revenue-integrity

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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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Newsletter Jan 2019

 

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Coding Resources – Efficiencies Readily Available!

In a health care environment where everyone is looking for efficiencies to capitalize on, Wilshire finds Revenue Cycle opportunities that often go unrecognized. For example, it is common to see coders reworking accounts in workqueue’s (WQs) because build [...]

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Revenue Resolutions You Can Count On

With new CMS price transparency rules, the continued shift toward value-based reimbursement, and transition to a consumer-centric and highly digitalized healthcare experience taking center stage in 2019, we thought it would be nice to start the year off [...]

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Is there any low-hanging fruit left?

As soon as you’ve implemented an EHR, the conversation will undoubtedly turn towards optimization.  A 2017 study by KPMG in collaboration with CHIME reports that 38% of respondents ranked EMR/EHR optimization as their top choice for capital investments [...]

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How Much Money is Your OR Supply Program Throwing Away?

Today more than ever, technology is streamlining information and revenue flow in healthcare:

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Charge Reconciliation: A Long-Term Commitment

Performing Charge Reconciliation is critical for ensuring financial success and stability immediately following Go-Live, but it shouldn’t stop upon reaching an initial stabilization period.  Departmental Charge Reconciliation needs to become an [...]

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Ensure Financial Stability by Enhancing your Perioperative Program

See if this sounds familiar…your organization understands the importance of providing surgical services (65% of hospital revenue as generally reported[1]), and in fact, you cater to your surgeons and their requests. Strategic and IT initiatives that span [...]

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Mind the Gap: Bridging the Coder-Clinician Relationship for Gains

Here at The Wilshire Group, we take pride in bringing resources together and navigating multidisciplinary areas to achieve optimal workflow and revenue cycle results. Last week we provided some ideas around CDI (clinical documentation integrity), and [...]

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What’s the Hype?…Outpatient Clinical Documentation Integrity

In last week’s blog: Evaluation and Management (E/M) Essentials, we mentioned aligning coding educators with clinical build experts to support a foundation for accurate coding and charge capture success. Undoubtably, such an education and feedback [...]

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