Interoperability Strides Made With FHIR 4 APIs

  HL7 released the latest version of the Fast Healthcare Interoperability Resources standard – FHIR 4 for short – on January 2nd of this year. There are several reasons that this new standard is driving further interoperability progress in healthcare. Significance of FHIR 4 One of the benefits of the FHIR standard is the flexibility and functionality…


New Medicare Rule Reduces Payment For Hospital-Owned Clinics

Medicare released a new rule this year to reduce reimbursements for off-campus hospital outpatient clinics. These off-campus clinics will now essentially be paid the same as an independent physician clinic. Individual physicians & patients will benefit from the change, while hospitals balk. These are some of the benefits & costs that will result from this new…


Ortho-Implants & Prosthetic Devices Driving Healthcare 3D Printing Market

Orthopaedic ASC’s – pay attention to the 3D printing market. The new healthcare 3D printing market is expanding rapidly and is expected to reach $3.89 by 2022, according to a report by Research & Markets. Some of the main driving forces behind this quick expansion are orthopaedic implants and prosthetic devices. 3D Printing in Healthcare: Some Facts…


What Orthopedic ASCs Need to Know About The Joint Commission’s Certification

INTRODUCTION: The Joint Commission orthopedic certifications provide structure for programs to improve their patient outcomes and reduce patient risk through clinically proven evidence-based care. Certification shows an organization’s commitment to continuous performance improvement & patient care. General Eligibility for Core Certification and Advanced Certification Joint Commission-accredited organization Program has served a minimum of 10 patients Use of…


Tips to Enhance Your Denial Management Process

Healthcare organizations have to deal with denied claims on a regular basis. Despite efforts to keep a low denial rate, many healthcare organizations find that their denial management process is far from foolproof. While you will most likely continue to receive denied claims, these steps will enhance your denial management process. A Foolproof Denial Management…


Payment Trends For Consumers, Providers, & Payers

There’s no doubt that medical bills are a sore subject for many consumers. Healthcare providers also experience frustration when they consider the process of collecting payments. And payers experience dissatisfaction from both sides. These statistics from InstaMed give deeper insight into the three sides of the payment experience. Consumer Payment Experience Payment responsibility is increasing for patients,…


Smart RCM Solutions

Everyone wants to maximize their revenue cycle. There is a lot of information out there about how to best manage your revenue cycle, but it can be difficult to know where to start. Many revenue cycle teams are working really hard, but with little to show for it. The answer is to work smarter, not…


Half of All Insurance & Medical Billing Costs Are Excessive

According to a recent report by the Center for American Progress, U.S. healthcare providers and payers spend $496 billion on medical billing and insurance costs, and half of these costs are excessive. The brief lays out the components of the administrative costs, estimates how much those costs are, and then argues how the U.S. can seek…


Technology: The Cause & Solution For Physician Burnout

Physician burnout is by now a well-known and often discussed problem in healthcare. Physicians who were once masters of the exam room are now mastered by their technology, and it is leading to increased levels of burnout and widespread dissatisfaction. Half of all physicians have experienced some form of burnout, and most people attribute this burnout to…


40% of Healthcare Execs Only Discuss Charge Capture Once Per Month

How often does your executive team discuss charge capture? 78% of healthcare executives agree that charge capture is essential to their business, yet 40% only discuss charge capture once per month or less. Charge capture is the process through which healthcare providers get paid for their services. Accurate and complete charge capture is the basis of the…