Andy Miller

Great article and insight!

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Small, rural hospital attacks challenges through workforce optimization, revenue cycle education and financial management. Check out other advice from NEMAHA COUNTY HOSPITAL Chief Financial Officer, Stacy Taylor, in this quick read posted by Modern Healthcare. TruBridge #ruralhealthcare

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Finalizing my notes for our webinar TOMORROW (!) all about the return of OCR audits, and wow is there a lot to cover. Will you be there to learn how to prepare? I'll drop the link to register in the comments. #hipaa #audits #hipaaaudits

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Start your engines

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🌟 Just attended a thought-provoking webinar on CMS price transparency, and I couldn't help but reflect on the rapidly evolving landscape we're experiencing in healthcare. While the topic may not directly impact with the 340B world, it underscores the dynamic nature of our industry and the significant changes on the horizon. On-Demand Webinar: “Hospital Price Transparency: Are You Ready for July 1?” - PYA (pyapc.com) The insights shared during the webinar shed light on the importance of transparency in pricing, a concept that resonates across various sectors within healthcare. As providers, we're navigating through a time of unprecedented transformation, where regulatory requirements like these are shaping the way we operate and interact with patients. This webinar served as a poignant reminder of the interconnectedness of healthcare regulations and their broader implications. While I generally focus on the specifics of areas like 340B compliance, it's crucial to remain cognizant of the broader trends shaping our industry. Understanding and adapting to these changes will be pivotal as we strive to deliver quality care while navigating a complex regulatory landscape. I'll be working on embracing the challenges ahead and seizing the opportunities they present for innovation and improvement. #Healthcare #CMS #PriceTransparency #RegulatoryCompliance #FutureofHealthcare #Innovation

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Senior living leaders (THIS MEANS YOU): Before requesting proposals for senior living master planning services, define the scope of work in your RFP. A market study, financial analysis, and property condition assessment are key components. Our experts share 3 common mistakes to avoid. #seniorliving #seniorhousing #livingforward https://okt.to/UuDSZF

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Inaccurate documentation can result in millions of mistakes in the healthcare industry. Today's blog post discusses the in's and out's of OIG audit reports. Take a look to see the different components they contain as well as the different outcomes you can expect! https://lnkd.in/e-jQdeje #OIG #AuditReports #HealthcareCompliance #NewBlogPost #OIGAudit

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What will 2030 hold for insurers like BlueCross BlueShield of Tennessee? (It's not that far off...) Here's one bit of insight from our CIO, Jennifer Weaver: "We'll need more skilled IT workers who can support and lead our efforts to effectively serve Tennesseans." And she says one way we'll get there is by having "dozens of graduates of our BlueSky Tennessee Institute working for the company after earning an accelerated bachelor's degree in computing and gaining real-world skills at BlueCross." Read more from Jennifer and other insurance industry leaders here: https://lnkd.in/ei4eKvUG 

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"There are a lot of ways that the government's impacting revenue cycle operations these days. I think two primary ways are through legislation." - Rodney Adams, VP, Tennessee Hospital Association. Listen to the NEW The Hospital Finance Podcast: https://gag.gl/meaiV6 #HospitalFinancePodcast

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In March, hospitals experienced a slight drop in operating margins and patient volumes, potentially indicating forthcoming financial challenges. While the month's operating margin index decreased to 3.4%, down from February's 3.6%, the year-to-date index remained at 3.9%, notably higher than the previous year. The report suggests uncertain short- or long-term implications of these declines. Outpatient revenue also fell by 5% due to intensified competition. Hospitals face additional financial hurdles such as increased bad debt and charity, alongside prolonged accounts receivable. External factors like the Change Healthcare cyberattack contribute to these challenges. To counter revenue and volume declines, hospitals are advised to expand high-performing services like ambulatory surgery centers and pharmacies, and consider establishing retail outlets. Overall, hospitals must adapt to shifting healthcare landscapes and evolving patient preferences to maintain financial stability. Our RCM team supports hospitals by optimizing revenue cycles, managing accounts receivable efficiently, and mitigating bad debt. We adapt strategies to address challenges like declining revenue and increased accounts receivable, ensuring financial stability amidst changing healthcare landscapes. We are the One! #revenuecycle #revenuecyclemanagement #priorauthorization #medicalbilling #medicalcoding #healthcare #healthcaretechnology #accountsreceivables #denialmanagement #consulting #management #implementationpartner MedCity News

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The top risk trends impacting senior living organizations include cyber security threats, regulatory compliance, staffing shortages, resident safety concerns, and financial risk. If your organization is looking to learn key mitigation strategies from industry experts, consider registering for our healthcare risk conference. Registration is open but filling up fast! 🔗 Register here: https://lnkd.in/eKvt_yWs

