Blogs & Insights
Explore our collection of insightful blogs, featuring expert advice, industry trends, and actionable tips to keep you informed and inspired.
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Aug 21, 2026
When Good Utilization Management Makes Your Numbers Look Bad
A successful utilization management program can make key performance metrics look worse before they look better. Learn why a declining CMI, rising AR days, and more denials don't always signal revenue cycle problems and how net revenue reveals the bigger picture.
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Aug 13, 2026
Spotlight: Aaron O’Brien | Building Technology Behind Better Healthcare
Behind every great healthcare solution is technology built with purpose. Meet Aaron O'Brien, Senior Vice President of IT at Brundage Group, and discover how he's driving innovation that streamlines clinical workflows, strengthens revenue integrity, and empowers hospitals with smarter, physician-led technology.
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Aug 12, 2026
The Revenue You’ve Already Earned Might Be Sitting in Your Data
Your UM, CDI, coding, and denial data are telling four separate stories. See what they show when Brundage Group puts them together — free, no commitment.
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Jul 22, 2026
Spotlight: Robin Sewell — Turning Denials into Prevention
After decades working on both the payer and provider sides, Robin Sewell shares how proactive DRG reviews, stronger documentation, and deeper clinical insight help organizations reduce denials and improve revenue integrity.
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Jul 19, 2026
Query IQ: “But the Provider Already Labeled it”
Two CDI myths, one chart: why a documented etiology doesn't close the door on a compliant sepsis query.
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Jul 13, 2026
The End of the Medicare Inpatient-Only List
CMS proposes removing 637 more procedures from the Medicare IPO list in CY 2027. See what it means for documentation and status determination.
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Jun 30, 2026
The Hybrid Physician Advisor Model
See how Physician Advisors help CFOs prevent denials, manage utilization, and protect revenue.
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Jun 24, 2026
2026 Practice Brief Draft: Sources of Documentation for Claims Data
The 2026 Practice Brief Draft challenges common documentation myths and reinforces that a compliant query response in the permanent health record is sufficient for code assignment, even if the diagnosis appears nowhere else.
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Jun 17, 2026
2026 Practice Brief Draft: Defining a Compliant Query Practice
The 2026 Practice Brief Draft reinforces that compliant queries support documentation integrity, not payer denials. Learn how the concept of substantial compliance could reshape query reviews and audit discussions.
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Jun 10, 2026
2026 Practice Brief Draft: Technology and Querying
The 2026 Practice Brief Draft provides a roadmap for compliant AI-assisted querying, reinforcing that technology-generated queries must meet the same standards as traditional documentation clarification practices.
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Jun 9, 2026
Spotlight: Dr. Gregory Smith – A Career Built on Understanding Both Sides
When clinical, operational, and financial teams are pulling in different directions, a trusted Physician Advisor can help hospitals cut through the noise, reduce friction, and refocus on what matters most, patient care.
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May 27, 2026
How Technology Helps Hospitals Reduce Denials and Strengthen Revenue Cycle Performance
Discover how Brundage Group uses intelligent workflows and analytics to help hospitals reduce denials, improve efficiency, and stay financially strong.
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May 10, 2026
Spotlight: Dr. Simon Ahtaridis
Discover how Physician Advisors are helping hospitals close documentation gaps, reduce denials, and strengthen Utilization Management performance.
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May 8, 2026
NPAC 2026 Takeaways
What NPAC revealed about scaling Physician Advisor program performance.
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May 1, 2026
Brundage Group Named Best Place to Work in Tampa Bay for Third Consecutive Year
Recognized for the third year in a row, Brundage Group’s people-first culture and commitment to core values continue to drive employee satisfaction and workplace excellence.
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Apr 30, 2026
Spotlight on Leadership: Dr. Brundage
Capital Analytics spotlights Dr. Timothy Brundage’s perspective on physician-led strategy, AI, and helping hospitals navigate financial and regulatory pressures.
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Apr 27, 2026
Brundage Group Launches Redesigned Client Portal
Nationwide revenue cycle solutions provider helps hospitals navigate the complexities of clinical revenue cycle management.
