Hospital Readmission Reduction Program
Learn how CMS’s HRRP tracks unplanned hospital readmissions, impacts Medicare payments, and enforces penalties for excess readmissions.
Hospital Readmission Reduction Program Read More
Education
Education
Readmission Reviews: When to Combine
Incorrectly handling readmissions can cost your hospital in both revenue and reputation. Learn how to identify related admissions, prevent denials, and improve compliance across your organization.
Readmission Reviews: When to Combine Read More
DRG Validation
Query IQ: Copy, Paste, Denied — When Dietician Notes Aren’t Enough
In this edition of Query IQ, we’re tackling the question: Is it enough to carry a dietician’s note into the discharge summary to support coding for severe malnutrition? Spoiler: not usually.
Query IQ: Copy, Paste, Denied — When Dietician Notes Aren’t Enough Read More
Press Release
Brundage Group Recognized as Leading Revenue Cycle Management Companies
Brundage Group is honored to be named by Becker’s Healthcare as a top revenue cycle management company, helping hospitals optimize revenue integrity.
Brundage Group Recognized as Leading Revenue Cycle Management Companies Read More
Physician Advisors, Revenue Cycle
The Bigger Picture: Aligning Patient Care, Compliance, and Financial Health
To maintain balanced, hospitals must track key performance indicators (KPIs) that reflect the broader ecosystem rather than just isolated departmental goals.
The Bigger Picture: Aligning Patient Care, Compliance, and Financial Health Read More
General
Building More Than Homes: My Experience at the 2025 Habitat for Humanity CEO Build
Building more than homes, building community. Dr. Tim Brundage shares his experience at the 2025 Habitat for Humanity CEO Build.
Building More Than Homes: My Experience at the 2025 Habitat for Humanity CEO Build Read More
Physician Advisors
Peer-to-Peer Reviews for Medical Necessity Appeals: Key Strategies for Revenue Recovery
Learn how hospitals can optimize the peer-to-peer process with expert advocacy, data tracking, and strategic pursuit rates.
Peer-to-Peer Reviews for Medical Necessity Appeals: Key Strategies for Revenue Recovery Read More
CDI
Bridging the Gap: Addressing the Challenges of Clinical Validation Queries
Due to their complexity, clinical validation queries lag behind denials. Learn how better training, tech, and strategy can improve accuracy and reduce revenue loss.
Bridging the Gap: Addressing the Challenges of Clinical Validation Queries Read More
CDI
Universal Definition of Heart Failure & Why Proper Coding Matters
Improve heart failure diagnosis, treatment, and revenue integrity with proper clinical documentation and coding, ensuring hospitals receive earned reimbursement.
Universal Definition of Heart Failure & Why Proper Coding Matters Read More
Utilization
How to Recover Hidden Revenue with Utilization Management
Recover hidden revenue with Certus Radar™—real-time oversight, 24/7 reviews, and expert UM support. Get a free data analysis today!
How to Recover Hidden Revenue with Utilization Management Read More
CDI
Clinical Validation Queries: A Missed Opportunity?
Learn how to effectively implement clinical validation queries in your healthcare organization to avoid denials, reduce administrative costs, and enhance revenue cycle efficiency.
Clinical Validation Queries: A Missed Opportunity? Read More
Physician Advisors
Physician Advisors: Protecting Hospital Viability
Learn how Physician Advisors act as payor watchdogs to secure earned revenue, support compliance, and improve operational efficiency.
Physician Advisors: Protecting Hospital Viability Read More
Physician Advisors
The Vital Role of a Physician Advisor in Modern Healthcare
Discover how Physician Advisors support revenue capture, ensuring compliance, optimizing operations, and helping hospitals thrive.
The Vital Role of a Physician Advisor in Modern Healthcare Read More
Physician Advisors, Revenue Cycle
The Physician Advisor: The Administrative Role Hospitals Can’t Afford to Overlook
Discover why Physician Advisors are essential for bridging hospital clinical and administrative needs.
