Proper Reimbursement Payer Policies [Webinar]
When aiming to ensure proper reimbursement for your hospital or health system, many variables are involved to continually refine payer policies to individual chargemasters. In this webinar recorded in partnership with HFMA Region 9, Deborah Horne, Advent Health Partners’ Vice President of Clinical Operations, discusses the current challenges in receiving reimbursement. She walks through a case […]
Effective Medical Necessity & Clinical Reviews Amid the Nursing Shortage
The US is currently experiencing a significant nursing shortage, and it unfortunately isn’t expected to end anytime soon. Since the start of the COVID-19 pandemic, our country’s nurses have demonstrated their dedication and heroism, highlighted in countless news stories and social media movements. Nurses are critical to our healthcare system and comprise the most extensive […]
Medication Cost Discrepancies in Healthcare Bill Audits & Reviews
Drug costs have steadily risen in the United States since the 1980s. Payers are spending upwards of $2 billion on prescription drugs every year, and pharmaceutical billing is becoming more and more important as the price of prescription drugs rises. In the past three years, half of all drugs covered by Medicare have increased above […]
Staff Reallocation Amid a Staffing Crisis
Registered nurses perform several jobs throughout a hospital system, most commonly patient care and coding/billing procedures. So, when a hospital starts losing its nursing staff, several critical departments start lacking needed attention. Hospitals are more likely to reallocate their remaining nurses to patient care instead of denial management because patient satisfaction is one of the […]
Understanding the Cost of Nurse Turnover
Hospitals and their nurses are still feeling the shockwave effects from the height of the COVID pandemic, specifically the increased nurse turnover rate. In 2020 and 2021, many nurses retired or left the profession to pursue different careers, and the nation was left with an influx of COVID patients and a shortage of nurses. Other […]
Advent Health Partners is Great Place to Work Certified!
Advent Health Partners is proud to announce that we have been Certified™ by Great Place to Work®. 96% of our employees reported Advent as a great place to work – 39 percentage points over the typical US based company. Let’s break down some of the findings: 99% reported that they feel like the work they […]
Pre-bill Review Advantages for your Denial Management System
The Rise of Denials According to Fierce Healthcare, hospital denial rates were climbing prior to the COVID-19 pandemic, but they reached new heights as hospitals had to counter the new public health emergency. Harmony Healthcare conducted a study and received responses from 130 respondents. One-third of hospitals who responded to their poll said their hospitals […]
Women’s History Month 2022
Women’s history celebrations started in 1978 in Santa Rosa, California. The Education Task Force of the Sonoma County Commission on the Status of Women put on a week’s worth of events celebrating women’s history. Soon after, lobbyists, including the National Women’s History Project (now the National Women’s History Alliance), pushed for Women’s History Week to […]
Six Common Claim Denial Causes for Hospitals
Medical Billing Reform Since 2008, the American Medical Association (AMA) has taken the lead to bring reform to the medical billing and payment system. Even amidst the COVID-19 pandemic, the AMA played a crucial role in shaping the federal response to the omnibus legislative package in December 2020. While healthcare organizations may still end up with a denial […]
Black History Month: Community Resources
At Advent Health Partners, we want to encourage community education. We have compiled a list of local (Nashville, TN) resources where community members can gather and recognize black history month. The National Museum of African American Music – Explore various genres and the integrated history African Americans played in American music. The museum offers interactive […]