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Apr 24, 2026
Dr. Hoggard Named 2026 Great Leader in Healthcare
Brundage Group’s Chief Medical Officer, Dr. Brett Hoggard, is recognized by Becker’s Hospital Review as a 2026 Top Leader in Healthcare for his clinical leadership and innovation.
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Apr 20, 2026
Query IQ: Clinical Validation Queries
Are “clinical validation” queries creating confusion instead of clarity? Explore why providers may misinterpret intent—and how clearer language can prevent denials.
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Apr 10, 2026
Spotlight: Cheryl Ericson – From Silos to Synergy
Discover how breaking down silos between CDI, coding, and Physician Advisors strengthens revenue integrity and position hospitals for long-term success.
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Apr 8, 2026
Brundage Group Partners with Water Street to Expand Clinical & Revenue Integrity Services for U.S. Hospitals & Health Systems
Strategic Investment to Enhance Top-Tier Physician Advisory Services and Utilization Management Technology.
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Apr 1, 2026
Why Revenue Cycle Performance Is Now a Clinical Imperative
Margins are shrinking, and payer pressure is rising—here’s how hospitals can defend revenue and stay financially viable.
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Mar 25, 2026
Brundage Group Named Becker’s Top RCM Company 2026
Brundage Group earns Becker’s 2026 RCM Companies to Know list for the second year, highlighting its physician-led approach to revenue cycle performance.
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Mar 20, 2026
Spotlight: Dr. Dhaval Patel—Bridging Clinical Excellence and Healthcare Leadership
In this spotlight, we explore Dr. Patel’s career path, the critical role of Physician Advisors, the power of executive collaboration, and what the future holds for this unique specialty.
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Mar 19, 2026
Query IQ: “You Keep Saying that Word…”
“Sharp” doesn’t always mean excisional. See how missing depth documentation can trigger denials—and how to query smarter to protect DRG Integrity.
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Mar 13, 2026
Why Healthcare Conferences Matter for Revenue Cycle Leaders
Discover why healthcare conferences help revenue cycle leaders connect, share strategies, and stay ahead of evolving industry challenges.
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Mar 4, 2026
Brundage Group Recognized as a Top 10 RCM Provider
Nationwide revenue cycle solutions provider helps hospitals navigate the complexities of clinical revenue cycle management.
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Feb 25, 2026
Why Hospital Physicians Need Expert Physician Advisor Guidance
Hospital physicians need expert Physician Advisor guidance to handle medical necessity reviews, utilization management requirements and rebuff payer scrutiny.
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Feb 10, 2026
Examining Medical Necessity Compliance in Medicare Part A
Learn how PEPPER data highlights medical necessity risks in Medicare Part A and strategies hospitals can use to protect revenue and ensure compliance.
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Feb 3, 2026
Celebrating Dr. Cheryl Geoffrion: National Women Physicians Day
Dr. Cheryl Geoffrion’s journey into medicine was not straightforward and was marked with determination to make a meaningful impact.
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Jan 30, 2026
Why Flat MA Reimbursement = More Denials and Financial Strain
When reimbursement stalls, denials rise. Learn how flat Medicare Advantage rates are driving payer tactics—and why proactive Physician Advisor support is critical.
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Jan 29, 2026
“Good Enough” Documentation Is No Longer Good Enough
A Physician Advisor explains why “good enough” documentation now creates financial risk—and how proactive, real-time strategy protects margins in 2026.
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Jan 27, 2026
Why External Physician Advisor Support Is Essential
External Physician Advisor support is now essential. Learn why hospitals are shifting from internal models to scalable, tech-enabled national teams.
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Jan 20, 2026
Why Projects Targeting Accurate Patient Determinations should be an Executive IT Priority
Inaccurate patient status creates revenue and compliance risk. Discover why healthcare leaders must prioritize automation projects that improve real-time determinations.
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Jan 12, 2026
Brundage Group Clarifies Market Focus as Brundage Workforce Solutions (BWS) Rebrands
Brundage Group announces Brundage Workforce Solutions’ rebrand to VelarityHCS in January 2026, maintaining a strategic mid-revenue cycle alliance.
Read MoreJan 3, 2026
Three Reasons Hospitals Need Automation in 2026
How Certus Radar™, powered by Brundage Group, transforms clinical revenue cycle performance.
