McKesson Reinventing Revenue Cycle Management For A Value-Based World

McKesson Reinventing Revenue Cycle Management for a Value-Based World

  • February 20, 2017

McKesson Health Solutions is showcasing its suite of new and revamped products at HIMSS17 in Orlando. McKesson has invested in a reinvention of revenue cycle management, from financial and clinical clearance to payment integrity and analytics in order to help the healthcare industry transition to a value-based world. Solutions, services, and new programs highlighting advancements and expertise across the provider reimbursement process will be on display at HIMSS17 at McKesson’s booth #3479, including: Analytics: Healthy Hospital is a new program that uses advanced analytics to help providers benchmark key revenue cycle metrics. Financial Clearance: RelayHealth Financial will be previewing an upcoming…

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McKesson Previews Early Version Of InterQual Auto Review At HIMSS17

McKesson Previews Early Version of InterQual Auto Review at HIMSS17

  • February 20, 2017

What was the "top story" at HIMSS17? McKesson Health Solutions' preview of InterQual AutoReview. Developed in partnership with the National Decision Support Company, InterQual AutoReview automates medical necessity reviews by directly accessing patient data from EHRs. This breakthrough integrates NDSC’s platform into InterQual’s technology, decision support engine, and evidence-based content to streamline medical reviews at the point of care. Read the article

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Reinventing Claims Management For The Value-Based Era

Reinventing Claims Management for the Value-Based Era

  • February 17, 2017

Claim denials sap the life out of providers, leading to lost or delayed revenue, wasted time, and tons of frustration. And it's only getting worse as providers switch to more complex value-based payment models. To reduce denials, provider organizations need to evolve from putting out fires one denial at a time to a systemic approach that blends claims management and denials management into a holistic process. Doing so can have a significant impact on any provider organization’s bottom line. Learn more in this new paper, Reinventing Claims Management for the Value-Based Era. Read now or download and read later

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Patient Access And Revenue Cycle Analytics–Perfect Together, Yet Often Ignored

Patient Access and Revenue Cycle Analytics–Perfect Together, Yet Often Ignored

  • February 17, 2017

Providers don't usually think of patient access and revenue cycle analytics as a pair, but when you bring them together to guide process improvements, it can lead to significant savings -- potentially millions of dollars for a single facility. Here are just a few areas you can improve by pairing these to crucial pieces of the revenue cycle puzzle: Secure timely reimbursement from insurers and patients Reduce claims denials by drilling down to root causes Identify front-end registration and eligibility issues Learn more in this new guide, Patient Access and Revenue Cycle Analytics–Perfect Together, Yet Often Ignored. Read now or download and…

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RelayHealth Financial Debuts Healthy Hospital Program To Help Hospitals Identify Opportunities To Speed Revenue

RelayHealth Financial Debuts Healthy Hospital Program to Help Hospitals Identify Opportunities to Speed Revenue

  • February 17, 2017

On Monday at HIMSS17 in Orlando, RelayHealth Financial will unveil its new Healthy Hospital Index, an online service that allows hospitals to conduct a confidential assessment of their revenue cycle performance. Now, instead of trying to gauge financial performance in a vacuum–with no visibility into relevant national and regional KPIs and trends–financial executives can use Healthy Hospital’s analytics to benchmark their organization’s performance against that of peers. By simply entering some details about their revenue cycle performance, a customized “revenue health index” is generated with a comparative ranking of their hospital’s financial well-being. These insights can then be used to…

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Reinventing Utilization Management To Bring Value To The Point Of Care

Reinventing Utilization Management to Bring Value to the Point of Care

  • February 17, 2017

It's time to bring utilization management into the 21st century. A more collaborative, automated UM model could create a bridge between the current system, where authorizations happen after care decisions, and real-time communication between payers and providers that provides immediate decisions at the point of care. That bridge is what we call an "exception-based utilization management model." New technology can help payers identify which providers are getting approvals, for which care events, and how often. Then, using that knowledge, most care events can be automatically authorized, letting the payer limit their focus to the outliers. And even then, many of those…

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Four Steps To Develop, Implement, And Operationalize A Bundled Payment Strategy

Four Steps to Develop, Implement, and Operationalize a Bundled Payment Strategy

  • February 17, 2017

Health plans and hospitals see bundled payment as the fastest growing value-based payment model. They predict that the model will account for 17% of reimbursements in the next five years. But where do you begin? Start with this four-step guide, Bundled Payment 101: A Guide to Getting Started Quickly. The steps include analyzing data to identify episodes of interests, defining quality and savings targets, creating a transparent collaboration between payers and providers, and pulling it all together with a cloud-based claims analytics tool. Read now or download and read later

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