Theresa Brandon, Managing Director, Novia Strategies: Maximizing revenue requires a collaborative effort throughout the hospital. If your organization doesn’t currently have a multidisciplinary team working together to reduce the root cause of denials, consider forming one. Include members of case management, utilization review, CDI/HIM, finance and a physician advisor. Ad hoc members, such as social workers or contract staff, should be included when appropriate. Conduct meetings on a regular basis and stay focused on identifying behavioral changes, such as robust clinical documentation, adherence to clinical protocols and maximizing technology to prevent the occurrence, rather than collection, of unpaid reimbursement.
If you would like to share your RCM best practices, please email Carrie Pallardy at cpallardy@beckershealthcare.com to be featured in the “RCM tip of the day” series.
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