Blog
Real-time operational reporting: moving beyond ...
Imagine a hospital revenue cycle team reviewing its monthly reports, only to realize weeks later that claim denials spiked because payer rules had chang...
Blog
The VBC quality trap: how to stop chasing charts and start caring f...
A comprehensive guide to reducing documentation burden in risk-based contracts—designed for organizations taking on more financial risk and grappling with the hidden cost of proving quality. ...
Article
Why automating coordination of benefits is a cri...
It is 4:00 PM on a Friday. Your care coordination team has finally secured a skilled nursing facility (SNF) bed for a high-risk patient ready for discharge. The clinical handoff is perfect. The patient is ready. Then, the phone rings. The receiving facility is refusing the ...
Article
The complete guide to ACO LEAD: your roadmap to the...
The Centers for Medicare and Medicaid Services (CMS) has unveiled a transformative successor to ACO REACH that fundamentally reshapes how accountable care organizations can participate in Medicare value-based care. The Long-term Enhanced ACO Design (ACO LEAD) model represents ...
