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September 24, 2020 / Titan News

In-Network Claims Sometimes Paid At Out-Of-Network Rates

Blue Cross Blue Shield (BCBS), one of the largest health insurance networks in the country, has 36 independent BCBS companies insuring more than 107 million members across all 50 states, the District of Columbia, and Puerto Rico.

To facilitate proper claim processing, BCBS assigns a three-letter alpha prefix to each policy to identify the state or region where the policy originates. This prefix enables local BCBS plans to redirect claims to the correct “home” plan so they can be adjudicated at the contracted in-network reimbursement rate and plan benefit level.

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September 21, 2020 / Beckers Hospital Review

Physician coding errors led to millions in overpayments for stroke patients.

Physicians haven't properly coded for stroke patients who transferred from traditional Medicare to Medicare Advantage, leading to inflated payments to Medicare Advantage organizations, according to a Sept. 16 report from HHS' Office of Inspector General. 

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September 15, 2020 / Revcycle Intelligence

75% of health systems and large hospitals are considering permanent changes to revenue cycle management.

The survey of 587 chief financial officers and revenue cycle leaders at hospitals and health systems found that 75 percent of organizations will permanently change revenue cycle management due to COVID-19.The top way revenue cycle management operations will change? Remote work.

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September 14, 2020 / Beckers ASC Review

Now that many ASCs are operating at or near their historical volumes, it’s time to prepare for future growth. Here's how.

In mid-March, hospitals across the country halted elective surgeries due to the SARS-CoV-2 pandemic. While many ASCs did experience initial shock—volume across the nation dropped 80% between February and April—most ASCs have now rebounded to pre-pandemic activity.Although the dramatic drop in business created several financial challenges, it also gave ASC administrators time to pause and evaluate their business strategies.

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August 19, 2020 / Titan News

Titan Health Management Solutions Selects Charlotte Jacobs as Vice President, Business Development

Charlotte has an extensive background across Healthcare Quality Improvement, Population Health, and Healthcare Finance. She is an expert in MIPS/MACRA, Accountable Care Organization (ACO) strategies, and Population Health. She has led strategic initiatives, customer service and business development for Primaris Healthcare, Cerner Incorporated, Santex Group (Accenture Division) and Kemin Industries. Charlotte will lead Titan’s efforts to expand into new territories and service offerings. 

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August 18, 2020 / Titan News

Can a facility bill for a cancelled procedure?

Yes - in extenuating circumstances. Titan Health's Nicole Helfrich explores this question in more detail. 

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August 6, 2020 / Healthcare Finance

Doctor and hospital groups have created a road map for keeping essential surgeries during a COVID-19 surge.

The roadmap includes recommendations on community partnerships, PPE and distancing protocols, and prioritizing procedures. This will help ensure healthcare organizations, physicians and nurses remain prepared to meet the demands of caring for patients who need to undergo essential operations. 

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August 14, 2020 / Modern Healthcare

Improving care delivery will be slow without rethinking financial incentives.

A Q&A with John Snyder, Sanford Health Plan’s President covers Sanford Health Plan's work to support members dealing with COVID-19 and the future of value-based payment.

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August 6, 2020 / Titan News

Titan Health Management Solutions Selects Nancy Wilson as Chief Information Security Officer.

Wilson brings over 25 years of proven IT experience, with an extensive background in building and maintaining information security and risk management programs in compliance-driven environments. She will continue to lead the company’s initiatives to build out Titan’s security platform and maintain the security protocols necessary for a regulated entity in the healthcare arena. Wilson will also continue Titan’s path towards achieving additional certifications.

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July 17, 2020 / HFMA

Hospitals worry the latest Medicare transparency effort will increase costs.

Medicare aims to build on its pending requirement for hospitals to release negotiated charges, recently issuing proposed additional requirements. But hospitals have spelled out a range of concerns, including increased costs for them and for patients.

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July 16, 2020 / Healthcare Finance News

Health system leaders attribute telehealth, communication and planning to financial recovery.

Executives spoke about navigating through the pandemic during the Healthcare Financial Management Association Digital Annual Conference. One of the key steps in recovery for these organizations was the implementation of telehealth.

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July 13, 2020 / Beckers Hospital Review

Points of guidance from Northwell Health's President & CEO.

Northwell Health has been through an exceptional and unique experience, and has an unusual vantage point as they have witnessed what is going on in hospitals around the country. As the leader of the health system that cared for more COVID-19 patients than any other organization in the U.S., Michael Dowling, CEO & President of Northwell Health offers a few general points of guidance. 

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July 6, 2020 / HIT Consultant

How text payments can fit into a health system’s revenue cycle management and patient engagement strategies. 

Contactless payments were on the rise even before COVID-19 hit. But now, health systems should see them as essential. Consumers are increasingly wary of touching a credit card terminal that others have used, a perfect conduit for spreading germs. For consumers, text payments serve as a convenient contactless way to pay, but there are other unique benefits when this method of payment is applied in a healthcare setting.

