The Wilshire Group Blog

Home | The Wilshire Group Blog

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 [...]

Read More

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.

Read More

Has your EHR “ghosted” your revenue?: A scary Halloween Revenue Integrity tale

Most providers, hospitals, systems, and physician practices have long implemented Electronic Health Records (EHRs). In conjunction with myriad clinical modules, revenue cycle modules have also been installed covering patient access, charging, coding, and [...]

Read More

Scanning....but without paper?

Since the dawn of the EMR (or at least for the last 15 years), there have been equal parts dismay and disbelief over the amount of paper generated during a patient’s admission for a customer fully live on an EMR system.  

Read More

Patient Flow Epic Gold Stars: Are you a patient flow all-star?

The people, processes, and technology driving admission, transport, environmental services, and discharge workflows have huge impacts on the efficiency and quality of your hospital operations.

Read More

Professional Billing Insurance Follow-Up(date)

In the August 2019 version release, Epic introduced a major update to the way insurance follow-up is worked in professional billing. For those of you not familiar with Epic release notes or the intricacies of professional billing, this is big (Harry [...]

Read More

To CAC, or not to CAC?  -  That is the question.

As the current healthcare industry hot topic continues to be use of AI in multiple applications and arenas - I can't help but look at Computer Assisted Coding as the system "toe" that was dipped into the water for testing the temperature. The base NLP [...]

Read More

Reshaping the user design for providers

We enjoy the intuitive way we interact with technology daily, the apps on our phones are presented in an elegant manner that weaves our “clicks” into workflows so seamlessly that we don’t register an intrusion. The methodology behind these apps is known [...]

Read More

Finding myself (and the surprising similarities to finding missing revenue)

10 out of 10 would recommend. Painful. Enlightening. Long. Best decision of my life. Exhausting. Beautiful. Did I say painful? These are just a handful of statements I have used over the past 16 months when answering the question “how was it?” Like all [...]

Read More

5 Strategies to Elevate your Payment Posting Department

Payment Posting may not be a on leadership’s radar for an area of concern/improvement, but it can routinely be a source of trouble. Inappropriate adjustments and denials can stack up by the thousands in a matter of days, and usually requires lengthy [...]

Read More