HealthLeaders Media Finance - January 3, 2010 | 4 Ways to RAC-Proof Hospital Admissions View as a Webpage | Subscribe for Free
4 Ways to RAC-Proof Hospital Admissions
Karen Minich-Pourshadi, Senior Editor

As we start the new year, financial leaders should ask their teams to make a resolution to prevent "wrong setting" denials. An expert in Recovery Audit Contractor-proof admission screening criteria weighs in on how to stop these denials in their tracks. [Read More]

  January 3, 2010

Editor's Picks
12 Ways to Reduce Hospital Readmissions
In just 21 months, the federal government will start penalizing hospitals with higher-than-expected readmission rates. Much about the regulations-to come remains unclear, but clinicians along the care continuum are still scrambling to get ready. Learn 12 ways to reduce hospital readmissions—it's not only important for your bottom line but also for the patient. [Read More]
$3 Million Prize Offered to Solve Hospital Admissions Puzzle
Attention, wizards, rocket scientists, game theorists, and stats nerds: There's a physician in Los Angeles who wants to give you $3 million. All you have to do is design an elegant math model that accurately identifies which of 100,000 Medicare Advantage patients from an actual 2009 database required an unplanned hospital admission in 2010. [Read More]
Healthcare Consolidation Happens Quickly in Kentucky
Experts have been predicting consolidation in the healthcare industry for years, but it's never really happened on the scale the soothsayers anticipated. But now, they may finally be right. Two announcements that came blowing out of Kentucky last month may convinced you the era of M&A has arrived. [Read More]
What Health Plans Can Expect in 2011
It was just last month we reported that health insurers were living the good life with strong balance sheets. That's likely to change soon, however, as certain healthcare reforms kick in and insurers prepare for others still three years away. With this in mind, our editor checked in with the executive director of the Deloitte Center for Health Solutions to find out what payors could expect from the health insurance industry in 2011. [Read More]
Webcast: Proven Strategies to Market Women's Services
Women are a vital audience to reach—is your marketing cutting it? As the primary healthcare decision-makers and the key to unlocking additional service audiences, you need up-to-date, effective marketing strategies to win women's loyalty—thus, business—and expand your market share. Join HealthLeaders Media on January 31, at 1 p.m. (EST) for this 90-minute Webcast, including Q&A, and learn from women's health marketing experts. [Register today]
Rounds: Cardiac Care Leadership for Improved Alignment and Outcomes
Join us live from Baylor Heart and Vascular Hospital on February 15 to share lessons learned from executives at leading national cardiac service lines and medical groups on shared governance, clinical integration, and physician alignment. [Register today]
Finance Forum
10 Strategies for Healthcare M&A Success
The majority of healthcare merger and acquisition transactions fail to produce the desired financial and strategic results. The often-overlooked key to success is strategic communications planning, says one expert.

[Read More]
Sponsored Headlines
Forrester Whitepaper: CMO's Must Connect the Dots of the Online Brand: Digital has been widely embraced by consumers and by many parts of the enterprise. But the adoption of digital channels—Web sites, mobile apps, online sales and customer service, and other smart touches—has often occurred in a piecemeal way. This has resulted in three potential mishaps.

Openness: The Basis for a Sound Unified Communications Strategy: The vast majority of customer environments are mixed environments. In this IBM® podcast you'll hear how an open approach provides you with choice. So instead of ripping out a perfectly good infrastructure, you can integrate what you've already invested in and create additional business value.

AMA Webcast: The Online Customer Experience—Make it Exceptional: IBM has defined a forward-looking vision for how organizations will turn today's customer experiences into exceptional experiences that drive business results. Join us on September 21 to hear Kristen Lauria, Vice President of Marketing & Channels at IBM, talk about this vision and introduce two innovative clients who are achieving results today by bringing together the right combination of capabilities online.

Your world, your way: the IBM WebSphere: For a business to stay competitive, it needs to be more productive and respond quicker to business opportunities. Watch this demo to see how IBM® WebSphere® Portal software enables you to connect your users with the right people, applications, and information—to drive business efficiency and success.

IBM WebSphere Portal for insurance demo: With so many insurance companies to choose from, how can you stand out from the rest? Watch this demo to see how one insurance company did just that. By using IBM® WebSphere® Portal and related Lotus® software, their customers can now learn about products, file claims and much more; while their agents have access to the tools and resources they need.

Finance Headlines
DMC to Pay $30M to Settle False Claims, Kickback Charges
HealthLeaders Media, December 30, 2010
How to Finance and Build Your ACO
HealthLeaders Media, December 30, 2010
CDC Misplaced $8.2M in Property, Audit Shows
HealthLeaders Media, December 29, 2010
Hospital Mass Layoffs Taper in November
HealthLeaders Media, December 28, 2010
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From HealthLeaders Magazine
20 People Who Make Healthcare Better
Some are revered; others would not win many popularity contests. All of them are playing a crucial role in making the healthcare industry better. [Read More]
Service Line Management
Creating Stroke Systems of Care
If U.S. healthcare is headed toward a model that eliminates fragmentation and emphasizes continuity and cooperation, stroke care may be leading the way and making a difference in patients' lives. [Read More]
Money Talk

A look at one hospital's struggles to improve

Mayo Clinic, Rochester, MN
Rating: AA-
Outlook: Positive
Affected Debt: $1.7 billion
Agency: Standard & Poor's Ratings Services
Remarks: S&P revised its rating outlook to positive from stable and affirmed its AA- rating on various issuers' debt issued for Mayo Clinic. At the same time, S&P affirmed its various other ratings on numerous bonds issued on behalf of Mayo Clinic. Offsetting credit factors include liquidity levels that are still below similarly rated organizations. S&P also considers Mayo Clinic's asset allocation aggressive, with approximately 50% of Mayo's long-term fund in alternative assets. S&P also cites its potential exposure to future Medicare and Medicare physician reimbursement reductions.
[Read More]
Audio Feature

Preventing RAC Denials:To hear more about what you can do to prevent wrong-setting RAC denials listen to this audio featuring Karen Bowden, president of ClaimTrust.[Sponsored by Emdeon] [Listen Now]
Sponsor HealthLeaders Media Finance

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