Revenue Cycle Matters

executive order

Executive Order Reduces HHS Time for Transparency

An executive order issued this week calls for the U.S. Department of Health and Human Services (HHS) to write the hospital requirements on price transparency in the next 60 days. This should mandate “standard charge information, including charges and information based on negotiated rates and for common or shoppable items.” But what are common or […]

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Maternity Care

Only 20% of Hospitals meet Maternity Care Performance Standards

Alarmingly, based on a 2017 study, the U.S. has the worst rate of maternal deaths in the developed world. Let that sink in. While mortality rates have declined throughout Europe, Australia, and Canada since 1990, the U.S.’s rate has grown exponentially. There are many reasons for this, including hospitals maternity care performance standards. Based on

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antibiotic

Telemedicine and Increased Antibiotics Prescriptions for Kids

We have been reviewing telemedicine a lot lately. Telemedicine is still in its infancy, with many providers hesitant to jump in. One specialty, however, has been increasing their telehealth visits, and that is pediatrics. And while there have been numerous studies on the benefits of telemedicine for adults, there have been very few regarding the

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telehealth patient

Telehealth Utilization by Patients on the Rise

Stanford Children’s Health in Palo Alto, CA has grown their telehealth program exponentially over the last three years. Their goal is to be more patient-centered, making healthcare more convenient and accessible. From just 192 visits in 2017 to 1,500 already in the first few months of 2019, this practice has learned the value of providing

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medical director

Insurance Medical Director Denied Care without Review

Last week it was reported in an exclusive by CNN, that former Aetna Medical Director, Dr. Jay Ken Iinuma, testified during a deposition that “he never looked at patients’ records when deciding whether to approve or deny care.” This deposition was in response to a lawsuit filed against Aetna by Gillen Washington who suffers from

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