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Eight Ways for Providers to Protect Themselves in a New Era of Payer Denials

By Beth Friedman for For the Record My health care career began in the 1980s when I was a clinical coder for a small Pittsburgh hospital. Even then, before the Prospective Payment System and DRGs, a steady drumbeat of payer denials echoed throughout the business office, HIM, and finance departments of most health care provider…

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AI, machine learning top health CIO priorities in 2023, survey finds

By Emily Olsen for Healthcare Dive Dive Brief: Dive Insight: High labor expenses pummeled hospital margins last year, and many facilities continue to struggle financially even as pressure lifts for some providers.  Those financial challenges, combined with the COVID-19 pandemic, paved the way for AI and virtual care adoption, which could lessen some of the resource strain, the survey said.…

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Physician turnover more complex than just burnout, study finds

By Susan Vogel for Healthcare Dive Dive Brief: Dive Insight: Physician turnover has risen steadily over the past decade, with attrition rates rising 43% between 2010 and 2018 from 5.3% to 7.6%, according to a study published in July. The COVID-19 pandemic further increased turnover, with over 71,000 physicians exiting the industry between 2021 and 2022, according to a…

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The best hospital in each state, per Newsweek

By Molly Gamble for Becker’s Hospital Review Newsweek has released the top 600 U.S. hospitals ranked by state, sorted by a score that factors recommendations, patient experience, quality and patient-reported outcome measures.  Hospitals from every U.S. state were eligible for the 2024 ranking and included in the nationwide survey except for those with a 1-star rating…

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Denials With a Capital D

By Jonathan Wiik for For the Record Magazine The state of revenue cycle management (RCM) prior to COVID-19 was running the same as it has for the past few years—marginal improvements here and there, while at the same time, large inefficiencies in place. Hospitals and health systems were having one of the best quarters in…

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Telehealth services are often billed at a lower code than office visits

By Susan Morse for Healthcare Finance Despite being able to be reimbursed for telehealth services at the higher facility rate for another year, providers are frequently billing for these virtual visits at a lower level-of-service code, Epic Research has found. Epic’s study found this holds true for both primary and specialty care. Telehealth visits are more…

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Providers are increasing spending on IT and software, survey finds

By Emily Olsen for Healthcare Dive Dive Brief: Dive Insight: As providers double down on IT spending, respondents noted they’re looking for more simplified technology stacks and fewer vendors, according to the survey of more than 200 healthcare executives. Eighty-one percent said they prioritize buying from existing vendors, a boon for electronic health record companies as 79% noted…

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Patient Identification Challenges

By Susan Chapman, MA, MFA, PGYT for For the Record Patient misidentification is a costly issue plaguing health care today, affecting organizations and patients alike. The problems can be traced to several factors, among them variables in demographic data, the intake process, and patient portals. Fortunately, there are solutions to reduce the proportion of patient…

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