1. CMS delays major bundled payment initiatives: 6 things to know
CMS issued an interim final rule Monday that delays implementation of cardiac care bundled payment initiatives and expansion of the existing Comprehensive Care for Joint Replacement model.
2. 5 health systems with strong finances
A roundup of five health systems with strong operational metrics and solid financial positions according to recent reports from Fitch Ratings, Moody’s Investors Service and S&P Global Ratings.
3. Average claim denial rate for large hospitals, by region
Large hospitals — those with between 250 and 400 beds — in the Northern Plains have a higher average claim denial rate than large hospitals in any other U.S. geographic region, according to RelayHealth Financial’s Revenue Cycle Index.
4. 5 things to consider when embarking on a chargemaster review
As the overall pricing list for hospitals’ services and products, the chargemaster can potentially have a significant affect on an organization’s financial picture. When correct data is used, the chargemaster can help hospitals obtain appropriate reimbursement. However, if line items contain errors, hospitals could receive incorrect payments for care provided.
5. How hospitals, physicians and health systems can leverage advanced analytics to reduce claim denials, strengthen financial performance
Hospitals, physicians and health systems are operating in a challenging economic environment characterized by ever-changing payer contracts and increasingly complex payment models. To maintain fiscal strength, healthcare organizations must develop and implement an effective revenue cycle management strategy that includes a process to address the unnecessary revenue loss caused by insurance claim denials.
More articles on healthcare finance:
Mayo Clinic to give preference to privately insured over Medicaid, Medicare patients
How Partners HealthCare’s errors altered Medicare payments nationwide
Pathology lab files for bankruptcy after settling false billing suit