The Physician Advisor: The Administrative Role Hospitals Can’t Afford to Overlook Read More
Claims Denial, Physician Advisors
Understanding Beneficiary Appeal Rights After Inpatient-to-Outpatient Status Changes
Discover changes to CMS Rule 4204F, addressing Medicare appeal rights after inpatient-to-outpatient reclassification.
Understanding Beneficiary Appeal Rights After Inpatient-to-Outpatient Status Changes Read More
Press Release
Brundage Group Recognized on Florida State University’s 2025 Seminole 100 List of Fastest-Growing Alumni-Led Businesses
Brundage Group is proud to be recognized on Florida State University’s 2025 Seminole 100 list, celebrating the fastest-growing alumni-led businesses.
Education, Healthcare Staffing
The Two-Midnight Rule: All About the Expectation
Learn how proper documentation of the Two-Midnight Rule improves compliance, reduces denials, and boosts hospital revenue.
The Two-Midnight Rule: All About the Expectation Read More
Education, Healthcare Staffing
Are Departmental Cost-Cutting Measures Costing Your Hospital More Than You’re Saving?
Are cost-cutting measures costing more? Discover how Physician Advisor programs can deliver a 10:1 ROI and maximize your hospital’s financial health.
Are Departmental Cost-Cutting Measures Costing Your Hospital More Than You’re Saving? Read More
Physician Advisors, Utilization
Two-Midnight Rule: Greater Understanding Yields Better Results
Why do conflicts over the two-midnight rule persist? Discover how clearer documentation, alignment with Rule 1599F, and streamlined processes can reduce denials and enhance care coordination. Learn actionable strategies to close documentation gaps and improve outcomes for both patients and hospitals.
Two-Midnight Rule: Greater Understanding Yields Better Results Read More
Physician Advisors, Utilization
Unlocking Compliance, Continuity, and Revenue Potential with Certus Radar™
Certus Radar™ combines expert automation and real-time analytics to optimize utilization management, ensuring accurate patient status and timely escalations to prevent revenue leakage.
Unlocking Compliance, Continuity, and Revenue Potential with Certus Radar™ Read More
Claims Denial, Physician Advisors
Brundage Group’s Success in Overturning Patient Status Denials from Kodiak’s Medicare Advantage Study
Discover how Brundage Group helps hospitals reduce denials, improve revenue capture, and streamline compliance through expert insights and data-driven solutions.
General, Press Release
Brundage Group and Iodine Software Team Up to Strengthen Physician Advisor Support in Hospital Operations
Discover how Brundage Group helps hospitals reduce denials, improve revenue capture, and streamline compliance through expert insights and data-driven solutions.
General, Physician Advisors
Recognizing the Role of Physician Advisors in Case Management
As we celebrate Case Management Week, let’s explore how case management has evolved and recognize Physician Advisors’ vital role in supporting this essential function. Here’s a look at the evolution of case management and the value Physician Advisors bring:
Recognizing the Role of Physician Advisors in Case Management Read More
Analytics, Press Release
Brundage Group’s Keith Fulmer Honored in Becker’s 2024 Health IT and Revenue Cycle Up-and-Comers List
CTIO Keith Fulmer has been recognized in Becker’s 2024 Health IT and Revenue Cycle Up-and-Comers list for his innovative leadership, driving growth and transformation in healthcare through technology and revenue cycle management.
Physician Advisors, Revenue Cycle
Thinking of Transitioning to an Internal Physician Advisor Program?
Discover key factors hospitals may overlook when transitioning to an internal Physician Advisor program in Dr. Tim Brundage’s latest blog.
Thinking of Transitioning to an Internal Physician Advisor Program? Read More
CDI, DRG Validation
Crucial Role of DRG Validation: A Physician Advisor’s Perspective
Learn why DRG validation is essential for accurate reimbursement, reducing denials, ensuring compliance, and improving patient care from a Physician Advisor’s perspective.
