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.
Control costs and increase compliance by combining your healthcare contracting and ERP solutions.Are you paying your vendors more than the contracted rate? Are your providers compensated in accordance with federal regulations? Answering these questions isn’t always
Analyze your contracts and spend data to identify savings opportunities.COVID-19 is continuing to devastate hospital volumes, revenue, and operating margins. Hospital operating margins for January–November 2020 were 56% lower compared to the same period in 2019. ...
Standardize decision-making processes and evaluate clinical evidence to improve outcomes while containing costs.Choosing the right drugs and medical devices is critical for patient safety and cost containment. Ensuring patent safety is essential for healthcare ...
Establish More Transparent Supplier Relationships to Prevent Supply Chain Overspending.Are you paying too much for capital equipment, med-surg supplies, and outsourced services? If your relationships with your suppliers are too friendly, you may be.
Unhealthy ...
A healthcare-specific CLM meets healthcare’s unique business and regulatory compliance challenges.Healthcare organizations must control costs and increase operational efficiency to survive the financial crisis triggered by COVID-19. Your enterprise resource ...
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, ...
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