Part 2: Fighting Emergency Department Charge Leakage: A Day in the Life of Revenue Integrity

Charge leakage, of any kind, is always detrimental to the financial health of a facility. Identification and management of leaks can present a great opportunity for remediation and ensure you earn every penny you deserve. The first step in turning problems into opportunities is to determine where the revenue leakage is occurring.

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Part 1: Emergency Department Charge Capture: Keys To Success

The hospital emergency department is an arena of significant human drama and consequence on any given day. It’s also hugely important for the financial well-being of the hospital. The unique demands of the ED places a premium on the value of planning and processes for charge capture.

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Latest Updates Related To COVID-19 Coding and Billing: July 31, 2020

The COVID-19 public health emergency (PHE) continues to inspire changes to coding and billing practices and guidelines that impact physicians and other healthcare providers – as well as coding and billing professionals. Several changes were recently announced related to COVID-19 that all healthcare professionals should be aware of.

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2019 Inpatient Coding Audit Results: Insight for 2020 and Beyond

At Vitalware Revenue Integrity Services, one of the benefits we have of serving so many clients is getting the chance to synthesize the full breadth of data we see, and making note of common patterns that our team discovers. Both for our clients, and for those who may be considering the value of "outside" perspective when approaching auditing and process reviews, we wanted to share some of the insights our experts have gathered over the past year before heading into future 2020 audits.

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Hospital Price Transparency: How to Comply in 2021

In 2019, President Trump issued an executive order expanding on the previous price transparency measures for healthcare providers. In this article, we'll review our understanding of the mandate and provide go-forward suggestions based on the intent of the law.

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Navigating the New Prior Authorization Process for Hospital Outpatient Departments

The Centers for Medicare & Medicaid Services (CMS) is implementing a new prior authorization program for certain services provided in a hospital outpatient department that begins July 1, 2020. In this article, we'll give you a summary of the program’s provisions and tips for successful implementation.

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Articles

Part 2: Fighting Emergency Department Charge Leakage: A Day in the Life of Revenue Integrity

Part 1: Emergency Department Charge Capture: Keys To Success

Latest Updates Related To COVID-19 Coding and Billing: July 31, 2020

2019 Inpatient Coding Audit Results: Insight for 2020 and Beyond

Hospital Price Transparency: How to Comply in 2021

Navigating the New Prior Authorization Process for Hospital Outpatient Departments