Crucial Role of DRG Validation: A Physician Advisor’s Perspective Read More
CDI, DRG Validation
The Business of Clinical Documentation Integrity
Discover how the evolution of Clinical Documentation Integrity impacts hospital revenue and why robust CDI is essential for maximizing revenue integrity.
The Business of Clinical Documentation Integrity Read More
CDI, DRG Validation
How Clinical Documentation Integrity (CDI) Impacts DRG Validation
Learn how CDI plays a crucial role in accurate Diagnosis-Related Group (DRG) validation and hospital reimbursement.
How Clinical Documentation Integrity (CDI) Impacts DRG Validation Read More
Press Release
Brundage Group: Best Places to Work in Tampa Bay 2024
Brundage Group proudly recognized as the Best Places to Work in Tampa Bay 2024, highlighting our commitment to employee engagement, workplace culture, and team success.
Brundage Group: Best Places to Work in Tampa Bay 2024 Read More
Claims Denial, Physician Advisors
Mid-Revenue Cycle Optimization: How Brundage Group Helps Hospitals Secure Earned Revenue
Struggling to secure the revenue your hospital deserves? Brundage Group specializes in Mid-Revenue Cycle Optimization, offering innovative solutions to streamline processes, enhance documentation, and maximize financial outcomes.
Mid-Revenue Cycle Optimization: How Brundage Group Helps Hospitals Secure Earned Revenue Read More
Press Release
Brundage Group Secures HITRUST e1 Certification
July 17, 2024 — Brundage Group, a leading provider of physician advisory services and revenue cycle analytics, achieves HITRUST e1 Certification…
Brundage Group Secures HITRUST e1 Certification Read More
Press Release
Brundage Group and Phoenix Medical Management Partner to Deliver Value-Driven Solutions Across the Mid-Revenue Cycle
July 15, 2024 — Brundage Group, a leading provider of Physician Advisory services, revenue cycle analytics…
Analytics
Unlocking Revenue Potential: Physician Advisor Meets Coder for Unbreakable Accuracy in DRG Review!
Please mark your calendars for Thursday, July 18, 2024, at 1:00 PM ET, and join us for a live, 60-minute webinar that promises to revolutionize your hospital’s revenue cycle management.
Utilization
How Hospital Inpatient Utilization Management Shields Against Claim Denials
Hospital inpatient utilization management (UM) is crucial in the healthcare industry, ensuring hospital resources are used appropriately…
How Hospital Inpatient Utilization Management Shields Against Claim Denials Read More
Revenue Cycle
Leveraging Hospital Inpatient Clinical Revenue Cycle Management to Prevent Revenue Issues
Effective inpatient clinical revenue cycle management (RCM) is crucial for hospitals aiming to maintain financial health…
Leveraging Hospital Inpatient Clinical Revenue Cycle Management to Prevent Revenue Issues Read More
DRG Validation
Physician Advisor Turned Certified Coder: Tackling the Challenges of Clinical Documentation
Explore Dr. Hassan Rao’s transformative journey from hospitalist to certified coder, as an Executive Physician Advisor at Brundage Group…
General
Why Reducing Length of Stay Is Critical for Patient & Hospital Well-being
Reducing the length of stay holds much significance for both patients and hospitals. Shorter stays contribute to improved patient well-being…
Why Reducing Length of Stay Is Critical for Patient & Hospital Well-being Read More
Revenue Cycle
Optimizing Revenue, Ensuring Compliance: A Guide to Healthcare Revenue Integrity
Successfully navigating the intricate maze of healthcare revenue cycle management demands a sharp comprehension and a well-thought-out strategy…
Optimizing Revenue, Ensuring Compliance: A Guide to Healthcare Revenue Integrity Read More
General
Patient Status Basics
Understanding patient status is crucial for compliance and revenue integrity. Brundage Group simplifies the complexities, offering guidance on how to navigate patient status classifications effectively to protect hospital revenue.
Patient Status Basics Read More
Revenue Cycle
How Does Insurance Reimbursement Work for Hospitals?
