Two metrics important to the discussion of creating claims most likely to be immediately reimbursable are Clean Claim Rate (CCR) and First Pass Rate (FPR). Though sometimes confused for one another, these are separate statistics, each worthy of optimization. HFMA identifies the value of CCR as an indicator of the quality of data collected and reported. […]
EAPG
Blue Cross Blue Shield Enhanced Ambulatory Patient Grouping (EAPG) methodology for calculating reimbursement for outpatient procedures http://www.okoha.com/OHA/Hotline/2015/April15/Taking_charge_of_the_EAPG__Improve_your_negotiations_with_BCBS.aspx
Hospitals typically leaving $22M on the table
Read this report from the Advisory Board on ways you can improve revenue cycle performance now. Hospitals leaving $22M on the table
Link to Medicare Quality Payment Program home page
https://qpp.cms.gov/
Developing Financial Assistance Policies with the Latest IRS Rules in Mind
http://www.hfma.org/Content.aspx?id=32027#.VgNfflVcR_w.mailto Financial assistance programs IRS rules on hospital FAP’s
Using KPIs to Accelerate Revenue Cycle Performance
Click to access PNC%20SW%20Ohio%20HFMA%20Presentation.pdf Using KPIs to Accelerate Revenue Cycle Performance Click to access PNC%20SW%20Ohio%20HFMA%20Presentation.pdf Measurement • We’ve all heard it: you can’t manage what you don’t measure. – Measurement aids in identifying problem areas. – Sets the stage for setting goals/targets and working toward them. • It is also a proven principle that: – […]
XIFIN blog
http://www.xifin.com/news/blogs
Revenue Mitigation Strategies Offsetting The Financial Impact Of ICD-10
There are great points made in this pdf of slides highlighting the financial impact of ICD-10 on providers. Well worth the time. The author also offers strategies on lessening the impact of ICD-10 on the revenue cycle. Revenue Mitigation Strategies Offsetting The Financial Impact Of ICD-10
ICD-10 Critical Metrics
White paper on measuring the impact of ICD-10 on Healthcare providers ICD-10 Critical Metrics
American Hospital Directory
Finding information about a particular hospital is easy using the American Hospital Directory website. Information on individual Hospitals such as: Financial Statistics $ % Gross Patient Revenue $4,630,640,896 97.1 Non-Patient Revenue $137,818,576 2.9 Total Revenue $4,768,459,472 Net Income (or Loss) $103,162,448 2.2 Total Discharges: 47,818 Total Patient Days: 267,429 TPS Quality Score: 51.59
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