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Dec 29, 2025
Physician Advisor Trends Defining 2026
How the Physician Advisor role is evolving this year to strengthen clinical alignment, financial performance, and denial management.
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Dec 23, 2025
2026 Goals for CDI and Physician Advisor Collaboration
Strengthening compliance, supporting clinicians, and protecting revenue is our approach to CDI in the year ahead.
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Dec 18, 2025
Spotlight Interview: Dr. Eric Deppert – A Life Dedicated to Healing and Humanity
Dr. Eric Deppert’s journey in medicine is a testament to lifelong dedication, resilience, and a passion for making a difference.
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Dec 17, 2025
Query IQ: Beware of the Sin of Omission
Avoid denials with compliant, evidence-based queries. Learn from a real sepsis case when clinical indicators don’t support the diagnosis.
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Dec 9, 2025
Trusted Hospital Support Every Day
Available 365 days a year, Brundage Group delivers expert Physician Advisory Services, CDI support, and denial prevention when you need it most.
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Nov 18, 2025
You Need Certus Radar™ to Stay Off the Radar
Stay compliant after Medicare’s Sept 2025 short stay review shift to MACs.
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Nov 17, 2025
Aetna’s Unilateral Decision to Implement a Five Midnight Rule
Aetna’s Severity Inpatient Policy for MA contracts now starts Jan 1, 2026. Hospitals must review contracts, plan responses, and track CMS updates.
Read MoreNov 13, 2025
Query IQ: When Clinical Indicators Don’t Match the Diagnosis
Avoid denials with compliant, evidence-based queries. Learn from a real sepsis case when clinical indicators don’t support the diagnosis.
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Nov 4, 2025
What Revenue Integrity Means in 2026
Explore what Revenue Integrity means in 2026 and how hospitals can reduce denials, improve documentation, and achieve sustainable financial health.
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Nov 4, 2025
Hospital-Wide Readmission Measure: Hospital Inpatient Quality Reporting (IQR)
Learn how CMS tracks hospital readmissions through HRRP and IQR programs using EMR and claims data to improve risk adjustment and quality reporting.
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Oct 24, 2025
Hospital Readmission Reduction Program
Learn how CMS’s HRRP tracks unplanned hospital readmissions, impacts Medicare payments, and enforces penalties for excess readmissions.
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Oct 14, 2025
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.
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Oct 6, 2025
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.
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Sep 23, 2025
The Patient Protection and Affordable Care Act’s Premium Tax Credits
Learn more about this change in Patient Protection and Affordable Care Act's Premium Tax Credits.
Read MoreSep 8, 2025
Query IQ: Clarify Without Leading
Learn how to craft compliant, non-leading queries with Brundage Group experts to protect revenue, reduce denials, and ensure accurate documentation.
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Aug 14, 2025
Aetna’s New Medicare Advantage Inpatient Policy and Its Impact on Hospitals and Patients
Learn the risks and next steps regarding Aetna’s new Medicare Advantage policy.
Read MoreAug 6, 2025
Tech Alone Can’t Fix Your Revenue Cycle: How Physician-Led RCM Closes the Gaps
Technology alone can't fix your revenue cycle. Learn how Brundage Group combines physician-led insight with tech-enabled tools to identify missed revenue, capture it, and close the feedback loop for lasting improvement.
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Aug 5, 2025
Brundage Group Leaders Recognized by Becker’s Healthcare
Brundage Group celebrates Taylor Smith and Keith Fulmer for being named 2025 Up-and-Comers by Becker’s Healthcare—highlighting their leadership in health IT, revenue cycle innovation, and driving meaningful change across the industry.
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Jul 22, 2025
Query IQ: Are Your Query Templates Friend or Foe?
Templated queries aren't one-size-fits-all. When misused, they can lead to confusion, denials, and compliance risks. Learn how to craft clinically grounded, concise queries that clarify documentation, without leading the diagnosis.
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Jul 7, 2025
Reimagining the Healthcare Workforce
Explore how the future of healthcare depends on innovative care delivery models and technology that acts as a safety net to secure earned revenue.
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Jul 1, 2025
HITRUST Certified: Our Approach to Secure Revenue Cycle Integration
Brundage Group is HITRUST certified—delivering secure, compliant solutions that protect your data and strengthen the clinical revenue cycle.
