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Deliver a First-Class Patient Experience with Five Financial Tactics

Marlowe Dazley

Senior Vice President and Managing Director of Financial Advisory Services

Healthcare organizations continually strive to improve each patient’s experience to ensure quality care delivery and qualify for financial reimbursements. Health systems try to optimize the patient experience through traditional methods, including better access and appointment reminders. However, organizations can improve the patient journey and deliver a first-class experience by taking a different approach—by targeting the following five aspects of the billings and collections process, providers can proactively inform patients about their financial expectations and avoid surprise bills:1. Pricing strategy.2. Charge description master management.3. Real-time eligibility verification.4. Patient cost estimation.5. Propensity to pay.

World Patient Safety Day 2021 Focuses on Safer Childbirth

Heather Schoonover

MN, ARNP-CNS, PHCNS-BC, FCNS, Clinical Ops Value Architect, Vice President

Around the world and within the United States, pregnancy and childbirth still carry grave, often avoidable risks for mothers and newborns. According to the World Health Organization (WHO), 810 women die worldwide daily from preventable causes related to pregnancy and childbirth. In the U.S., approximately 6,700 newborns die each day, comprising 47 percent of all deaths under the age of five, and two million babies are stillborn each year, with 40 percent occurring during labor.For World Health Day 2021 (September 17), the WHO is calling for action around “safe and respectful childbirth.” Individual health systems can contribute to childbirth safety improvement by leveraging their data and analytics to better understand risks to mothers and newborns within their populations and identify ways to avoid preventable harm.

Healthcare Financial Recovery: A Guide to the COVID-19 Add-On Payment

Mikki Fazzio, RHIT, CCS

Content Integrity Consultant, Principal

Healthcare organizations continue to suffer from COVID-19-driven economic setbacks. As a result, getting paid appropriately for services is more important than ever. The federal government provides programs to support healthcare financial recovery, but relief payment isn’t automatic or guaranteed. To qualify for the COVID-19 add-on payment, organizations must stay up to date with the rules and regulations around coding and billing for COVID-19, as compliance with these changes may affect reimbursement.The following three requirements will help health systems ensure add-on payments for patients diagnosed with COVID-19:1. Include a copy of the positive COVID-19 laboratory result in the medical record.2. Create internal polices for COVID-19 results from more than 14 days before admission.3. Document and appropriately code the COVID-19 diagnosis.

Six Tactics to Restore the Healthcare Revenue Cycle

Healthcare organizations suffered financial setbacks during the pandemic and are now looking for opportunities to recover lost revenue. Rather than focusing only on increasing profitability after months of halted elective procedures, health systems should closely examine other aspects of healthcare that impact the revenue cycle. To take a proactive approach to restore revenue cycle integrity, healthcare leaders should consider six hands-on strategies that promote near- and long-term revenue recovery:1. Prepare for changing legislation.2. Create positive remote work environments.3. Manage payer policies.4. Expand telehealth.5. Set up prior authorization for surgical procedures.6. Achieve price transparency.

Accelerate Charge Capture Improvement with Health Catalyst VitalIntegrity™

Tarah Neujahr Bryan

Chief Marketing Officer

Health systems leave millions of unrealized dollars on the table due to suboptimal charge capture processes that lead to compliance issues and charge capture leakage. To survive on diminishing operating margins and maximize revenue for services rendered, organizations can turn to the Health Catalyst VitalIntegrity™ application. VitalIntegrity is a comprehensive charge capture solution that empowers health systems to take control of their financial future with insight into compliance issues, under- or over-charging, late or missing coding, and any other charge master-related issues. With detailed data into charge capture performance, health systems can increase earned revenue by remediating problems at their root cause and proactively eliminating threats to the revenue cycle.

Reduce Sepsis Mortality Rates with Five Data-Informed Strategies

Kathleen Merkley, DNP, APRN, FNP

 Senior Vice President of Professional Services

The CDC reports that one in three inpatient deaths is related to sepsis, with related health system costs totaling over $1.5 billion. Fortunately, nearly all sepsis deaths are preventable. However, most health systems lack the tools and information they need to steer sepsis improvement efforts that significantly reduce mortality rates. Robust data infrastructure supports sepsis improvement teams by surfacing detailed data that reveals care gaps and missed opportunities. With access to sepsis data, improvement teams can implement five data-informed strategies that reduce sepsis deaths:1. Create alerts for early detection.2. Improve three-hour bundle compliance.3. Optimize emergency department processes.4. Leverage the CDC Sepsis Surveillance Toolkit.5. Implement care transition processes to prevent sepsis readmission.

The Prior Authorization Process: Need-to-Know Changes for 2021

Jennifer Bishop

Vice President, Product Content

In 2021, the Centers for Medicare and Medicaid Services (CMS) is updating the Prior Authorization for Certain Hospital Outpatient Department Services, which took effect in July 2020. Key elements of CMS’s changes include new service groups and submission guidelines. Health systems can prepare for these updates and avoid processing delays by organizing around the changes, including identifying a point person to track involved patients and follow up on decision letters.Notably, the prior authorization changes include the addition of two service groups:1. Implanted spinal neurostimulators.2. Cervical fusion with disc removal.

The Healthcare Analytics Summit™ 2021 Virtual

The Healthcare Analytics Summit™ (HAS) 21 Virtual features internationally recognized speakers, national and global networking opportunities, and traditional HAS fun—including #Socks of HAS, quiz questions, daily scavenger hunts, prizes, and more. In addition, the 2021 global theme will take attendees on a virtual journey to three international destinations—Singapore, Dubai, and London—while exploring the digital trends and best practice experiences driving healthcare success in the new digital era.The HAS 21 Virtual world-class speaker line-up includes the following:1. Head Coach of the Golden State Warriors and two-time NBA Coach of the Year, Steve Kerr.2. AI Rana el Kaliouby, PhD, co-founder and CEO of Affectiva and pioneer and inventor of Emotion and Human Perception.3. Chris Chen, MD, CEO of ChenMed, and Brent James, MD, MStat, Clinical Professor, Clinical Excellence Research Center (CERC), Department of Medicine at Stanford University School of Medicine.

Optimize Your Labor Management with Health Catalyst PowerLabor™

Tarah Neujahr Bryan

Chief Marketing Officer

To cut costs, healthcare leaders are looking at their greatest operating expense—labor management. However, with outdated labor management systems, decision makers rely on retrospective, incomplete data to forecast staffing volumes and patient support needs. Limited workforce insight can result in misaligned staffing or worse, jeopardizing patient care due to lack of labor support. With the Health Catalyst PowerLabor™ application, part of the Financial Empowerment Suite™, decision makers have access to a comprehensive view of labor data by organization, department, team, and job role. Timely insight into current and future hospital needs allows leaders to staff to patient volume, control escalating labor expenses, and ensure optimal resources for excellent patient care.

Own Your Value-Based Care Future with the Health Catalyst Value Optimizer™ Solution

Tarah Neujahr Bryan

Chief Marketing Officer

As value-based care (VBC) becomes more common in healthcare, population health leaders need a better approach to managing risk-based contracts and optimizing VBC strategies. Unfortunately, many health systems rely on outdated population health offerings that lack data integration capabilities and only provide a fragmented view of their populations. To pinpoint high-priority groups and succeed in VBC, organizations can rely on the Health Catalyst Value Optimizer™ solution. Value Optimizer aggregates and analyzes comprehensive patient data, then instantly identifies the most valuable opportunities for improvement throughout the care continuum. With a full-service solution and increased visibility into performance, leaders can master their VBC and ensure patients receive the best care at the lowest cost.