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June 30, 2020 / The Hill

CMS releases data for COVID-19 hospitalization payments.

The report covers Medicare claims and encounter data for services rendered between January 1 and May 16, 2020. In that period, there were 81,227 total fee-for-service COVID-19 hospitalizations, according to CMS. The average Medicare payment per fee-for-service was $23,094. 

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June 29, 2020 / Harvard Business Review

How One Boston Hospital Built a Covid-19 Forecasting System

Among the most challenging aspects of the pandemic has been predicting its spread. Beth Israel Deaconess Medical Center (BIDMC), built a forecasting model to help predicting the timing and magnitude of Covid-19 clinical demands for their hospital. 

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June 25, 2020 / The Hill

Texas Suspends Elective Surgeries in 4 Counties as COVID-19 Cases Surge

Texas Gov. Greg Abbott (R) issued an executive order Thursday suspending elective surgeries in four counties where surging COVID-19 outbreaks threaten to overwhelm hospitals. The order takes effect Friday at midnight in Bexar, Dallas, Harris and Travis counties, which hold some of the state’s largest cities.

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June 25, 2020 / Titan Health

5 Most Common Reasons for Health Plan Underpayments

In recent months, 84% of hospital finance leaders and 79% of leaders at large physician practices have confirmed they performed audits on the state of their digital transformation. They overwhelmingly agree that COVID-19 is creating a need to reduce spending, but few anticipate cutting their financial IT budgets in 2020.

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June 16, 2020 / EMS1

Perspective: When cutting expenditures, be careful you don’t put your patients and agency at risk

In times of uncertainty, it is natural to look for the quickest and easiest ways to reduce spending. However, it is advisable to carefully examine where cuts will be made and any potential downstream impacts. Being cautious when cutting expenses could save a bundle on costly errors.

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June 15, 2020 / Revenue Intelligence

Mending Payer Relations Smooths Revenue Cycle at Northwestern Med

Engaging in more productive conversations with payers helped Northwestern Medicine exceed net patient revenue goals and address its more pressing revenue cycle challenges, including COVID-19.

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June 9, 2020 / HealthLeaders

3 Boots-On-The-Ground Revenue Cycle Strategies for a Second COVID-19 Surge

Health system leaders around the country can look to systems like Northwell Health in New York for guidance about how to best prepare their own revenue cycles for a possible second wave of COVID-19 cases as states ease restrictions and mass protests flood the streets.

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June 8, 2020 / Revenue Intelligence

Healthcare CFOs Looking to Technology to Boost Waning Margins

In recent months, 84% of hospital finance leaders and 79% of leaders at large physician practices have confirmed they performed audits on the state of their digital transformation. They overwhelmingly agree that COVID-19 is creating a need to reduce spending, but few anticipate cutting their financial IT budgets in 2020.

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June 4, 2020 / Health Leaders Media

The Revenue Integrity Perspective on Managing COVID-19

Outpatient, emergency, and inpatient hospital visit volumes continue to trend upward, but at a rate that may be frustratingly slow for cash-strapped organizations.

They're also recovering unevenly, which may prompt revenue cycle leaders to reevaluate their resource allocation.

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June 1, 2020 / Beckers Hospital Review

How 2 Michigan health systems revolutionized their revenue cycle process after COVID-19

Through May 20, Michigan reported more than 51,000 cases of COVID-19, 1.7 million residents on unemployment and an uninsured rate around 5 percent. Here are some insights into how their hospitals responded to the challenges of COVID-19. 

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June 1, 2020 / Healthleaders

Action items for revenue cycle leaders based on uneven recovery and visit volumes

Traditionally, health system leaders have focused heavily on more profitable inpatient volumes. However, the differences in recovery rates between hospital visit settings may require revenue cycle leaders to focus their energy and resources elsewhere.

May 28, 2020 / Revenue Intelligence

1 in 5 Hospital Execs Expect Revenue Declines of Over 30% in 2020

Nearly all hospital executives in a recent survey anticipate their revenues to be lower at the end of 2020 as a result of COVID-19, but the pandemic could also spur more telehealth and M&A.

May 22, 2020 / HFMA

Lessons from 2 organizations that restarted elective procedures after the COVID-19 moratorium

Hospitals in New York state are restarting elective surgeries after having suspended them per a state order in response to the COVID-19 pandemic. Leaders began the process by examining every workflow to assess what they needed to change in the new environment. One challenge has been figuring out how to convince patients that it is safe to return.

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May 20, 2020 / NORC at the University of Chicago

39 million Americans donated money to help others pay COVID-related expenses in first month of pandemic

One in five Americans (about 39 million) reported that they or someone in their household had contributed to a person or organization raising money for coronavirus-related expenses during the first month of the pandemic, according to a new AmeriSpeak® Spotlight on Health national survey from NORC at the University of Chicago.

Data Driven. Client Focused. Forward Looking. 

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