The Wilshire Group Blog

An incredible amount in our daily lives has changed in the last few weeks as the country ramps up social distancing to slow the spread of COVID-19. Our clients’ daily lives are also rapidly changing to meet the demands of the pandemic. Whether it’s [...]

In today’s word of shrinking reimbursement and consumer driven healthcare, having a top performing Patient Access operation to attract patients, keep them in system, and ensure you are paid for all services provided is more important than ever.

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 [...]

Perspective 

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 [...]

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 [...]

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.

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 [...]

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.

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 [...]