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Prior Auth – It’s Not Just for Commercial Payers Anymore

On July 1, a CMS rule requiring prior authorization for certain hospital outpatient procedures goes into effect. The rational for why CMS is instituting this change is summarized below.   

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Reduce Readmission Rates with Follow Up Appointments

Reducing hospital readmissions has been a longstanding goal for most health systems and the Hospital Readmissions Reduction Program (HRRP) formalized this goal by creating incentives (and penalties) for reducing readmissions for certain diagnosis. Now w [...]

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Touchless Patient Arrivals: A Path Forward While Social Distancing

While each health center is in varying stages of the COVID-19 battle, one underlying goal is on all our minds – how do we safely re-open our facilities to patients who need in-person care?

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COVID-19 Considerations for Revenue Cycle Leaders

COVID-19 continues to disrupt every aspect of the healthcare revenue cycle landscape and, as a leader, you need to maintain awareness of countless regulatory adjustments, but also the broader impact on your employees and patients. In the billing space [...]

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Virtual Huddle Boards - A Must-Have for Remote Teams

Have you recently found yourself with a partially or fully remote team? Are you looking for ways to engage and communicate with your team members? If so, virtual huddle boards may be the solution you are looking for. As a former Patient Access Director, [...]

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Looking Ahead - COVID-19 and the Impact to Patient Access Operations

COVID-19 seems to be bringing about day-to-day and even hour-to-hour changes to your operations as both best practices and regulations are adjusted. In Part One of our deep dive, we talked about best practices you can implement now to help you continue [...]

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COVID-19 Resources for Patient Access

A belated Happy Patient Access Week to all the Patient Access professionals working on the front lines of our healthcare system! Your work to facilitate patient communications, provide safe and efficient access to your organizations, and drive the [...]

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COVID-19 Revenue Cycle Best Practices and Considerations

As we all navigate uncharted waters with this unprecedented pandemic, we are working to identify best practices and considerations specific to the revenue cycle. While we continue to see variation around billing guidelines from payers, the following list [...]

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Video Visits: Quick Starter Guide

A point of pride for The Wilshire Group is sharing our lessons learned with the community at large – whether you are a present, past, prospective customer or a healthcare system working to adapt to the changes facing us all right now.While the darkness [...]

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Remote Worker Boom: How to Monitor Employee Productivity When Working from Home

It’s hard to overstate the disruption that our nation is experiencing from both personal and business standpoints. One of the most significant changes is the mass exodus of workers from the office to the home. Different employers have different [...]

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