This week's 5 must-reads for hospital RCM leaders

Here are five articles recently published by Becker's Hospital Review, covering stories about Medicare Advantage organizations, Medicare payments and more:

1. Medicare Advantage organizations overturned 75% of their denials, fed investigation shows
A recent investigation by the U.S. Office of Inspector General found between 2014 and 2016, Medicare Advantage organizations overturned 75 percent of their preauthorization and payment denials upon appeal.

2. RCM tip of the day: Know your allowable reimbursement
To ensure they receive accurate and complete reimbursement from commercial payers, hospitals should ensure they know the allowable reimbursement amount, said Tom Romeo, general manager of healthcare IT and Quanum Solutions at Quest Diagnostics.

3. 12 RCM service expansions
Here are 12 revenue cycle management service expansions involving healthcare vendors and providers implemented or announced in September.

4. Small-business owners say cost of healthcare is their No. 1 issue
Small businesses continue to struggle with rising healthcare costs, according to the National Small Business Association's 2018 Politics of Small Business Survey.

5. US Supreme Court to review Medicare payments ruling
The U.S. Supreme Court agreed to review an appeals court ruling that HHS improperly altered its methods for calculating Medicare payments in 2012, according to a Law360 report.  

 

More articles on healthcare finance:

Medicare Advantage organizations overturned 75% of their denials, fed investigation shows
RCM tip of the day: Know your allowable reimbursement
Georgia's efforts to end surprise medical bills: 4 notes

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