You’re a hospital administrator faced with the complex task of dealing with insurance reimbursements. How does this process work?…
How Does Insurance Reimbursement Work for Hospitals? Read More
Revenue Cycle
Why Is Medical Billing and Coding Important?
Understanding the significance of medical billing and coding is crucial. These processes ensure accurate patient records and correct payment…
Why Is Medical Billing and Coding Important? Read More
Claims Denial
The Importance of Hospital Coding Accuracy in the Claims Process
Accurate hospital coding is the backbone of a successful claims process. Discover how Brundage Group ensures coding precision to enhance compliance, reduce denials, and maximize reimbursement.
The Importance of Hospital Coding Accuracy in the Claims Process Read More
CDI
Hiring a CDI Specialist: What to Look For
Hiring the right CDI specialist is essential for improving documentation and driving revenue growth. Discover key traits and qualifications to look for with Brundage Group’s expert guidance.
Hiring a CDI Specialist: What to Look For Read More
CDI
Why Clinical Documentation Integrity is a Crucial Component of the Revenue Cycle
Clinical Documentation Integrity (CDI) is more than a buzzword—it’s a cornerstone of a healthy revenue cycle. Discover why accurate, thorough documentation is essential for compliance and financial success with Brundage Group.
Why Clinical Documentation Integrity is a Crucial Component of the Revenue Cycle Read More
DRG Validation
What is Clinical Validation? Why is it Important?
Clinical validation bridges the gap between documented diagnoses and clinical evidence, ensuring compliance and protecting revenue. Discover why this process is vital for hospital operations and financial health.
What is Clinical Validation? Why is it Important? Read More
Claims Denial
How to Avoid the 5 Most Common Mistakes Causing Claim Denials
In healthcare, claim denials represent a formidable challenge for hospitals. The impact of claim…
How to Avoid the 5 Most Common Mistakes Causing Claim Denials Read More
Analytics
How Big Data Analytics Can Improve Patient Utilization Rates
For healthcare organizations, big data analytics is a great asset. It offers the capacity to collect…
How Big Data Analytics Can Improve Patient Utilization Rates Read More
Claims Denial, Revenue Cycle
How to Improve Claims Denials Management and Capture Accurate Reimbursement in the Healthcare Revenue Cycle
Are you facing challenges with the health of your revenue cycle? The following tips will guide you…
Revenue Cycle
5 Benefits of Revenue Cycle Management
In the ever-evolving landscape of healthcare, effective revenue cycle management (RCM) stands…
5 Benefits of Revenue Cycle Management Read More
Claims Denial
What is the Denial Management Process in Medical Billing
As you navigate the medical billing landscape, denial management becomes key. This process involves identifying rejected claims by insurance companies and then fixing them for resubmission. In essence, it’s a necessary strategy to ensure your healthcare organization receives due compensation.
What is the Denial Management Process in Medical Billing Read More
Utilization
The Key to Effective Utilization Management
Utilization Management, focusing on quality patient care and cost-effectiveness, is a vital cog in the wheel for hospitals. Coordinating the appropriate use of resources and ensuring patients get the right level of services at suitable times it shapes the landscape of health management systems globally.
The Key to Effective Utilization Management Read More
CDI
How Clinical Documentation Improvement Benefits Healthcare Organizations
You’re looking to optimize your healthcare organization. Consider the benefits of Clinical Documentation Improvement (CDI). It’s a mechanism that enhances care quality, fiscal health, and compliance.
How Clinical Documentation Improvement Benefits Healthcare Organizations Read More
CDI, Education
How Brundage Group Can Help With Clinical Documentation Integrity Education
As a healthcare provider, you need to understand accurate clinical documentation. Brundage Group can help through our educational services in Clinical Documentation Integrity (CDI). Our team of physicians and CDI specialists offers skills to enhance your knowledge base and equip you with methods for the precise documentation of medical data.
