Blog

  • Winning Revenue Cycle Strategies: Collections

    Collections, once considered the ultimate “back-end” process in a business office, is now firmly entrenched as a “best practice” at the front end of a high-functioning revenue cycle. Before the patient presents, perform a three-part financial clearance consisting of: Verification of active insurance coverage Confirmation of eligible benefits (if applicable to the services that will […]

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  • Value-Based Care and the 2016 CMS Physician Fee Schedule

    Depending on a hospital’s business model, a new exception to the Physician Self-Referral Update to the Medicare Physician Fee Schedule could prove a revenue-plus. The physician self-referral law, commonly referred to as the “Stark Law,” now establishes an exception to permit timeshare arrangements for the use of office space, equipment, personnel, items, supplies, and other services. […]

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  • The Culture of Patient Experience: “Building a High-Value Healthcare Delivery System” (Prezi)

    Follow this link to view the Prezi for my session on delivering value to the healthcare customer by building service into organizational culture, which was presented at the MGMA 2015 Annual Conference in Nashville, TN.

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  • The Culture of Patient Experience: “Building a High-Value Healthcare Delivery System” (PART 3 of 3)

    This is Part 3 in a series of three articles on the case for making patient experience central to company culture as a key strategy for building a high-value healthcare delivery system.  Part 1 describes patient experience in the context of delivering value to the healthcare customer and establishes the merits for making patient experience […]

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  • The Culture of Patient Experience: “Building a High-Value Healthcare Delivery System” (PART 2 of 3)

    This is Part 2 in a series of three articles on the case for making patient experience central to company culture as a key strategy for building a high-value healthcare delivery system.  Part 1 describes patient experience in the context of delivering value to the healthcare customer and establishes the merits for making patient experience […]

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  • The Culture of Patient Experience: “Building a High-Value Healthcare Delivery System” (PART 1 of 3)

    This is Part 1 in a series of three articles on the case for making patient experience central to company culture as a key strategy for building a high-value healthcare delivery system.  Part 1 describes patient experience in the context of delivering value to the healthcare customer and establishes the merits for making patient experience […]

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  • Beyond Usability: Health IT’s Quadruple Aim

    “The Four Must-Win Health IT Objectives of ACOs” When Dr. Donald Berwick and the Institute for Healthcare Improvement (“IHI”) launched the Triple Aim initiative in 2008, they envisioned a framework for optimizing health system performance by simultaneously focusing on the health of a population, the experience of care for individuals within that population, and the […]

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  • The Impact of Consumerism on Hospital Revenue Cycle Management

    The U.S. healthcare system has taken a dramatic turn in recent years, as patients increasingly bear more costs in the form of higher-deductible plans and bigger co-payments. As a result, hospitals and health systems are evolving their approaches to collecting self-payments from patients who, given the costs they are bearing, increasingly view themselves as consumers […]

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  • Healthcare Reform Implementation is Transforming Hospital Finance

    Hospital financial managers are sailing in heavy crosswinds amidst increasingly turbulent economic waters.  According to the American College of Healthcare Executives’ (“ACHE”) annual member survey of top issues confronting community hospitals, financial challenges again ranked number one on the list in 2014 – ahead of healthcare reform implementation, governmental mandates, patient safety and quality, care […]

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  • Four Choices for Physicians When Integrating with Hospitals

    Clinical and economic hospital-physician integration involves an agreement between a hospital (or health system) and physicians (or physician practices) to commit to creating value for the customer by delivering evidence-based care and improving quality, efficiency, and care coordination while minimizing costs. A successful hospital-physician integration – one that creates value – depends on physicians choosing the […]

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