Ann Bailin CRCR’s Post

Attention Medical Practitioners! Tired of dealing with complex billing processes? Let our expert team handle it for you. Reduce errors, save time, and increase your revenue. Trust us to take care of your billing, so you can focus on patient care. . . . #medicalclaim #claimdenials #coreworkssolutions #freeconsultation #healthcaresolution #medicalbilling #claimresolution #medicalaid #revenuecyclemanagement #denialsmanagement #denials #revenuegrowth #practicemanagement #claimappeals #paymentprocessing #improvedcashflow

Since 2016, we have compliantly recovered over $2.5 billion for our hospital partners! Discover the strategies behind this success at American Case Management Association (ACMA) 2024, booth #904. Trent Wells and the CorroHealth team of experts will help you understand how our advanced data analytics, clinical expertise, and intelligent technology effectively combat payer denials We empower your team to proactively address utilization management challenges and payer denials through targeted education and training. Our team will also show you how we utilize our VISION intelligent technology to find overlooked DRG and revenue opportunities and streamline the CDI case review process. This cutting-edge technology has been proven to improve revenue by 4-10X. Let's discuss how we can partner to strategically address payer denials, empower your team, and streamline processes to improve your hospital’s financial health and stability. #CorroHealth #Denials #PayerDenials #MA #MedicareAdvantage #ACMA2024 #Hospitals #HealthSystems #RCM #RevenueCycleManagement

In a very surprising turn of events, AMA removed discussion on a proposed full redesign of all remote patient monitoring (RPM) CPT codes from the agenda of its first quarter 2024 CPT Editorial Panel meeting. This development came just days before the meeting and after several months had passed since the topic was included on the agenda. We, and many other RPM experts, viewed the proposed changes favorably for providers, patients, and the broader healthcare system. We are hoping to learn about AMA's rationale and will share any news and updates. The article below from STAT provides a helpful summary of the news. #RPM #remotepatientmonitoring #remotemonitoring #remotecare #caremanagement

Clinical denials are a strong headwind that revenue cycle leaders have been facing for quite some time now with denials on inpatient claims growing by 53% and final denials over 70%. The case study below highlights how one system has implemented strategies to reduce the impact of these denials. #kodiakdata #revenuecyclemanagement #denials https://lnkd.in/gsBHs937

https://lnkd.in/d7QR5Qvz In a recent article, Lili Brillstein, MPH, sheds light on the challenges facing specialty #valuebasedcare (VBC) models compared to #primarycare. Despite the success of primary care #VBC models, specialty services struggle due to #financialdisparities and lack of upfront support. In addition, when we pay for units of care (a.k.a. #FFS) we wind up with disjointed, #disconnectedcare for those who most need a #wholepersoncare to achieve the best #outcomes. Specialists often face financial setbacks in VBC arrangements, as opposed to #primarycare physicians who receive upfront assistance. This hampers the adoption of specialty #VBC models, especially in managing #chronicconditions where specialist #intervention is crucial. To address these challenges and make strides in managing #chronicconditions, there needs to be a #culturechange that includes working with #specialtycare providers, #payers, utilizing #innovations in #technol­ogy and #medicine, and considering #nonclinical factors (#SDOH) that im­pact patients’ treatment and ability to get to the best #outcomes. Together, we can drive #meaningfulchange in #healthcaredelivery and improve #outcomes for patients with #chronicconditions. #SpecialtyCare #HealthcareInnovation

One of the top takeaways from #JPM2024: The rate of denials has hurt provider/payer relationships. “I know denials are up across the country, but I have never seen [the rate of denials] like we’re experiencing here in California," one CFO shared. Read the wrap-up from Modern Healthcare. #healthcare #finance #revenuecycle #revenuecyclemanagement #denials

Great read. Contact me to learn how Omega Healthcare Management Services can help your hospital with Denial & Coding Automation and improve your operational efficiency. #RCM #healthcaretechnology #automation #AI #artificialintelligence #medicalcoding #denials #revenuecycle #scheduling #callcenter #patientaccess #accountsreceivable

As of July 1st, Centers for Medicare & Medicaid Services will be mandating the reporting of inpatient total hip and knee arthroplasty Patient-Reported Outcomes (PROs) data. Manav Sevak, CEO at Memora Health recently shared with Fierce Healthcare how this CMS guidance could help create a blueprint for how longitudinal quality outcomes can be leveraged in the ongoing shift to value-based care — and how AI is positioned to help clinicians more effectively collect PROs and seamlessly integrate this longitudinal data into clinical practice, ultimately leading to better care outcomes for patients. You can read the full piece here ⬇ https://lnkd.in/ez_Tzs5A

As of today, Centers for Medicare & Medicaid Services will be mandating the reporting of inpatient total hip and knee arthroplasty Patient-Reported Outcomes (PROs) data. Our CEO, Manav Sevak, is sharing in Fierce Healthcare how this CMS guidance can help create a blueprint for how longitudinal quality outcomes can be leveraged in the ongoing shift to value-based care — and how AI is positioned to help clinicians collect PROs and shift to value care. Read his full piece here: https://lnkd.in/gQkn25JR

Our reflections from a great National Association of ACOs spring conference. Not a single delegate no interested in AI! Headlines below, read the full article here: https://lnkd.in/eAMKPXzn VBC momentum, initially slow, now seems unstoppable, primary care is key Multiple Payers a challenge for Providers Different ACOs have different needs and strategies re Provider Engagement Care Management is core to VBC Start with Attribution… ‘Who are my patients?’ MSSP vs ACO REACH ACO REACH – Three Key Measures FQHC at the center of VBC? Pop Health Fundamentals Future of VBC? AI Nurse Florence provides Automated Care Management Read the full article here: https://lnkd.in/eAMKPXzn Eric Bender Generated Health Lucy Williams