Revenue Cycle and Finance departments put a great deal of effort and focus on improving industry standard metrics such as: A/R, CFB, ADR, Denial Rates, etc. Billions are spent every year on consulting and technology solutions to automate and improve [...]

If you have you have implemented an electronic health record (EHR) or are in the initial phases of adoption, have you considered optimization efforts in your planning? Many organizations struggle to find time for EHR optimization due to competing [...]

Whether your organization talks about reducing physician burnout, creating wellness, or optimizing the EHR for provider efficiency and satisfaction, meaningful work clusters around a few of the same critical areas, each relating in some way to the EHR, [...]

With increasing patient out-of-pocket liability, healthcare organizations are moving more collections efforts to pre-registration and point-of-service (POS). Starting these conversations early provides transparency for patients, increased overall [...]

Epic’s InBasket is a splendid communication platform; and unfortunately for many physicians, also a vault full of overdue tasks and unread messages.

Computer assisted coding (CAC) technology offers many opportunities for improvement of workflows and outcomes across your coding and clinical documentation improvement (CDI) operations. Beyond the typical productivity gains, have you outlined your [...]

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!

In our Coding Alignment Part 1 earlier this week, we outlined the considerations for beginning the process of integrating your facility and professional coding workstreams/departments from an operational perspective. Now we would like to focus on system [...]

As The Wilshire Group reflects on coding industry trends, there is certainly a common theme with coding department goals for this year: continued integrative work between facility and professional coding.  

Often when organizations are trying to decide what areas need the most help, they emphasize revenue gain opportunities first (i.e. missing charges, denials, etc). This usually means revenue acceleration opportunities like insurance follow-up (outstanding [...]