Your playbook for improving Star Ratings — and delivering the experiences your members deserve. Achieving a 4-star rating or higher isn’t just about meeting benchmarks — it’s about driving member trust, unlocking quality bonuses, and securing a stronger financial position to reinvest in member benefits. But, Star Ratings are falling year over year — and […]

Your how-to guide for implementing AI across the revenue cycle Shrinking margins, skyrocketing expenses, staff shortages, increasing administrative burdens — artificial intelligence (AI) offers a solution to some of providers’ most pressing challenges. But, where and how can it make the biggest impact? Our latest guide explores how leveraging AI throughout the revenue cycle can […]

Revolutionizing Revenue Cycle Management : Unleashing the Power of Automation through RPA Transforming Revenue Cycle Management by Unlocking the Potential of RPA Robotic process automation (RPA) is transforming the healthcare industry. Health systems are facing challenges such as negative margins, staff shortages, and changing regulations, making the adoption of advanced technology essential. RPA, a technology […]

Clinical Trial Data Management: Challenges and Trends Research organizations turn to outsourcing to manage labor costs and data quality Clinical trial data management is a challenge for most research organizations. With multiple industry factors, including increasing demand for clinical trials, a shortage of skilled resources, and the need for more capacity to curate research-quality data, […]

Key Opportunities to Mitigate Clinician Shortages Improve the Patient Experience with Care Coordination With the clinician shortage reaching a critical point and an increased workload in the electronic health record, clinicians are facing a greater administrative burden to carry. Inbound patient messages via voice mail and inbox messages have skyrocketed. The result is less time […]

RCM Leaders Share Top Concerns Survey results reveal focus on outsourcing to improve bottom line To find out which areas revenue cycle leaders are focusing on over the next 12 months, Omega Healthcare partnered with Eliciting Insights, a healthcare market research company, to conduct a survey of revenue cycle leaders from across the country. The […]

Patient Access: The Key to a Healthy Revenue Cycle Three vital patient access processes that can make or break your revenue and cash flow Hospitals and physician practices are still reeling from the aftermath of the pandemic. From historic inflation to labor shortages to skyrocketing costs, the situation has become dire for many. Hospital operating […]

The Risk and Impact of Medical Coding on Revenue Integrity Tips to improve medical coding and avoid costly mistakes. As healthcare spending grows, medical coding is increasingly scrutinized by payers and governmental agencies as primary target for audits and denials. As they face increasing pressure, hospitals are focusing on improving coding quality and accuracy as […]

Best Practices to Achieve HCC Compliance Hierarchical condition category (HCC) coding is the foundation of the CMS’s risk-adjustment payment model, which is intended to help better project future cost of care for certain Medicare Advantage, Medicaid and ACA members with acute or chronic conditions. HCC coding provides a complete picture of the member’s health and […]

Identifying Opportunities & Solving for Revenue Cycle Leaks Explore proven, actionable strategies that providers can implement immediately to identify opportunities for accelerating cash flow. Read on. Download the Whitepaper

Leverage CDI-Led coding to improve physician engagement While some contributors to burnout, especially documentation, will not be going away anytime soon, CDI-led coding can help reduce the burden. Download the Whitepaper

Optimize your hospital’s financial, administrative, and clinical communication processes. The journey to post-pandemic recovery is likely to be a long one and filled with much uncertainty. However, one thing is certain: Health systems and physician practices are going to need to embrace innovation and creative thinking in order to be successful. A great place to […]