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Blog Posts by Tag: Hospital

Quick Wins to Mitigate Hospital Staffing Challenges

In its annual survey, the American College of Healthcare Executives (ACHE) asked community hospital CEOs to rank 11 issues facing their organizations. Personnel and staffing shortages leapt to the forefront – ranked as the number-one concern for the first time since 2004. Equally noteworthy, staffing shortages skyrocketed from an average ranking of 4.6 of 11 in 2019 to 1.6 in 2021. RNs topped the...

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Top 5 Blog Posts of 2022

As always, XIFIN’s Beyond Billing blog kept abreast of key issues and hot topics within the healthcare industry, staying especially in tune with legislative proposals that can potentially impact reimbursement and revenue.Here are the top blogs of 2022, with far-ranging topics that include PAMA and SALSA, the No Surprises Act, digital pathology, and revenue cycle management. 1. Laboratory Test...

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No Surprises Act: Examining the Independent Dispute Resolution Process

The Final Rule implementing the No Surprises Act provides new guidance for the payor-provider independent dispute resolution (IDR) process. The Final Rule directs certified IDR entities to consider the qualifying payment amount as well as certain other specific factors when resolving out-of-network rate disputes and requires payors to be more transparent about changes to codes or modifiers that...

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No Surprises Act: 4 Key Steps to Providing Good Faith Estimates

The No Surprises Act protects patients from receiving a surprise medical bill by prohibiting balance billing and requiring providers to provide good faith estimates (GFE) of services. A GFE should be provided to all patients who are uninsured and should include all services expected to be provided by both primary and co-providers.While the legislation went into effect on January 1, 2021, HHS did...

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Optimizing Patient and Payor Payments with Patient Responsibility Estimator Tool

In 2021, the total US out-of-pocket healthcare patient spending increased by 10% from the previous year and is expected to continue to increase by 9.9% annually through 20231. An increase in a patient’s financial responsibility is a growing problem in healthcare and is driven by several factors including: Payors shifting a larger portion of the payment to patient responsibility, on average...

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Best Practice to Maximize Patient Collections Now that the HRSA COVID-19 Uninsured Program has Ended

On March 15, 2022, the Health Resources and Services Administration (HRSA) announced that the Uninsured Program would stop accepting claims as it had exhausted its federal pandemic funding. In the COVID-19 Uninsured Program Shutdown FAQs, HRSA stated: Claims submitted after March 22 for COVID-19 testing and treatment, and after April 5 for vaccination will not be adjudicated for payment. ...

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3 Ways A Patient Engagement Strategy Makes a Difference for your Pharmacy

Reprinted with permission. It’s 2022. Most pharmacies, no matter their size, have patient messaging software of one sort or another. Everyone sends text messages, makes refill reminder calls, and deploys an IVR. But patient engagement is more than just outbound communication. An effective patient engagement strategy for your pharmacy revolves aroundbi-directional connections that strengthen your...

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How OmniSYS fits into Your Hospital’s Pharmacy Security Best Practices

Reprinted with permission. When it comes to patient experiences, outpatient hospital pharmacies want the best of the best. To them, the patient’s experience is paramount. But at the end of the day, IT makes the decisions on what solutions are allowed into the hospital network. Because when it comes to security, hospital pharmacies have a distinct set of rules they must follow compared to their...

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