Blog
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, minimize exposure to potential hazards like infections, and lower costs significantly. Longer durations can strain hospital...
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. As you seek to optimize your hospital's financial performance, remember that maintaining compliance is just as critical....
Patient Status Basics
By Cheryl Ericson, RN, MS, CCDS, CDIP Director, CDI, UM/CM, Brundage Group Hospitals require a physician order to guide hospital care. The patient status order (often referred to as “admission order”) determines if hospital care will be delivered as an outpatient or...
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? Essentially, your organization provides medical care to policyholders who make payments through their premiums. The critical step in...
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 transactions for healthcare providers. They also play a role in nationwide health statistics research that impacts public...
The Importance of Hospital Coding Accuracy in the Claims Process
Accurate hospital claims are crucial. It ensures seamless insurance reimbursements, promoting financial health within hospitals. Moreover, Clinical Documentation Integrity (CDI) plays a pivotal role in maintaining this accuracy, as CDI specialists undergo rigorous...
Hiring a CDI Specialist: What to Look For
When scouting for a stellar CDI specialist, you seek someone who will drive excellent patient outcomes. This critical role requires specific skill sets: unmatched expertise in clinical documentation integrity (CDI) and a continuous commitment to learning. The right...
Why Clinical Documentation Integrity is a Crucial Component of the Revenue Cycle
Reducing denied claims and underpayments is a vital part of Revenue Cycle Management (RCM). The leadership of most hospitals knows just how essential Clinical Documentation Integrity (CDI) is to the clinical revenue cycle. A robust CDI department ensures hospital...
What is Clinical Validation? Why is it Important?
Clinical validation involves confirming diagnoses by using evidence from a patient's medical record. Clinical validation is typically performed by those with a clinical background or those who are familiar with disease processes. Clinical validation can be part of...
How to Recruit Top Healthcare Candidates
As a healthcare professional, you might already know there’s no underestimating…
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 Big Data Analytics Can Improve Patient Utilization Rates
For healthcare organizations, big data analytics is a great asset. It offers the capacity to collect…