How Brundage Group Can Help With Clinical Documentation Integrity Education Read More
Analytics
How Clinical Documentation Impacts Commercial Payor Denials
You’re knee-deep in the medical field. You juggle endless tasks every day, from patient care to paperwork. Still, your grasp of proper documentation significantly impacts the organization and it influences commercial payor denials. Poorly managed documents can lead to denied claims, compromising healthcare delivery, and increasing the risk for revenue leakage. Your health system’s practice
How Clinical Documentation Impacts Commercial Payor Denials Read More
Revenue Cycle
What Are The 6 Stages of The Revenue Cycle in Healthcare?
The intricacy of healthcare revenue cycle management can be found in its six distinct stages, each playing a pivotal role in enhancing financial operations within a hospital or healthcare system. By comprehending these steps: patient pre-arrival, arrival, charge capture and entry, claim submission, remittance processing, and collections, healthcare providers can focus on capturing earned revenue while prioritizing quality and compliance.
What Are The 6 Stages of The Revenue Cycle in Healthcare? Read More
DRG Validation
What are Diagnosis Related Groups (DRGs)?
Picture a system that simplifies hospital billing. That’s where Diagnosis Related Groups (DRGs) come into play. They’re classifications utilized by hospitals to bill for each patient’s stay.
What are Diagnosis Related Groups (DRGs)? Read More
Claims Denial
Denial Management in Healthcare
Facing a high volume of medical claim denials? Don’t worry; you’ve come to the right place to understand denial management better. This process can decrease denial rates for medical claims. Here we’ll dive into how it operates and its benefits for your hospital’s financial health.
Denial Management in Healthcare Read More
Utilization
What is Utilization Management and Why It’s Important in Healthcare
Utilization management plays a pivotal role in healthcare. Utilization management promotes high-quality patient care by evaluating the necessity, appropriateness, and efficiency of health services. It’s essential for hospitals, as it helps curb unnecessary expenses while ensuring optimal use of resources. Embracing this proactive approach can dramatically improve patient outcomes.
What is Utilization Management and Why It’s Important in Healthcare Read More
Utilization
A Comprehensive Guide to Understanding and Managing Hospital Length of Stay
You’re delving into a crucial topic in healthcare management: understanding and managing hospital length of stay. Grasping this subject can help to optimize resources, improve patient outcomes, streamline workflow more efficiently, and reduce undue burdens on the health system.
A Comprehensive Guide to Understanding and Managing Hospital Length of Stay Read More
General
Hospital Levels of Care
In the ever-evolving landscape of modern healthcare, the concept of hospital levels of…
Hospital Levels of Care Read More
Revenue Cycle
What is Healthcare Revenue Cycle Management?
Healthcare revenue cycle management is a process that encompasses all the administrative and…
What is Healthcare Revenue Cycle Management? Read More
Press Release
Leading Healthcare Revenue Cycle Solutions Providers, Brundage Group and Brundage Workforce Solutions, Recognized Among Tampa Bay Business Journal’s Fast 50 Award Winners for Consecutive Years
Brundage Group and Brundage Workforce Solutions, leading providers of…
CDI, Physician Advisors
Why Providers Should be Documenting “Evidence of” a Diagnosis Based on Clinical Findings
CDI and coding professionals should consider the totality of the record when…
Why Providers Should be Documenting “Evidence of” a Diagnosis Based on Clinical Findings Read More
CDI, Claims Denial
Clinical Validation: Understanding Why Hospitals Are Vulnerable to Denials
Is your hospital receiving a high volume of clinical validation denials?
