Here are five articles published by Becker's Hospital Review this past week that offer insight on reviewing claims, ensuring revenue cycle efficiency and more.
1. 2 experts weigh in on revenue cycle efficiency in a shifting healthcare environment
As patient financial responsibility grows and value-based reimbursement models become the norm, efficient and effective revenue cycle management becomes increasingly vital to a healthcare organization's bottom line.
2. RCM tip of the day: Review claims midcycle and before sending to payer
Claim edits should be customized to each payer's requirements and formatting, and hospitals should update payer rules frequently, according to Rick Childs, vice president of revenue cycle management at Rome, Ga.-based Floyd Medical Center.
3. OIG: Rush University Medical Center overbilled Medicare by $10.2M
Rush University Medical Center in Chicago failed to comply with Medicare billing requirements for 57 of 120 inpatient and outpatient claims reviewed by HHS' Office of Inspector General, according to a recent OIG report.
4. Remedy Partners, PointClickCare partnership aims to improve data exchange for post-acute care facilities participating in bundled payment programs
A new partnership from Remedy Partners and PointClickCare aims to help acute and post-acute care providers participating in bundled payment programs with data exchange.
5. Thriving in a world of shrinking reimbursements — 3 healthcare thought leaders discuss
In a Nov. 14 session at the Becker's Hospital Review 6th Annual CEO + CFO Roundtable, Nov. 13 to Nov. 15 in Chicago, a panel of healthcare finance leaders gathered to discuss the changing reimbursement landscape as well as ways to thrive in it.