necessity denials continue to be a pain point for revenue cycle leaders, so much so that HBI members reported medical necessity as one of the top three root causes in 2016, 2017, and 2018. While denials and appeals are typically housed within the revenue cycle, there are many other teams—including clinical staff, utilization review, […]

Announcing the 2018 HBI Revenue Cycle Award Winners

Date: May 27, 2019
Category: Revenue Cycle
Filed under: award, Revenue cycle, trend

We’re thrilled to announce that the winners of HBI’s 2018 Revenue Cycle Study and Awards survey are: Children’s Hospital of Philadelphia Nebraska Medicine Springhill Medical Center While all three have high-performing revenue cycles in common, they represent varied segments of the healthcare landscape. One is a nonprofit, pediatric health system in the East; another is […]

Proven Methods to Improve Door-to-Needle Times for Stroke Patients

Date: May 23, 2019

Accounting for about 133,000 deaths per year, stroke ranks fifth among all causes of death in the United States, according to the American Heart Association. This life-threatening condition occurs irrespective of age and can lead to serious long-term disabilities. With May being recognized as National Stroke Awareness month, it serves as a reminder to hospitals […]

Advancing to a Fully Integrated Supply Chain

Standardization and variation reduction are not supply chain issues alone. Nor is it an issue that can be fully addressed with a clinician and supply chain integration. For organizations to optimize their purchasing, every affected stakeholder needs to come together, add their perspective, and make decisions by consensus. But the logistics of pulling so many […]

3 Ways Epic Users Tackle Denials

Date: May 14, 2019
Category: Revenue Cycle
Filed under: appeals, denials, Epic

Earlier this year, HBI hosted a roundtable discussion on analyzing and managing denials. This topic is of constant interest in HBI’s membership community, but best practices often vary by organization. For example, geography and size can shape payer and patient mix, staffing structures, and available technology—ultimately steering how revenue cycle leaders choose to handle denials. […]

Becker’s Hospital Review Conference: Four Key Takeaways

Earlier this month, healthcare leaders from around the country gathered to participate in the 2nd Annual Becker’s Hospital Review Health IT, Clinical Leadership, and Pharmacy conference in Chicago. Over 170 speakers led sessions and discussed topics spanning from telehealth and AI to population health, burnout, and more. As an attendee representing HBI, I walked away […]

How to Strengthen Your Palliative Care Program & Reduce Related Costs

In the traditional healthcare model, preventive or curative treatment is emphasized initially, and comfort care only follows when those measures are no longer appropriate. However, palliative care is now being introduced much earlier in the process and is seen as a supplement to curative treatment, as research has underscored the many benefits of utilizing these […]

How Can I Advance Our Value Analysis Committee?

Date: April 17, 2019
Category: Supply Chain

Many hospitals and health systems have had long-standing value analysis committees in place for several years now. Traditionally, these committees often approved the purchase of new items based on price neutrality or savings. However, many value analysis committees are evolving past this model, finding it restrictive to introducing new technologies and ostracizing to clinicians. As […]

Spotlight on Alcohol Awareness Month

April 2019 marks the 32nd annual Alcohol Awareness Month, which was established by the National Council on Alcoholism and Drug Dependence in 1987. Each year, the observance carries a different theme, yet the purpose remains the same: to address alcoholism, raise public awareness of the illness, and educate individuals regarding prevention and treatment options. This […]