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Joint replacement has spent decades becoming more efficient. Patients who once stayed in the hospital for days can increasingly go…
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Bring external payer data into a health system and it can look like a one-time integration project — connect, map, deliver, done. It rarely works that way. Teams must track expected files, validate incoming data, interpret payer-specific formats, reconcile claims…
Presented by:
- Rob Pinataro, CEO, Health Data Innovations
- Christopher Ragsdale, Founder and Principal, Towers Advisory
- John Supra, Founder and Managing Member, Better Health Matters
- Jonathan Kaye, Founder and Executive Chairman, Health Data Innovations
Federal auditors found that 13 percent of the prior authorization requests Medicare Advantage plans denied met Medicare coverage rules, care that likely should have been approved. The pressure that creates lands on the revenue cycle. This report shows how health…
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Hospital revenue loss rarely begins with a bad claim. It often begins days or weeks earlier, when a service is scheduled before authorization requirements are confirmed, documentation is incomplete or the final service no longer matches what was approved. That…
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New York City-based Mount Sinai Health System will serve as the official healthcare partner of the U.S. Open Tennis Championships for a 14th consecutive year, providing orthopedics, sports medicine, emergency medicine, musculoskeletal radiology and other services to players. Alexis Colvin,…
A fully staffed perioperative team is essential to safe, efficient surgical care — and rising procedural demand, clinician shortages and anesthesia constraints keep testing it. But workforce shortages are only half the problem. The other half is deployment: getting the…
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Oswego (N.Y.) Health Medical Practice named Kyle Grampp clinical operations director. Mr. Grampp will provide strategic and operational leadership across assigned specialties, according to an Aug. 19 news release from Oswego Health. His responsibilities include strengthening operations, improving workflows, supporting…
Brewer, Maine-based Northern Light Health system has added Michael Rahl, MD, and Brendan Smith, MD, to Northern Light Orthopedics. Dr. Rahl is an orthopedic surgeon specializing in foot and ankle surgery, according to an Aug. 11 news release from the…
Researchers at New York City-based Mount Sinai Health System found patients with Lenke Type 5 adolescent idiopathic scoliosis who underwent posterior spinal fusion with posterior column osteotomies had similar overall correction to patients who underwent posterior spinal fusion without PCOs. …
Amit Jain, MD, sees one of spine care’s workforce problems in his own clinic. Patients arrive to see a surgeon even when they do not need surgery. Some could have been evaluated first by physiatry, pain management, physical therapy or…
Steve Schutzer, MD, has spent more than 15 years building and studying bundled payment programs for total joint replacement. He said this work makes him confident that CMS’ new mandatory bundle, CJR-X, can succeed, but only if hospitals and surgeons…
Popular in Spine
Why positioning injuries still happen in spine cases that follow the rules
Presenter: Jen Anzalone MSN, RN, CNOR, CSSL, NPD-BC, NE-BC, J. Anzalone Consulting
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