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. 

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

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, [...]

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 [...]

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 [...]

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.

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 [...]

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 [...]

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.

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.