Topics: Revenue Cycle Management, Surgical Charge Structure
Profit margins are shrinking for hospitals across the country. Bundled payment structures are on the rise, making it difficult to determine if reimbursement is accurate. Healthcare providers cannot afford to miss out on ...
MedCom Solutions has provided hundreds of chargemaster reviews for our clients for over 30+ years. In that time, there has been an accumulation of knowledge around hot spots where hospitals are prone to losing revenue if they ...
According to Morning Consult, one in five health care workers have quit their jobs since February 2020. When you pair that with the looming possibility of vaccine mandates, that 25% void can rapidly increase, some of the ...
The art of successfully negotiating payor contracts, is critical in navigating today’s healthcare environment of rising costs, increased regulatory scrutiny, and shrinking reimbursement rates and margins; and laying the ...
835 PAYMENT ANALYSIS: DIAGNOSTICS AND CHECKUPS So do you really know what you are being paid? That is the burning question for many health care executives and revenue cycle leaders. You’re seeing that magic number each month in ...
Updates to the Price Transparency of Hospital Standard Charges occur within the 2022 CMS Final Rule, but what does this mean for hospitals? If appropriately addressed, it could translate to an advantage. Highlights of the change ...
Synchronizing cultures, IT systems, employee staffing, and clinical care requires a monumental effort. Moreover, it absorbs 110% of everyone’s time. Aligning charges within multiple and different systems is many times left to a ...
Have you evaluated your third-party payor contracts lately? Do you have any contracts coming up on renewal? Have you compared payments across payors for consistency and adequacy relative to costs across service areas? Do you have ...
It is essential to prepare for upcoming changes to outpatient prospective payment systems and classification to the Inpatient-Only listing of services by assessing the procedures performed in your operating room along with its ...
The principle of transparency is a good thing for most businesses. It ensures that honesty and accuracy are paramount in the day-to-day dealings of a company. Hospital pricing transparency is a case in point. Our team at MedCom ...
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