Tag: COVID-19 pandemic

Diversifying Revenue Generators and Pursuing Digital Transformation

Diversifying Revenue Generators and Pursuing Digital Transformation

Recently, HealthLeaders hosted its first ‘Virtual Happy Hour CFO Roundtable’ sponsored by Nuance, gathering executives to address the financial and technological challenges facing the health system during the ongoing COVID-19 pandemic. The hour-long roundtable brought together healthcare executives from provider organizations ranging across the East Coast to the Midwest to delve into two key strategic […]
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Predictive Healthcare Forecasting Key to Provider Survival in 2021

Predictive Healthcare Forecasting Key to Provider Survival in 2021

Healthcare forecasting that can adapt quickly to changes could be as critical to a provider organization’s survival in 2021 as wearing a mask to stop the spread of COVID-19, experts at PwC’s Health Research Institute are saying. Nearly three-quarters of healthcare executives (74 percent) recently surveyed by the Health Research Institute said their organizations would […]
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What Does The Future of Telehealth LookLike

What Does The Future of Telehealth LookLike?

The telehealth industry saw demand surge significantly this spring as Covid-19 began. Telehealth appointments are ideal for a pandemic: patients can seek an informed opinion about their symptoms and be referred for a medical test without having to go to the office physically and placing people at risk. But while the focus on telehealth has […]
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Hospital Claim Denials Up for Most, Driven by Prior Authorizations

Hospital Claim Denials Up for Most, Driven by Prior Authorizations

  Hospitals and health systems are facing a growing volume of claim denials, with private plan prior authorization issues driving the recent increase, according to a new report from the American Hospital Association (AHA). For the report, AHA surveyed more than 200 hospitals and health systems in 2019 to understand the impacts utilization management practices employed by […]
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Final Rule Updates MIPS for 2021 and Beyond

Final Rule Updates MIPS for 2021 and Beyond

  CMS continues to phase in the Quality Payment Program while MACRA mandates loom. The long-awaited Physician Fee Schedule (PFS) final rule, now pending publication in the Federal Register, finalizes proposed updates to the Quality Payment Program (QPP) and its two tracks — the Merit-Based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs) — for performance […]
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CMS Finalizes 2021 Physician Fee Schedule, Including E/M Changes

After some delay due to the COVID-19 pandemic, CMS has released the final rule for the 2021 Medicare Physician Fee Schedule. The final rule unveiled by CMS yesterday evening will dictate how much Medicare physicians get paid for delivering care starting January 1, 2021. In the rule, CMS finalized a conversion factor of $32.41, which is a […]
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How AI is Solving Big Challenges During COVID-19

How AI is Solving Big Challenges During COVID-19

Artificial intelligence is changing the way we think about healthcare during the COVID-19 pandemic, opening our eyes to new opportunities to use machine learning to draw useful conclusions faster. Before COVID-19, one of the biggest challenges healthcare organizations faced was how to accelerate and scale their application of AI—clinically and operationally. Now, the use cases […]
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CMS Approves Coverage of COVID Antibody Treatment for Medicare Beneficiaries

CMS Approves Coverage of COVID Antibody Treatment for Medicare Beneficiaries

New COVID cases reported daily have more than doubled during recent weeks, since a more modest July surge. As the nation’s COVID-19 pandemic continues to spiral out of control, federal authorities are racing to find ways to mitigate the spread. The Centers for Medicare & Medicaid Services (CMS) announced last week that Medicare beneficiaries will […]
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