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Jun 19, 2025
Query IQ: Clarifying Clinical Indicators
Learn about a real-world denial that highlights what makes clinical indicators and queries defensible—plus tips to make your documentation audit-ready.
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Jun 18, 2025
What Your CMI Isn’t Telling You
The Case Mix Index (CMI) has been a key performance indicator across hospitals nationwide. But as margins shrink and complexity grows, it's time to ask: Is your hospital relying on outdated and incomplete measures?
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Jun 10, 2025
Physician Advisors Are Not Commodities: A Strategic Look at External Support
Let's Start with a Fundamental Truth: Physician Advisors are not interchangeable- and treating them as a just another FTE is a costly mistake.
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Jun 10, 2025
Ghost Revenue: How to Claim Earned but Unrealized Dollars
What is Ghost Revenue and why should you care?
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May 29, 2025
Query IQ: The “Other” Denial-When Payers Rewrite the Rules
Discover how payers are misusing query guidelines to justify denials — and how Brundage Group's new Query IQ series arms hospitals with tools to fight back. Learn to build bulletproof queries and protect revenue with real-world denial defense strategies.
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May 19, 2025
The Evolution of CDI: Lessons Learned from ACDIS 2025
From payer tactics and denials management to quality measures and AI, the sessions at ACDIS 2025 highlighted the growing influence of CDI across the revenue cycle and its importance at every level of hospital performance.
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May 13, 2025
The Strategic Ascent of Physician Advisors in Healthcare
A quiet but significant shift is happening in hospitals nationwide: Physician Advisors are stepping into the boardroom. No longer limited to clinical guidance, they're becoming essential players in revenue strategy, compliance, and executive decision-making. Explore why the most forward-thinking hospitals invest in business-minded Physician Advisors, and why that shift redefines healthcare leadership's future.
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May 9, 2025
Revenue Integrity Through Tech-Enabled Solutions
Discover how Brundage Group Intelligence empowers hospitals to capture earned revenue, streamline utilization workflows, and enhance compliance—through tech-enabled solutions backed by real clinical insight.
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Apr 28, 2025
Brundage Group Named #1 Best Place to Work in Tampa Bay
At Brundage Group, our people are the heart of everything we do, and we're honored to be awarded by Tampa Bay Business Journal. This recognition, based entirely on employee feedback, truly reflects the supportive and values-driven culture we live in daily.
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Apr 16, 2025
Denials vs. Inpatient Admission Percentage – Examining the Financial and Clinical Impact
Rising denial rates aren't just a paperwork problem—they're reshaping inpatient admissions and impacting hospital revenue. With data-driven strategies and Physician Advisor support, learn how to break the cycle of reactive decision-making, protect your bottom line, and reclaim earned but unrealized revenue.
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Mar 26, 2025
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.
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Mar 13, 2025
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.
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Feb 25, 2025
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.
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Feb 17, 2025
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.
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Feb 12, 2025
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.
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Feb 10, 2025
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.
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Feb 6, 2025
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!
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Jan 29, 2025
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.
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Jan 28, 2025
Physician Advisors: Protecting Hospital Viability
Learn how Physician Advisors act as payer watchdogs to secure earned revenue, support compliance, and improve operational efficiency.
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Jan 21, 2025
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.
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Dec 19, 2024
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.
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Dec 13, 2024
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.
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Dec 11, 2024
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.
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Dec 3, 2024
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.
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Dec 2, 2024
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.
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Nov 25, 2024
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.
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Oct 29, 2024
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.
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Oct 27, 2024
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.
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Oct 22, 2024
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.
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Oct 11, 2024
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:
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Oct 4, 2024
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.
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Oct 4, 2024
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.
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Sep 17, 2024
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.
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Sep 17, 2024
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.
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Sep 15, 2024
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.
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Sep 11, 2024
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.
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Aug 27, 2024
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.
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Jul 22, 2024
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...
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Jul 15, 2024
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...
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Jun 5, 2024
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.
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May 31, 2024
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...
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May 29, 2024
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...
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May 16, 2024
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...
Read MoreApr 9, 2024
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...
