Two Key RCM Drivers for 2020
/ Posted in Gebbs HealthcareLooking ahead to 2020, it’s safe to assume that most hospitals and health systems will continue to focus on improving their revenue cycle – after all, it’s the only way to survive in a rapidly-consolidating market where margins continue to shrink. While most systems have been working on this for years, the industry continues to …
Five Ways to Think Differently About RCM
/ Posted in Gebbs HealthcareImproving your revenue cycle in an era of healthcare reform isn’t easy – but it’s the only way to survive as margins continue to shrink. Looking within your organization for ways to mitigate lost revenue and decrease leakage can lead to greater financial performance. Today’s savvy health systems are thinking creatively about ways to enhance …
Top 4 Reasons Your Revenue Cycle is Probably Struggling (and What to Do About It…)
/ Posted in Gebbs HealthcareHospitals have historically operated with fairly lean profit margins, but what happens when those margins continue to shrink? Everyone knows healthcare reform is critical to the future of US hospitals but getting there is proving to be more difficult than many experts anticipated. Straddling the line between fee-for-service models of care and the shift to …
Hospitals, Are Your Acquired Practices’ Coding Practices Up to Code?
/ Posted in Gebbs HealthcareHospitals are acquiring physician practices left and right – with consolidation increasing exponentially over the past decade. In fact, in just the four years between 2012 and 2016, there was a 63 percent increase in the percentage of hospital-employed physicians, in addition to thousands of practice acquisitions. Most of this consolidation is due to the …
Reducing Administrative Burden – Hospitals’ Wish List for CMS
/ Posted in Gebbs HealthcareU.S. hospitals have a long list of requests for CMS in helping to reduce administrative burdens that make it difficult for healthcare organizations to maintain profitability during a time of healthcare reform. Earlier this summer, CMS issued a request for information from stakeholders as part of its Patients Over Paperwork project. Looking for input on …
Computer Assisted Coding (CAC) Catches On, Delivering ROI & High Marks for Customer Satisfaction
/ Posted in Gebbs HealthcareAccording to KLAS Research, a leading healthcare IT data and insights company, 94 percent of users who have invested in computer assisted coding would buy it again if given the choice. Based on a research study published in late August, hospitals and health systems are really now starting to realize the many benefits of computer …
Value-Based Care – It Starts and Ends With Documentation
/ Posted in Gebbs HealthcareWe’ve all heard the adage – when it comes to healthcare, if it wasn’t documented, it wasn’t done. This couldn’t be more true when it comes to value-based care – particularly as it relates to the Centers for Medicare & Medicaid Services risk adjustment program. This innovative program offers higher payments to providers who deliver …
Successfully Managing DRG Mismatches
/ Posted in Gebbs HealthcareThe old saying says it best – two heads are better than one. That’s the crux of DRG reconciliation – the process whereby an organization compares the diagnosis-related group (DRG) code identified by clinical documentation improvement (CDI) teams with the DRG code applied by coding staff to identify discrepancies. While clinical documentation improvement (CDI) and …
Revenue Cycle Management- An Interdisciplinary Approach
/ Posted in Gebbs HealthcareIn healthcare, providers at the bedside know the care team goes far beyond the nurse and doctor. Delivering the highest quality care requires an interdisciplinary model where experts are called on as needed, information is shared, collaboration and continuous performance improvement are part of the process. Much like a patient’s care team, there are many …
Three True Realities of CAC
/ Posted in Gebbs HealthcareComputer-assisted coding (CAC) has been around since before ICD-10 was introduced – and was developed approximately 15 years ago as a tool to enhance manual coding processes with many promises of grandeur. Today, it’s a growing and emerging market – estimated to reach $4.1 billion globally by 2025, but the realities of what CAC can …