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  May 13, 2013 Follow us on FacebookFollow us on TwitterJoin us on LinkedInRSS feed

Improving Collections Has No Blueprint

Rene Letourneau, Senior Editor for HealthLeaders Media

Starting with a directive to improve collections on unpaid patient invoices, Promise Healthcare used internal and external groups to bring in nearly $14 million. >>>


Editor's Picks

CMS Releases Hospital Pricing Data

For the first time, the federal government has made public chargemaster data for the 100 most common Medicare inpatient diagnostic related groups or DRGs. Hospital prices vary widely even within the same city or region. >>>

Kill Your Chargemaster

Regardless of how your organization looks on the massive list of hospital pricing data released to the public this week by the Centers for Medicare & Medicaid Services, you've got some strategic thinking to do. >>>

Whistleblower Fines Against Tuomey, Adventist Health

A $39.3 judgment million and the specter of hefty fines hang over Tuomey Healthcare System following a jury's decision that it violated the Stark Law and the False Claims Act. Adventist Health will pay $14.1M to resolve false claims allegations. Both cases were initiated by whistleblowers. >>>

Value-Based Healthcare Needs New Bond Rating Metrics

Hospitals and bond rating agencies will likely spend the next decade adjusting to the transition from volume-based to value-based payments. Moody's Investors Service is trialing 20 new value-focused indicators to evaluate hospitals. >>>

AMA Raises Reimbursement Concerns Over EHR Workarounds

Arguing that documenting a full clinical encounter in an electronic health record "can be pure torment," an American Medical Association official describes three time-saving methods physicians have turned to, each of which has the potential for abuse leading to the denial of CMS payments, he says. >>>

Lawmakers Mull SGR Options

Bipartisan consensus for repeal of Medicare's sustainable growth rate appears solid, but there is no clear way forward. The latest meeting between lawmakers and stakeholders gives voice to the wide-ranging concerns of physicians. >>>

Surgeon-Driven Quality Effort Slashes Complications, Costs

The National Surgical Quality Improvement Project, a growing effort run by the American College of Surgeons since 2004, reports that 83% of program participants have been able to decrease their surgical complication rates by a statistically significant level. >>>

NEW Roundtable

NEW Roundtable: Capital Finance and Industry Consolidation

Senior executives from SSM Healthcare, Fletcher-Allen Healthcare, the Medical Center of Central Georgia, and Bank of America Merrill Lynch discuss the major influencers of industry consolidation—including capital access, market needs, financial support, and growth opportunities. Free Download >>>

News Headlines

Cautious optimism healthcare spending growth has slowed

United Press International, May 13, 2013

Opinion: Downward pressure on healthcare costs

The Tennessean, May 13, 2013

Sebelius turns to health executives to finance Obamacare

The Washington Post, May 13, 2013

Obama administration moves to get more enrolled in health insurance

Los Angeles Times, May 10, 2013

Largest US hospice company sued for Medicare fraud

ABC News / Associated Press, May 10, 2013

An end to medical-billing secrecy?

Time, May 9, 2013

One hospital charges $8,000 — another, $38,000

The Washington Post, May 9, 2013

Many medical guidelines don't consider costs

The Baltimore Sun / Reuters, May 8, 2013

Cuts to Medicare trim costs to insurers

Politico, May 8, 2013

Healthcare cost slowdown seen saving up to $770B

Bloomberg, May 7, 2013

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Webcast: Patient-Centered Care Transitions for Better Quality, Costs, and Readmissions

Date: May 29, 2013, 1:00–2:30 p.m. ET

Join quality and care experts from Griffin Hospital and Sarasota Memorial Health Care System as they examine the increased focus on care transitions as healthcare organizations prepare for value-based care. Register Today >>>

From HealthLeaders Magazine


Building Better Boards

Hospitals and health systems face unprecedented pressure to remake their business and clinical processes. Boards are trying desperately to keep up. >>>


Biting the All-Cause Readmissions Bullet


Investing Capital in EMR

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