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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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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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Take your Patient Access operations to the next level!

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.

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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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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.

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Eyes in the Sky: Using Command Centers in Healthcare

Over the past several years leading healthcare organizations have been implementing command centers to manage capacity, improve operational efficiency, and reduce unnecessary length of stay.

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