US Staffing Crisis: Nurses in High Demand
Across the US, nursing shortages are close to reaching a critical level. A McKinsey survey from May 2021 reported that 22% of the nurse respondents suggested they were considering leaving their current positions driven by factors that have developed during the pandemic. To make a bad scenario even worse, over half of these nurses are […]
4 Ways to Prevent Disallowed Charges From Bundled Claims
For the past few years, Medicare has been testing out new ways to bundle claims. The goal of this bundled claim switch is to improve care and reduce costs. A few apparent benefits in the bundled claims model have already been tested. One is simplifying the billing process by instituting a single price for all […]
3 Things to Look for in a Revenue Integrity Partner
A revenue integrity partner is necessary for building a broader understanding of organizational claims processes and improvement opportunities. A strategic partner can help decrease time to revenue and reduce administrative costs. Finding and onboarding a partner for your revenue integrity program involve both time and resources, making it important to find the right fit from […]
The Importance of Client Success in Your Revenue Integrity Partner
Hospitals and health systems seek partnerships that provide solutions to improve revenue integrity. A partner that fosters client success is essential and allows you to manage your revenue cycle more effectively, creating a decreased time-to-money ratio. A sense of urgency, root cause analysis, subject matter expertise, open and consistent communication, and frequent reporting are all […]
The Importance of Technology Solutions From Your Revenue Integrity Partner
One of the most important elements in a revenue integrity partnership is technology. When considering engaging a revenue integrity partner or optimizing your current strategy, a commitment to technology will be an asset to the revenue integrity management teams. Healthcare has changed dramatically, even in the last decade, with greater access to technology. Technology enables […]
The Importance of Clinical Expertise in A Revenue Integrity Partner
When considering engaging a revenue integrity partner, it’s essential to focus on three main components: clinical expertise, the right technology, and proven client success. Clinical expertise is critical in solving clinical and coding review challenges. Look for these important qualifications when evaluating potential partners: A team of industry veteran nurses with multiple years of experience […]
Key Considerations for Outsourcing Your Revenue Cycle
Hospital systems could risk losing $122 billion in revenue by the end of 2021. The American Hospital Association commissioned a study to examine the effects of the COVID-19 pandemic on hospital revenue. They found that hospital revenue will likely continue declining throughout 2021 to make up for the increase in drug, labor, and supply expenses […]
3 Reports You Should Be Receiving from Your Denial Management Data
Imagine a scenario where $3MM+ in claims were denied in the first quarter of the year. However, through a thorough examination of the data in just three denial management data reports, your team is able to implement additional training for your team, review and adjust documentation for certain payers, and adjust the coding on specific services. […]
Denial Management Trends for 2021
Denial Management Trends for 2021 While medical necessity remained the number one type of denials in 2021, our team has seen three additional denial management trends emerge as significant sources of denials. If your hospital or health system is experiencing any of these denials, know that there are answers and ways to prevent them from […]
Clinical Expertise Overview [VIDEO]
A Strategic Partner With Clinical Expertise At Advent Health Partners, we consider ourselves a strategic partner that works as an extension of your team to provide client-specific appeal expertise, real-time reporting, and knowledgeable recommendations. What makes us unique is the diverse clinical expertise that makes us successful as subject matter experts: 95% of our nurses […]