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Key Strategic Insights = A Successful OP CDI Program The challenge of value-based care starts with a collaborative approach, when launching an Outpatient Clinical Documentation Integrity (OP CDI) program. Here are some key strategic insights to success: 1. Engage with Population Health Understand Pain Points: Begin by understanding the specific challenges faced. This fosters collaboration. Tailored Questions: Use customized questions to facilitate productive discussions and ensure alignment with needs. 2. Effective Software Implementation Manage Patient (Pt.) Volumes: Implement software solutions to efficiently handle pt. volumes. OP CDI Calculator: Utilize a calculator to determine Full-Time Equivalent (FTE) needs. Data Analytics and Reporting: Emphasize the importance of continuous improvement via data analytics. 3. Workflow Creation Establish Robust Workflows: Create strong workflows before integrating reviewers. 4. Collaboration & Communication Promote Strong Collaboration: Encourage robust communication between key stakeholders. Leverage Software: Use technology to reduce physician burnout & streamline communication. 5. Patient-Centered Approach Address social determinants of health (SDOH) & ensure accurate documentation of conditions and care plans. Patient Outcomes: Keep patient care at the center of all doc. & workflow processes. 6. Regulatory Compliance Adhere to Guidelines: Follow regulatory requirements such as CMS guidelines on Hierarchical Condition Categories (HCC) coding to avoid penalties and enhance credibility. 7. Measurable Outcomes Set Clear Goals: Aim for measurable outcomes like improved HCC recapture rates, enhanced RAF scores, better HEDIS measures, and addressing SDOH needs. 8. Stakeholder Engagement Involve All Stakeholders: Ensure that executives, clinicians, and other relevant parties are involved in planning and implementation process. Success Stories Recently, I helped several CDI directors validate their cases for OP CDI programs within Accountable Care Organizations (ACOs). By engaging with population health leadership, we identified key issues such as RAF gaps and HEDIS measures, and tailored processes to address them. For instance, a CDI director I guided successfully identified HCC and HEDIS recapture as their biggest pain points. With strategic solutions in place, they are now ready to implement the project for the 2025 budget yr., aiming to improve their HCC recapture rate by 20%, leveraging data analytics for outcomes and improvement needs. Benefits of Implementing These Strategies Align Risk Stratification: Properly align risk stratification with chronic conditions and healthcare needs. Quality Measures: Improve quality measures and address SDOH. Collaborative Team: Ensure success with a collaborative team supported by technology. Overall, these strategic actions will enhance patient care and operational efficiency. #Healthcare #Leadership #CDI #PatientCare #ValueBasedCare #HealthcareInnovation

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Join me as I chat with Jeff Robertson, CMPE, FMC, President and CEO of Nexsys Billing & Practice Management. Known as the "Practice Fixer," Jeff brings his expertise as a Certified Medical Practice Executive (CMPE) and a member of MGMA and Healthcare Business Management Association. In this episode, Jeff shares invaluable insights on staying ahead in the rapidly evolving field of medical billing. ☑️ Whether you're enhancing your practice management or curious about the latest in healthcare administration, this episode is packed with expert advice and forward-thinking solutions. #MedicalBilling #HealthcareInnovation #FutureofHealthcare 🔗 [Link in the comments]

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Many healthcare organizations face challenges in ensuring accurate reimbursements and maintaining compliance. At Elliott Health Information Pros Inc., we understand the struggles. Let us help you overcome these hurdles and achieve financial success. Contact us today! #ReimbursementAuditing #ComplianceAuditing #RevenueCycleManagement #HealthcareConsulting #ElliottHealthInformationPros

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Revenue cycle continues to be a challenge for many hospitals and healthcare systems...Harris Williams highlights the activity in the sector that is trying to solve the problems.

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📈 This Week in Compliance: Essential Tasks for ALF Operators and Executive Directors Staying ahead in compliance is a key part of maintaining excellence in assisted living management. This week, take proactive steps to ensure your facility not only meets but exceeds standards. Our carousel will guide you through critical compliance activities that you can tackle right away: 1. Audit 1823 Forms: Ensure all resident forms are updated and accurately filled. 2. Review Staff Files: Check that all staff credentials and training records are current. 3. Conduct Elopement Drills: Test and refine your facility’s response to potential elopements. Each slide is packed with actionable tips to help you manage these tasks efficiently and effectively. Stay tuned and swipe through to enhance your facility’s compliance this week! #AssistedLiving #ComplianceManagement #HealthcareLeadership #ALFOperators #ExecutiveDirectors #SeniorCare #FacilityManagement #HealthcareCompliance #ElderCare #ProfessionalDevelopment

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I look forward to moderating a panel of experts to discuss "Investing in Healthcare IT/Payor Services for a Digital Future." #HCPE2024 #healthcarecompliancepros

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