Posts by Matt Perron

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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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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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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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Pricing Transparency: Your questions answered by TWG

Our blog post this week focuses on the recent executive order on pricing transparency. Two of our experts, Andrew Wade and Matt Perron, ask each other a few questions on what this could mean for healthcare organizations and what they could be doing to [...]

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Introducing the Registration and Authorization Quality Quick HIT

In our March Newsletter, the Wilshire Group introduced Quick HITS – short term, focused projects designed to maximize your ROI. We are happy to announce our first patient access focused project, Registration and Authorization Quality!

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The Hierarchy to High-Quality Registration

We all know that quality registration forms the bedrock for a high-quality revenue cycle.

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Data Filing and Dollar Collection: How to enhance your front-end payment collection process

Two weeks ago, we discussed general RTE optimization with Epic. Today, we will be doing a deeper dive into RTE and how it can impact front-end payment collection.

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Optimizing Real Time Eligibility with Epic

Many errors in the revenue cycle can be attributed to not selecting the appropriate insurance plan during registration. One recent presentation at the annual NAHAM conference cited that 20% of registration-related denials were due to coverage and Real [...]

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Introducing our new Patient Access Services Division!

The Wilshire Group is proud to announce our Patient Access Services Division. We bring 20+ years of Patient Access IT, operational, and consulting experience and specialize in helping clients get the most out of Epic and their front-end processes.

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