Ready or not, a change is coming to your Medicare eligibility check process. The Centers for Medicare & Medicaid Services (CMS) has officially announced the deadline for hospital, home healthcare, hospice and skilled nursing (Part A) eligibility inquiries to transition to a new platform. On February 1, you must bid farewell to the Common Working […]
Author Archive for: ABILITY
Guided by a mission to help, ABILITY, an Inovalon company, is a leading information technology company helping healthcare providers and payers simplify administrative and clinical complexity by enabling data-driven improvements in healthcare.
Through specialized, easy-to-use applications and data analytics that work together, customers of all types and sizes across the continuum of care – rely on ABILITY to help optimize reimbursement, care quality and staffing.
Entries by ABILITY
Is your healthcare organization losing money to inefficient patient billing workflows? You’re likely all too familiar with the losses that you can incur from write-offs and denials, but you may be surprised at the hidden costs that come with a few very common workflow issues.
How much are your remittances costing you? You may have hidden inefficiencies draining your time, labor and revenue. If any of the following issues sound familiar, you could benefit from a centralized approach. Wasted time pulling from different places How many different sources are you using to pull your remits? If your organization is like […]
When you think of patient satisfaction, patient payments is probably not the first thing that comes to mind. But, if you take a deeper look into your patient payment processes, you’ll find a lot of avoidable inefficiencies. These can lead to hassles and inconveniences for your patients. Getting rid of them could be the key […]
Healthcare organizations have various metrics that help define and measure success. With so many moving parts, how do you determine what to prioritize? A strong and efficient revenue cycle is the cornerstone of your organization, so it’s important to start there. It is responsible for paying salaries, buying new equipment and even keeping the lights […]
What do predictive analytics and insights have to do with getting more hospital referrals? When you brainstorm ways to gain more referral sources, what comes to mind first? You may think of sending your business development team out on more calls, or even hiring more representatives to reach a wider range of hospitals. But putting […]
The Patient-Driven Payment Model (PDPM) that goes into effect on October 1 is the largest financial change the industry has seen in 20 years. The Centers for Medicare and Medicaid Services (CMS) changed the fee-for-service reimbursement model to a fee-for-performance model, also known as value-based care. CMS’ objective with PDPM is to remove the financial […]
Claims denials happen throughout the revenue cycle, but often their origins are at the very beginning, the moment a patient seeks treatment. What’s driving the denials? According to the Journal of Healthcare Information Management, 86 percent of healthcare industry mistakes are administrative[i]. It’s not surprising when you consider the volume of paperwork faced by front-office […]
Revenue cycle management should be a priority throughout the patient’s journey — from the moment a patient walks in to receive healthcare services, to the moment that patient pays their final bill. There are many opportunities along this journey for healthcare providers to make their revenue cycle more efficient and productive. These “big-picture” tools help […]
How can your post-acute care facility stand out in a saturated and highly competitive healthcare market? By improving your quality care levels, you can make your organization more attractive to referring hospitals in your area. When they see that you have a lower readmission rate than competing facilities, they’ll put your name at the top […]