Remove Acute Care Remove Medical Coding Remove Scheduling
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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Is your organization’s coding as complete as it could be? At Sharp HealthCare, staff members were doing everything right — they used the correct codes, obtained authorizations, and scheduled services appropriately. The properly coded claims were paid — but at a lower amount. Downcoding by Payers. Scrubbing Deficiencies.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Is your organization’s coding as complete as it could be? At Sharp HealthCare, staff members were doing everything right — they used the correct codes, obtained authorizations, and scheduled services appropriately. The properly coded claims were paid — but at a lower amount. Downcoding by Payers. Scrubbing Deficiencies.

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What You Need To Know About Value-Based Payment Models

Relias

Some of the differences between fee-for-service and value-based care models are: Fee-for-service…. Links reimbursement to quantity of care. Payments are made based on annual fee schedules or charges for individual tests and procedures. Value-based care…. Links reimbursement to quality of care.

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Does the Hospital Price Transparency Rule Increase Your Audit Risk?

Relias

Provide information about shoppable services A shoppable service is any service your hospital provides that a patient can schedule in advance, like a vaccination. You must also include the minimum and maximum negotiated charges for each service without identifying the payers.