Ten Steps To Reduce Denials, Win More  Appeals, And Improve Hospital Performance

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

  • June 24, 2016

Providers face tremendous pressure to reduce denials. Although many issues can lead to denials, there’s one area that denial management programs can easily overlook: issues related to medical necessity. This white paper focuses on 10 gaps that can cause medical necessity denials and how to address them, from beefing up emergency department case management to improving level of care management. Read now or download and read later

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Journey To Value: The State Of Value-Based Reimbursement In 2016

Journey to Value: The State of Value-Based Reimbursement in 2016

  • June 13, 2016

There's no turning back from value-based care and value-based reimbursement. Payers are 58% along the continuum to VBR, up from 48% in 2014. And Providers are now 50% down the road to value. That's according to a national study of 465 payers and hospitals conducted by ORC International and commissioned by McKesson. Yet despite tremendous growth in capitation/global payments, pay for performance, and episode of care/bundled payments, many payers and providers still face obstacles in the transition to value-based care. See where healthcare stands in its journey to value and what it means for the industry in Journey to Value: The State…

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Five Strategies For Maintaining Healthy Revenue During An EMR Transition

Five Strategies for Maintaining Healthy Revenue During An EMR Transition

  • February 29, 2016

One of the biggest mistakes when transitioning to EMR is not treating clinical and financial systems as inseparable. That costs providers millions, even tens of millions, in revenue lost or delayed. Follow the five strategies in this white paper to ensure your organization's revenue doesn't take a big hit during your next EMR transition. Read now or download and read later

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Beware The EHR “Ripple Effect”

Beware the EHR “Ripple Effect”

  • February 29, 2016

When implementing new EHR systems, finance departments often see an increase in accounts receivable days and claim denials, and as a result, a dip in cash flow. This "ripple effect" is a potential pitfall when moving to a new EHR. This white paper documents five steps providers can take when gearing up for and implementing a new EHR system. Read now or download and read later

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Getting In Front Of The Problem: How Can Hospitals Empower Denial Prevention And Management?

Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management?

  • November 22, 2015

Claim denials are a significant financial drain, costing healthcare organizations roughly 3% of their net revenue stream. The white paper, Getting in Front of the Problem: How Can Hospitals Empower Denial Prevention and Management? delves into three key strategies for reducing denials -- and how hospitals have used them effectively. Learn how to take steps to prevent denials on the front-end, manage denials through efficient workflows and processes, and analyze data for common causes of denials. Read now or download and read later

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Five Ways To Improve Medi-Cal Claims Processing

Five Ways to Improve Medi-Cal Claims Processing

  • September 23, 2015

About 12 million Californians are enrolled in Medi-Cal, the state’s Medicaid program. But many providers find that Medi-Cal claims are challenging to manage, leading to claim denials and lost or delayed revenue. The good news: RelayHealth Financial’s research revealed five actions hospitals can take to improve Medi-Cal claim processing, speed reimbursement, and reduce denial rates. Learn more about these five actions and how to implement them. Read now or download and read later

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Revenue Cycle Payment Clarity

Revenue Cycle Payment Clarity

  • April 10, 2015

The increasing prevalence of high-deductible health plans, along with higher patient out-of-pocket expenses, is leaving more and more patients unable to pay their bills and providers unsure about reimbursement. To maintain payment flow, providers need visibility into when and how much they will be paid, and by whom. They also need to get better at navigating obstacles to payment. This Revenue Cycle Payment Clarity white paper describes how providers can implement the tools and processes to help provide payment clarity and accelerate revenue. Read now or download and read later

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The Top 10 Things Payers And Providers Can Do Today To Start Aligning With VBR Tomorrow

The Top 10 Things Payers and Providers Can Do Today to Start Aligning with VBR Tomorrow

  • March 11, 2015

CMS set a goal of having value-based payments account for 50% of Medicare reimbursement by 2018. It's equally ambitious and daunting for many payers. But in this new white paper, The Top 10 Things Payers and Providers Can Do Today to Start Aligning with VBR Tomorrow, McKesson offers a proven 10-step plan that can help payers and providers work together to accelerate their journey to value and improve their odds of achieving these regulatory goals. Read now or download and read later

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How We Can Make Healthcare Payment And Delivery Reform Work

How We Can Make Healthcare Payment and Delivery Reform Work

  • January 9, 2015

As we move from fee-for-service to value-based care, payers and providers struggle to contend with the many reform models being tested and implemented. To successfully make the transition, stakeholders need to address these five critical pieces: • Shared risk for all stakeholders • A robust primary care foundation • The alignment of payment models and incentives • Information technology that supports such alignment • Strong regional collaboration Experts from McKesson Health Solution describe how to get it done in How We Can Make Healthcare Payment and Delivery Reform Work. Read now or download and read later  

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The State Of Value-Based Reimbursement And The Transition From Volume To Value In 2014

The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014

  • June 11, 2014

How fast are payers and providers adopting new value-based payment models? According to the first industry study of its kind, more than two-thirds of payments are expected to be based on value measurements by 2020. Remarkably, 90% of payers and 81% of providers are already using some mix of value-based reimbursement and fee-for-service, according to the new report, The State of Value-Based Reimbursement and the Transition from Volume to Value in 2014. Read now or download and read later  

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