Doing More with Less, The Value of Automated Claims Status Reporting

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Automating claims statusing takes the manual and tedious and helps focus precious resources on claims that matter. Still, it’s not just THE solution to transform hospital business offices. It’s A sophisticated tool forward-thinking hospitals should have in their business office tool kit, to maximize productivity and achieve the revenue cycle results necessary to continue to offer excellent healthcare.

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Predictive Analytics Strengthen Readmission Risk Models by Defining Socio-demographic and Behavioral Attributes of Patient Populations

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Predictive analytics can enhance the numerous readmission risk tools being used by healthcare providers by delivering actionable insight into the hands of the clinicians responsible for mitigating post-discharge failures.

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Population Health Initiatives Need to Take a More Holistic Approach

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The ability to approach population health initiatives requires a holistic view of individual patients, the context of their community environment and the barriers that prevent access to resources. Continued, “siloed” use of claims and clinical data without socio-demographic and behavioral insight to define targeted patient populations will only provide a superficial view of those in need of strategic interventions.

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Do you have what it takes for successful patient engagement?

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Never before has engaging patients been so critical to the growth and sustainability of healthcare providers and organizations. Whether the goal of patient engagement is to manage the health of a population, maximize patient satisfaction and loyalty, or transition to value-based care, providers cannot underestimate the power of actively identifying socio-demographic attributes of their patient populations.

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10 Things to Consider When Evaluating Propensity to Pay Scoring Solutions

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The continued increase in revenue from self-pay as a percentage of total net patient revenue is forcing business offices to look for new and smarter ways to prioritize accounts and engage patients in the collection process. A common approach, often referred to as “propensity-to-pay,” involves scoring accounts based on their likelihood to pay. But not…

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Case Managers are Partnering with Patients for Better Care

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While the week of October 11th through the 17th is a great opportunity to celebrate the contributions case managers make in healthcare delivery, it is also important to stress the valuable position case managers have in the lives of patients and families through partnership.

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The 2015 Employer Health Benefits Survey – What It Means For The Revenue Cycle

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Consumer health costs are increasing faster than income while patients continue to be responsible for an even larger share of their healthcare bills. This shift in patient responsibility is having a material impact on provider cash collection that will require new strategies to improve revenue cycle performance.

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The Laborious Task of Vendor Management

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Hospitals and health systems have begun contracting with more and more collection agencies and other vendors to cope with a growing list of revenue cycle challenges. Still others would like to employ more (or change existing) agencies but for the effort associated with vendor selection, file integration, and performance monitoring and management. These and other labor-intensive processes can benefit from a vendor management platform that increases visibility, collaboration, and control over your outsourced relationships.

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A Credit Score Caution

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A Common approach to prioritizing self-pay collection efforts borrows from the claims collection process – focusing resources first on high-balance accounts. But many high-balance accounts are less likely to pay and require more effort to resolve than low-balance accounts. This has led some organizations to begin using “propensity-to-pay” scores as a way of prioritizing resources and making smarter decisions about how to collect from patients. The most common propensity-to-pay scores are calculated using credit bureau data. This approach has significant downside that providers should consider.

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