The way to improve a hospital’s revenue cycle is by delivering the right protocols through revenue integrity. Revenue integrity ensures a healthcare organization has accurate reimbursements resulting in much-needed cash flow. Read articles focused on revenue integrity. Cloudmed places emphasis on solutions such as simplified contracting and streamlined implementation processes to recover more revenue.

Can Hospitals Enable DRG Recovery?

Can Hospitals Enable DRG Recovery?

The DRG system (Diagnosis-Related Group) is over 30 years old and hospitals still struggle with the fixed dollar amount allotted for patients covered only by Medicare. The rest of the challenge is understanding changes to the program dealing with reviews and audits,...

Hospital Transfer DRG Revenue Challenges

Hospital Transfer DRG Revenue Challenges

The Post-Acute-Care Transfer policy (PACT) is triggered when an inpatient claim has one of the 280 “Transfer DRGs,” the LOS is less that the geometric mean LOS for that DRG, and the patient is discharged to a qualifying post-acute care facility.

Understanding Worksheet S-10 Revenue for Hospitals

Understanding Worksheet S-10 Revenue for Hospitals

The complexity of Worksheet S-10 reporting can be stunning at times. And accurate records are central to reimbursement that could mean millions of dollars for your hospital. But you have to keep smart, patient data and stay alert to regular changes in both the...

Are Hospital Charge Capture Best Practices Followed?

Are Hospital Charge Capture Best Practices Followed?

Mis-coded charges continue to paralyze revenue integrity at hospitals. We’ve written about hospital charge capture solutions in the past, and most revenue cycle teams agree that this is important. So why do hospitals continue to miss some key opportunities to focus on...

Transfer DRG Remains Top Concern for Hospitals

Transfer DRG Remains Top Concern for Hospitals

What is happening with “transfer DRG” payments in 2020?  Well, the answer is complicated. Usually understood as a focus on proper diagnosis and coding related to transferring a patient out of a hospital to a nursing facility, some hospitals are seeing nursing...