The Pulse:
Healthcare Technology Blog
Regulatory reform, market trends, supplier news. Recalls and new product introductions. Notable quotables and high-profile executive moves. Read up on developments from the supply chain to the legal department.
Prevent claim denials through proper provider enrollment.The mission of any healthcare organization is to improve and save lives through compassionate, high-quality healthcare. But to fulfill this mission, healthcare organizations must stay financially healthy, a ...
Analyze your spend and contracts to reduce leakage and save money.Healthcare organizations must control their non-labor spend to combat shrinking margins due to COVID-19. Purchased services—such as waste management, blood services, and elevator maintenance— account
Take these actions now to maximize reimbursement and avoid billing disruptions.One unpleasant surprise will soon be a thing of the past. Congress recently passed the No Surprises Act, banning surprise medical billing. Given that two thirds of Americans worry about ...
It’s critical your organization has a game plan in place to keep your costs in check and your budget balanced.Joe Biden’s presidency came with the promise of making healthcare more affordable and accessible. The president recently took the first step toward that ...
Integrating provider contracting and credentialing accelerates onboarding.As Shakespeare famously wrote, “The course of true love never did run smooth.” In order to develop and maintain any successful relationship, challenges must be faced, difficulties must be ...
Determine which credentialing, privileging, and enrollment actions to take for which provider populations — and when. Are you ready to recredential, reprivilege, and re-enroll your emergency-staffed providers once the COVID-19 national emergency ends? The ...
Pharmacy workflow software increases efficiency and compliance.Adding a new drug to your hospital’s formulary is complicated and time-consuming. A Pharmacy and Therapeutics (P&T) Committee determines which drugs and related products to include in the ...
Monitor and report on provider total compensation, time/activities, and potential conflicts of interest. Healthcare contracting is risky business. Contracts must comply with state, federal, and accrediting body regulations to prevent costly penalties. Provider ...
Ensure that your supplier relationships are not working against you.
Personal relationships with healthcare vendors can unduly influence purchasing decisions and prevent you from getting the best prices and contract terms for capital equipment, med-surg supplies, ...
Establish delegated health plan contracts to streamline and accelerate enrollment. Provider enrollment has a significant impact on your healthcare organization’s revenue cycle. When healthcare providers are not enrolled properly with one or more health plans, or ...
10, 9, 8, 7… Countdown to savings.Saving money is one of the most popular personal New Year’s resolutions—right up there with exercising more. Saving money is also an important goal for healthcare organizations, particularly at a time when many hospitals are ...
Starting January 1, 2021, Open Payments Program reporting requirements apply to physician assistants, nurse practitioners, clinical nurse specialists, certified nurse-midwives, and certified registered nurse anesthetists.
Starting January 1, 2021, physicians aren’t
Anti-Kickback Statute and Stark Law violations lead to fines, prison time, and exclusion from Medicare and Medicaid programs.You don’t want to see your healthcare organization appearing in headlines for compliance violations.
The Anti-Kickback Statute, Stark Law, ...
Implement an effective compliance program, including regular compliance monitoring.
The Office of Inspector General's (OIG) Corporate Integrity Agreement list is one list you don’t want your healthcare organization—or any of its providers—to appear on. A corporate ...
The year 2020 has dealt a brutal blow to the financial health of healthcare organizations in the United States, many of which were already under enormous financial pressure as they struggled with trends such as heightened consumer demand, transitions to value-based
Ignore porous contracts at your own peril.Contracts significantly impact your health system’s administrative operations and bottom line. Healthcare contracting involves more than procuring the right personnel, equipment, supplies, and services necessary for patient
Our mission at TractManager is to optimize the business of healthcare. With our solutions, we support those “unsung heroes” who work behind the scenes to keep healthcare organizations running smoothly. These are the folks whose tireless efforts in maintaining ...
Track provider time and activities to prevent Anti-Kickback Statute and Stark Law violations.Are you paying attention to your provider compensation arrangements? The Office of the Inspector General (OIG) is. In its Fraud Alert—Physician Compensation Arrangements ...
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