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Apr 8, 2024
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...
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Mar 22, 2024
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.
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Mar 15, 2024
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?...
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Mar 8, 2024
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...
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Mar 8, 2024
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.
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Mar 8, 2024
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.
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Feb 13, 2024
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.
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Jan 26, 2024
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.
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Dec 12, 2023
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...
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Dec 11, 2023
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...
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Oct 23, 2023
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...
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Oct 19, 2023
5 Benefits of Revenue Cycle Management
In the ever-evolving landscape of healthcare, effective revenue cycle management (RCM) stands...
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Oct 18, 2023
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.
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Oct 17, 2023
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.
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Oct 16, 2023
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.
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Sep 25, 2023
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.
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Sep 21, 2023
How Clinical Documentation Impacts Commercial Payer 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 payer denials. Poorly managed documents can lead to denied claims, compromising healthcare delivery, and increasing the risk for revenue leakage. Your health system’s practice […]
Read MoreSep 21, 2023
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.
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Sep 21, 2023
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.
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Sep 12, 2023
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.
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Sep 6, 2023
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.
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Sep 6, 2023
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.
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Aug 14, 2023
Hospital Levels of Care
In the ever-evolving landscape of modern healthcare, the concept of hospital levels of...
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Aug 8, 2023
What is Healthcare Revenue Cycle Management?
Healthcare revenue cycle management is a process that encompasses all the administrative and...
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Jul 14, 2023
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...
Read MoreMar 8, 2023
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...
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Nov 1, 2022
Clinical Validation: Understanding Why Hospitals Are Vulnerable to Denials
Is your hospital receiving a high volume of clinical validation denials?
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Sep 14, 2022
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...
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Sep 14, 2022
CDI: Documenting Diagnoses and Patient Safety
Documenting a diagnosis in the health record extends beyond its impact on...
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Jul 27, 2022
Redox and Brundage Group Partner to Optimize Clinical Side of Revenue Cycle
Redox, the company accelerating interoperability in healthcare, has partnered with us...
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Jun 23, 2022
Compliant Retrospective Query Processes
The best practice is to add any retrospective query response as an addendum...
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May 13, 2022
Optimizing Coordination Among Mid-Revenue Cycle Stakeholders
Learn about the specific outcomes of the emergency department pilot program during...
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Apr 5, 2022
HACs and the HAC Reduction Program (HACRP)
HACRP is designed to reduce rates of healthcare-associated infections...
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Mar 22, 2022
What Is Your Data Telling Medicare?
“Upcoding” remains a common mechanism of improper payments. “Healthcare compliance...
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Mar 1, 2022
Is Everything in the Medical Record “Documentation”?
Do health information management (HIM) and clinical documentation integrity (CDI)...
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Feb 9, 2022
Is There a Blind Spot in Your Mid-Revenue Cycle?
As a former manager of clinical documentation integrity (CDI) and utilization...
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Nov 16, 2020
Healthcare-Associated Pneumonia: Why You Should Not Diagnose It
The diagnosis of Healthcare-Associated Pneumonia (HCAP) is clinically out of date...
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Mar 5, 2020
Know the New Pediatric Sepsis Criteria
Surviving Sepsis Campaign International Guidelines for the Management of Septic...
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Jan 21, 2020
Optum (UHC) Profits from Denying ED Payments
Emergency departments (EDs), the US healthcare system “safety net”, are seeing...
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Oct 24, 2019
HAC’s and PSI’s: What’s all the confusion about?
The health care industry continues to transition toward a value-based...
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Oct 17, 2019
Documenting Type 2 MI: Start with the Cause for a Good Effect
Documentation and coding myocardial infarction is a common pain point for CDI...
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Apr 29, 2019
Take control of Medicare Advantage denial challenges
The National Association of Healthcare Revenue Integrity (NAHRI) recently asked our...
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Apr 19, 2019
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...
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Apr 10, 2019
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!
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Mar 14, 2019
Expand the role of the physician advisor to break down silos
I just returned from the ACPA National Physician Advisor Conference where I met...
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Mar 11, 2019
Is your hospital slipping on industry rankings?
Do you recall the days of being graded on a bell curve? Your grade didn’t...
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Maximizing Revenue Together
