Insights from Advent

3 Pre-Bill Claim Considerations to Prevent Post-Bill Denials

Posted by Advent Health Partners on Apr 17, 2018 9:00:00 AM

ICD-10 was more complicated and precise than its predecessor, but when the coding grace period was lifted late in 2016, the transition was surprisingly smooth for many healthcare providers. Unfortunately, even more change is coming soon. In only two short months, the World Health Organization will be releasing ICD-11, which will have a pronounced impact on coding and medical billing.

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How Improved Provider Data Collection Affects Predictive Analytics

Posted by Advent Health Partners on Apr 3, 2018 9:30:00 AM

How many times has the term "predictive analytics" come up in your reading this week? Considering it's a concept at the forefront of the minds of CMS, commercial insurers and healthcare IT professionals, it's likely you've been rather heavily exposed to the concept. But do you understand the value of EHR-based predictive analytics in the healthcare industry or how you can improve it for your own organizational goals?

We specialize in helping providers leverage technology for better data collection and analytics, which at the end of the day leads to improved RCM processes, as well as patient and financial outcomes. Here are a few reasons why we’re so passionate about collecting and leveraging this data:

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Provider Strategies to Prevent Disallowed Charges From Bundled Claims

Posted by Advent Health Partners on Mar 21, 2018 9:30:00 AM

There has been confusion about the future of bundled claims, but Medicare’s mandatory bundled payment initiative is scheduled to go forward as planned. Beyond that, the bundled claims movement has developed momentum naturally. A study from 2016 found that this model was set to grow by an additional 6% between 2016 and 2021. This would make it the fastest-growing payment method across providers, accounting for nearly one-fifth of all payments by the end of that period.

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Solving the Scourge of Unstructured Data for Healthcare Providers

Posted by Advent Health Partners on Mar 6, 2018 8:30:00 AM

Finding ways to analyze and standardize unstructured data continues to be a challenge for hospitals and health systems. According to Healthcare IT News, 70 to 80 percent of data is unstructured, and the volume of such data is increasing.

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How Analytics Insights Can Reduce Hospitals' Revenue Cycle Costs

Posted by Advent Health Partners on Feb 15, 2018 8:30:00 AM

Data analytics are used across industries to improve every aspect of service and administrative function. As the healthcare industry evolves to a more customer-service-centric approach, analytics has offered a variety of ways to reduce hospitals' revenue cycle costs.

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For Hospitals, Preventing Denials Requires Teamwork, Innovation and Technology

Posted by Advent Health Partners on Feb 6, 2018 10:00:00 AM

Hospitals may be losing $3 million or more annually because of claim denials. While you probably can't eliminate them completely, you can implement comprehensive strategies for preventing denials. Innovative processes, integrated technology, and effective collaboration can help you communicate better with staff and payers alike, streamline workflows, and improve your reimbursement rate.

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How Healthcare Providers Can Better Prevent DRG Downgrades

Posted by Advent Health Partners on Jan 18, 2018 10:30:00 AM

The clinical downgrading of diagnosis-related groups, commonly known to us as DRG downgrades, has become an extremely problematic issue for healthcare providers over the past decade. One healthcare system, for example, has found that DRG downgrades have increased from an average of 250 per month to a maximum of 3,000 per month.

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What We Learned This Year in Healthcare Technology to Position Hospitals for 2018

Posted by Advent Health Partners on Jan 3, 2018 10:00:00 AM

According to Steve Burrill, Vice Chairman, US Health Care Providers leader, Deloitte LLP, hospitals in 2017 continued to struggle with the changing paradigm of healthcare delivery. The move from the established fee-for-service model to value-based care and risk-based contracts with payers will remain a tricky balancing act for your hospital in the coming year.

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How Predictive Analytics Improve Medical Necessity Determinations

Posted by Advent Health Partners on Dec 12, 2017 2:32:30 PM

The validity of medical necessity determinations are key to patient care, patient compliance, and third payer payment. With more and more regulations to contend with, physicians and coders need to be on the same page where medical necessity is concerned. Objectively, what Medicare and other third party payers look for in treatment is whether it fits the criteria of being medically necessary in terms of patient care.

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How to Reduce Denials More Efficiently and Maximize Revenue with Technology

Posted by Advent Health Partners on Nov 14, 2017 9:30:00 AM

At Advent, we constantly affirm the importance of standardization. Through deploying common processes and language across departments and facilities, hospitals can improve efficiency and reduce the chance (and often, inevitability) of human error. In today’s healthcare landscape, the easiest way to implement standardization and efficiently manage administrative processes is through a technology-based approach.

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