Revenue cycle management (RCM) in healthcare is the fiscal process that guides the identification, management and collection of payments for patient services. The process begins with patient pre-registration, is followed by claims submission, and concludes with remittance processing. We understand hospitals, physician practices and other healthcare operations want to prioritize their limited funds to improve […]
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
With so much attention on data – from strategies and ownership to data centralization, integration, mining and ethics – it can be easy to overlook the power of simple data sets. Staffing decisions have significant financial implications, and because overtime is one of the more visible drains on healthcare budgets, it tends to get the […]
A healthy relationship between staff members and their manager can positively impact turnover rates, vacancy rates, percentage of sick calls, quality of work and staff satisfaction scores. With so much at stake, it is critical that healthcare leaders make it a priority to foster strong relationships with their employees. That can be daunting for busy […]
Data-driven or evidence-based decision-making is a must in today’s world of staffing and scheduling. We use data to inform decisions, track the impact of decisions, defend decisions, and identify ways to avoid repeating mistakes in the future. The challenge for most of us has always been that the data required to make the right decisions […]
We understand that your focus is (and should be) caring for your patients. But we also understand that patient care cannot happen without processes in place to ensure proper payment of expenses. With ever-changing healthcare regulations and new reimbursement models, it’s imperative for healthcare organizations to maintain a strong, stable revenue cycle management (RCM) process. […]
For physician practices, hospitals and all healthcare organizations, streamlining your revenue cycle management is critical. One of the best ways to recoup payments faster is with up-front Medicare eligibility checks. With the changes in the Affordable Care Act, patient responsibility is often in play and healthcare organizations who can communicate effectively with patients about how […]
If 2020 has taught us anything, it’s that nurses rise to the challenge during times of crisis. For months, we’ve heard heroic stories of nurses playing pivotal roles in the pandemic response and going the extra mile to care for hospitalized patients. In the Year of the Nurse, we’re all witnessing just how vital nurses […]
Nurses are the heart of every healthcare organization. Not only are they passionate about providing expert care, they are also educators, counselors and their patients’ strongest advocates. While caring for nursing home residents can be rewarding, it is also quite challenging. Working long demanding shifts in a high-stress environment can lead to burnout and high […]
This year has been a roller coaster so far, with influenza and COVID-19 wreaking havoc in healthcare facilities across the country and world. While many of us may still be in recovery – or even survival – mode it’s important to not lose sight of the longer-term goals for your team and organization. Nurse job […]
The Centers for Medicare & Medicaid Services (CMS) has extended timeline requirements for reporting direct staffing data in skilled nursing facilities. The extension is part of a series of blanket waivers to CMS requirements that is designed to relieve bureaucratic stress on SNF staff as they implement infection control programs to combat the COVID-19 outbreak […]