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Explore proven tools and techniques for maximizing revenue, efficiency, and growth opportunities.

How Episodes of Care Improve Value-Based Reimbursement

In value-based reimbursement models, using an episode-based approach to performance measurement links services provided by different providers in different settings. However, widespread confusion about how episodes of care (EOC) are defined presents a challenge to practical applications. Value-based contracting is spurring complicated discussions on determining lump-sum payments, quality metrics to be used for bonuses or penalties, and arrangements for how shared savings should be split.

Infographic

Claim Denials Are a Thorn in the Side for Providers

Given all the time and resources providers have invested in preventing denials and submitting successful appeals, the industry’s denials rate and associated revenue loss should be decreasing—but they’re not. Instead, denials continue to climb, according to the Change Healthcare 2020 Revenue Cycle Denials Index. View our infographic to see where most denials originate and what you can do to buck the trend.

White Paper

Strategies To Successfully Manage Accident Claims

Learn about how hospitals and health systems use patient liaisons to reduce patient expenses and increase revenue cycle productivity.