Final Rule Released by HHS to Promote Interoperability
/ Posted in GeBBS Healthcare Solutions, Inc.Earlier this month, the Department of Health & Human Services released its final rule entitled the “21st Century Cures Act: Interoperability, Information Blocking and the ONC Health IT Certification Program.” The rule prohibits any activity that limits or inhibits the use, exchange or access of electronic health information (EHI). The 1,200+ page rule document outlines …
Could the Data Behind Your Denials Be the Key to Improving Your Revenue Cycle?
/ Posted in GeBBS Healthcare Solutions, Inc.Big data and its related technology solutions are making a major impact on industries all over the world – driving smart decisions, supporting shifts in strategy, and providing new insights never before uncovered. In an industry like healthcare where the adoption of technology is typically behind the curve or focused more on the patient care …
How Healthcare Organizations Are Preparing for COVID-19
/ Posted in GeBBS Healthcare Solutions, Inc.As if “routine” healthcare operations aren’t challenging enough – operating a major health system during a potential global pandemic like we’re seeing now with COVID-19 – is even more difficult. Organizations have to consider dozens of critical functions, including communicating with staff and key stakeholders, surge planning and preparedness, implementing screening criteria and policies, sourcing …
Why RCM is NOT a Back-Office Function
/ Posted in GeBBS Healthcare Solutions, Inc.As healthcare margins continue to shrink and payment reform continues at a snail’s pace, revenue cycle management teams may feel like the hospital’s entire future is dependent on their back-office efforts. Factors like increasing patient responsibility, a shift toward government managed care plans, the proliferation of narrow networks, and risk adjustment models are making it …
Are You RADV Audit Ready? Three Strategies to Get You There
/ Posted in GeBBS Healthcare Solutions, Inc.The Centers for Medicare and Medicaid Services (CMS) recently announced plans to ramp up its risk adjustment data validation (RADV) audit program in 2020 based on a recent study by the Office of Inspector General (OIG), which found potential issues related to Medicare Advantage Organizations (MAOs) using chart reviews to inappropriately increase risk adjusted payments. …
Concurrent Review for Risk Adjustment – Why “Cleaning As You Go” Works in Healthcare, Too
/ Posted in GeBBS Healthcare Solutions, Inc.If you’ve ever worked in a restaurant or commercial kitchen – you know one of the golden rules is to “Clean as You Go.” Employing a “Clean As You Go” policy is lauded not only for its efficiency, but also for its ability to reduce the risk of problems associated with health, safety and hygiene …
4 Ways to Align Clinical & Financial Teams for a Better Bottom Line
/ Posted in GeBBS Healthcare Solutions, Inc.Revenue cycle improvements are top of mind for most health systems – but how do you make meaningful strides in a fast-paced healthcare environment where everyone is doing the best they can with limited resources? While there are dozens of strategies that can have an impact, one of the top ways to make real, measurable …
EHR Access for Payers? How (and When!) to Cooperate
/ Posted in GeBBS Healthcare Solutions, Inc.In healthcare, safeguarding patients’ protected health information (PHI) is one of the most carefully followed rules, second only to behind “First, Do No Harm.” Hospitals, physician practices and providers understand their obligation to protect patients’ privacy at all costs. Much like any industry, the digitalization of health information has complicated the issues of privacy and …
What’s Up With HIM? Three Things to Know
/ Posted in GeBBS Healthcare Solutions, Inc.The new year has officially come and gone, and we’ve found our way back into the 20s. Fortunately, health information management has become more sophisticated (and complicated) than anyone who lived a century ago would have ever guessed. Now that we’re here, it’s time to buckle down and tackle the tough issues facing health information …
What’s Your 2020 RCM Strategy?
/ Posted in GeBBS Healthcare Solutions, Inc.Heading into 2020, having a sound revenue cycle management strategy (RCM) in place is a top priority for hospitals and healthcare organizations trying to navigate the ever-increasing world of healthcare payment. Most healthcare leaders recognize that chasing reimbursement is getting harder than ever. High deductible health plans (HDHP) are increasing the patient responsibility, so hospitals …