Clinical Validation: Understanding Why Hospitals Are Vulnerable to Denials Read More
CDI, DRG Validation
Tips for Preparing for New Coding Changes for 2023
With the start of fiscal year (FY) 2023 right around the corner, this is a good…
Tips for Preparing for New Coding Changes for 2023 Read More
CDI, Quality
CDI: Documenting Diagnoses and Patient Safety
Documenting a diagnosis in the health record extends beyond its impact on…
CDI: Documenting Diagnoses and Patient Safety Read More
Analytics
Redox and Brundage Group Partner to Optimize Clinical Side of Revenue Cycle
Redox, the company accelerating interoperability in healthcare, has partnered with us…
Redox and Brundage Group Partner to Optimize Clinical Side of Revenue Cycle Read More
CDI, DRG Validation
Compliant Retrospective Query Processes
The best practice is to add any retrospective query response as an addendum…
Compliant Retrospective Query Processes Read More
Physician Advisors, Utilization
Optimizing Coordination Among Mid-Revenue Cycle Stakeholders
Learn about the specific outcomes of the emergency department pilot program during…
Optimizing Coordination Among Mid-Revenue Cycle Stakeholders Read More
CDI, Quality
HACs and the HAC Reduction Program (HACRP)
HACRP is designed to reduce rates of healthcare-associated infections…
HACs and the HAC Reduction Program (HACRP) Read More
CDI, Quality, Utilization
What Is Your Data Telling Medicare?
“Upcoding” remains a common mechanism of improper payments. “Healthcare compliance…
What Is Your Data Telling Medicare? Read More
CDI, Physician Advisors
Is Everything in the Medical Record “Documentation”?
Do health information management (HIM) and clinical documentation integrity (CDI)…
Is Everything in the Medical Record “Documentation”? Read More
CDI, Physician Advisors, Utilization
Is There a Blind Spot in Your Mid-Revenue Cycle?
As a former manager of clinical documentation integrity (CDI) and utilization…
Is There a Blind Spot in Your Mid-Revenue Cycle? Read More
CDI, Physician Advisors, Quality, Utilization
Healthcare-Associated Pneumonia: Why You Should Not Diagnose It
The diagnosis of Healthcare-Associated Pneumonia (HCAP) is clinically out of date…
Healthcare-Associated Pneumonia: Why You Should Not Diagnose It Read More
CDI, Physician Advisors
Know the New Pediatric Sepsis Criteria
Surviving Sepsis Campaign International Guidelines for the Management of Septic…
Know the New Pediatric Sepsis Criteria Read More
Claims Denial, Physician Advisors
Optum (UHC) Profits from Denying ED Payments
Emergency departments (EDs), the US healthcare system “safety net”, are seeing…
Optum (UHC) Profits from Denying ED Payments Read More
CDI, Quality
HAC’s and PSI’s: What’s all the confusion about?
The health care industry continues to transition toward a value-based…
HAC’s and PSI’s: What’s all the confusion about? Read More
CDI, Education
Documenting Type 2 MI: Start with the Cause for a Good Effect
Documentation and coding myocardial infarction is a common pain point for CDI…
Documenting Type 2 MI: Start with the Cause for a Good Effect Read More
Claims Denial, Physician Advisors, Utilization
Take control of Medicare Advantage denial challenges
The National Association of Healthcare Revenue Integrity (NAHRI) recently asked our…
Take control of Medicare Advantage denial challenges Read More
Claims Denial, Physician Advisors
Guest Blog: A Rebeginner’s Guide to Peer-to-Peer Appeals
Suggestions for conducting peer-to-peer appeals for denials. If you are wondering why…
Guest Blog: A Rebeginner’s Guide to Peer-to-Peer Appeals Read More
Claims Denial, Physician Advisors
Physician Advisor Perspective to Avoid a Potential DRG Clinical Validation Downgrade Denial of DRG 853
DRG 853 Infectious and Parasitic Diseases with OR Procedure w/MCC is Under Attack!
CDI, Physician Advisors, Quality, Utilization
Expand the role of the physician advisor to break down silos
I just returned from the ACPA National Physician Advisor Conference where I met…
Expand the role of the physician advisor to break down silos Read More
CDI, Physician Advisors, Quality
Is your hospital slipping on industry rankings?
Do you recall the days of being graded on a bell curve? Your grade didn’t…
Is your hospital slipping on industry rankings? Read More
