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Enhancing Transitional Care Management Charging

Numerous studies reflect that, when done properly, Transitional Care Management (TCM) decreases readmissions and mortality; as well as healthcare costs overall. Not surprisingly, our clients are, to varying degrees, all striving to refine their processes [...]

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Deficiency Tracking Optimization and Unsigned Orders Case Study

Perspective 

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Five keys to fixing your Epic upgrade approach

No matter what electronic health record system you are on, if you work in healthcare, you’ve likely experienced an “upgrade” at one time or another. And while these upgrades are not complex when compared to a new EHR implementation, organizations [...]

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HIM! - Building blocks that affect your Revenue Cycle

As we all ring in the new year and decade, there are plenty of “old” concepts to still pay attention to! I’m talking about the basics of Health Information Management (HIM) – the body of knowledge and operations that is primarily known to live [...]

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Happy New Year from TWG!

We hope you have a fantastic and safe time celebrating the start of the new year (and a new decade) this evening, but before we take a look ahead at what is to come in 2020, let’s take a step back and reflect on all that has happened over the past year.

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Happy Holidays!

Happy Holidays from The Wilshire Group!We hope you all have a wonderful and safe holiday season, and we are excited to work with you in 2020.And as we always say, may your charges post timely, your claims bill cleanly, and your payments post quickly.Have [...]

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Giving the gift of manageable IT ticket volumes

In one form or another, each organization has a way of managing their shared issues list between operations and their technology team. Typically, this “management” is embedded in an IT service management solution such as Cherwell, JIRA, or Service Now.

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Pricing Transparency: We’ve Got Your Road Map for 2020

It’s that magical time of year when we receive our annual gift from Medicare with the Hospital Outpatient Prospective Payment System (OPPS) final rule. Pricing Transparency is a focus yet again and is the gift that keeps on giving. A link to the final [...]

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Convert Your No-Show Problem Into a Patient-Friendly Opportunity

The physician scans her schedule for the day and sees a name she recognizes – Ms. X, the “Chronic No Show-er”. Every clinic has them. Names and patients they know by heart due to the number of times these patients have missed their appointments. It’s [...]

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Reconciling your revenue reconciliation processes

Departmental Revenue Reconciliation is arguably one of the most important initiatives of Revenue Readiness and long-term organizational financial success.

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