Following other industries, there will come a day in the next decade when artificial intelligence (AI) is so nuanced and complex, that AI will be able to solve many of our health care system's challenges. However, today is the day for AI assistance, as developments in AI technology for healthcare continue to mature. The health care [...]
In an ideal world, translating what occurred during the patient's visit to a correct bill would be a simple task. Documents and other clinical data would stream in from physician notes and other sources, an automated system would recognize the appropriate information, structured or otherwise, translate the chart into the correct codes and seamlessly send [...]
In many organizations, audits are done simply to check off the box to satisfy Compliance, the board of directors or trustees. However, progressive organizations understand that auditing can be a valuable tool for improving operational performance. The stability of health care revenue cycle management is subject to government policy, market fluctuations, and a number of [...]
By Ashley Lodato Associate Director, HIM Solutions, Streamline Health In health care, we can sometimes think of the patient experience as taking place in the waiting room and examination room. But while these are key to treatment, there are a number of factors outside the physical visit that impact quality of care. Patients might not think [...]
Last year, health care organizations across the country successfully made the transition to ICD-10 coding. Although the storm of changes has finally abated, the threat of Recovery Audit Contractors (RAC) still looms overhead. Errors made on claims to Medicare beneficiaries may cause problems for organizations, including loss of revenue.Should a RAC audit of your charts show [...]
By Nancy Hirschl, BS, CCS, AHIMA-Approved ICD-10 Trainer Vice President, HIM Services, Streamline Health, Inc. For healthcare providers, limiting regulatory and financial risk associated with coding and billing is a core component of organizational compliance. Risks to the mid-revenue cycle can appear in the forms of undercoding, where appropriate revenue is not captured and money [...]
By Nancy Hirschl, BS, CCS, AHIMA-Approved ICD-10 Trainer Vice President, HIM Services, Streamline Health, Inc.No matter the size of your organization, compliance is complicated. At times, it can seem like a balancing act between managing risk and protecting revenue. Lean too far in one direction and the organization could be in jeopardy - go too far [...]
By Nancy Hirschl, BS, CCS, AHIMA-Approved ICD-10 Trainer Vice President of HIM Services, Streamline Health, Inc. The way code auditing is performed at hospitals and other health care facilities is in need of a change. In many cases, major providers still use spreadsheets to manually track audit data. This antiquated method is time consuming, inefficient, susceptible to human error [...]
More and more, healthcare is becoming a consumer-driven environment. Thanks to provisions found in the Affordable Care Act (ACA), the industry is shifting from volume-based to value-based models of reimbursement. And with the establishment of the health exchanges, patients are being given even more choices when it comes to selecting coverage that most suits their budget and needs. Additionally, websites offering ratings of facilities and individual physicians are giving healthcare a consumer feel to match other industries.
Recently, Health Management Technology hosted a roundtable discussion featuring David Fletcher, Streamline’s director of solution development, as part of the publication’s newly launched Exclusive Conference Call Series. Centered on Big Data Analytics, the conversation also featured Dr. Stephen Ober, chief medical officer of Emdeon, and Bimal Naik, chief client officer of CitiusTech.