Hayes' Healthcare Blog

Developing a Revenue Integrity Program? Get Help with the Right Partner

Posted by Vasilios Nassiopoulos on May 10, 2018 at 9:00 AM

You’ve been struggling with the need to improve your bottom line while reducing organizational costs. New financial models, increased cost shifts to patients and continued merger and acquisition activity are leading to an increased focus on your organization’s overall financial health. Up until now, you’ve likely relied on revenue cycle management (RCM) which has served you well, but you now recognize that RCM doesn’t go far enough. You need something more, so you’ve decided to implement a more holistic revenue integrity program.

Revenue Integrity – getting paid for everything you do, and keeping it – takes a broader view of the organization’s revenue stream. A revenue integrity program evaluates many of the same people, processes and technology as RCM, but goes a step further by understanding how these various disparate processes can be connected to optimize the entire revenue cycle.

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Topics: vendor selection, Change management, revenue integrity

How to Maintain Healthcare Security during Staff Augmentation: 4 Critical Areas

Posted by Steven Botana-Gumbs on January 18, 2017 at 9:00 AM

Every organization, at one time or another, will require staff augmentation. The reasons are common and include maternity leaves,
sick leaves and extended vacations. These absences while typical can cause disruption as management all too often does not have employees with bandwidth to cover their coworkers’ responsibilities and their own.

Many times, external resources are brought in on a temporary basis to help keep the wheels turning with minimal bumps in the road. This is necessary to ensure that all duties are covered and all deadlines are met.  

Unfortunately, what may seem like simple staff augmentation requires a great deal of forethought. Due to the security complexities in today’s healthcare environment, a cushion period is often necessary.

It is always a good practice for an organization to think about possible stumbling blocks that may lead to a break in the workflow process before the staff augmentation begins. Here are four critical areas to examine as you assess staff augmentation for your organization.

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Topics: clinical optimization, Change management, staff augmentation

3 Things That Most Likely Won’t Be Changing in Healthcare Under the New Administration

Posted by Don Michaels, Ph.D. on January 4, 2017 at 9:00 AM

The election and impending inauguration of Donald Trump combined with continued Republican control of both houses of Congress have sent waves of concern across the healthcare landscape. Predictions are running rampant on what the new administration will do, backed by a Congress itching to make changes – and cuts to existing programs.

The Affordable Care Act (ACA) – aka Obamacare – is clearly in the cross hairs, the target for significant change if not full repeal. There has been talk that the new administration will also address health insurance sales across state lines, health savings accounts, Medicaid payment methods to states and Medicare reform.

Although no one knows for sure what the eventual outcomes will be, there is little doubt changes are coming when it comes to healthcare in the next few years. However, not everything will be changing. Among the sea of uncertainty, there are islands of stability – certain things you can be fairly confident won’t be changing regardless of whatever else may be in store. Here are three foundational concepts we believe will remain as fixtures in the future healthcare environment.

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Topics: Change management, value-based care, MACRA

Keys to a Successful Project: Define Before You Jump into Planning

Posted by Mike Tagliento on September 14, 2016 at 9:00 AM

In most organizations when a new project is about to get underway whether internal or with an outside vendor the first question asked is, “Do you have a project plan yet?”  While the project plan is a valuable document in the project manager’s tool kit, it’s not the only one.  Prior to building a stable and workable project plan, the project manager needs to work with stakeholders, possible team members, vendor(s), ancillary resources, and resource managers to define the project as whole and how it aligns to the organization’s goals.

The need to identify core project resources can be a large challenge initally.  Understanding existing time commitments to daily work tasks and existing project work allows the project manager to better plan on how/when the core team will be allocated to best use the needed resources. 

The Core Team should be made up of project leads and core team members.  Project leads should be comprised of departmental managers impacted by the new project and the core team members will be executing on the plan (once completed) with input from the leads.

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Topics: project management, Change management, strategic planning

How to Effectively Manage Your Optimization Process after Go-Live: MOP IT UP!

Posted by Tamarah Alexander on August 24, 2016 at 9:00 AM

A new system implementation can really stir up a lot of dust within your organization!  Between trying to mitigate risks,
 complete required tasks, consolidate and contain the limits of the scope, reduce redundancy, design new workflows, and reconciliation, it really can feel like the needs of your end users are being sucked into a vacuum. An implementation is not “one size fits all” but it can feel like it in the beginning when you are introduced to the new technology and learn how others are using it in the industry.

Once you have completed the “hammering of the nails” behind the build, it is important to evaluate what has been done and what is not truly completed yet.  Once the dust of the go-live has fallen and settled on the floor, it’s time to “M.O.P. I.T.” up and begin the optimization process.

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Topics: EHR go-live support tips, Change management, System optimization

Healthcare Leaders Blog: 5 Steps to Prepare Your Organization for Value-Based Care, Don Michaels, Ph.D.

Posted by Don Michaels, Ph.D. on November 11, 2015 at 9:00 AM

The shift from fee-for-service to value-based care may be moving slowly, but there’s little doubt that the change is inevitable. According to a recent survey by PwC, alternative incentive based payment models like bundles and capitation currently make up a small percentage of payments. The report indicated that at the end of 2014, only 20% of Medicare payments to hospitals are tied to alternative payment methods. On the physician side, more than half of physician revenue is still based on a fee-for-service model.

Clearly change is on the way. How will you prepare your organization for value-based care?

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Topics: Change management, payment models, Fee-for-service, Hayes Thought Leadership Blog Series

Before You Hire That Backfill Support Team, Ask Yourself 5 Questions

Posted by Susan Cruz on October 21, 2015 at 9:00 AM

Choosing a backfill consultant may seem like an easy process. Why bother with weighing team structure, management, personalities, and toolkits when the team will be gone in such a short time? When choosing a backfill team, you are likely focused on signing contracts with a new vendor not to mention completely uprooting your business and application team processes. However, due to regulatory and compliance issues surrounding your historical data and the mammoth effort required to retire your legacy system, you may be working with your backfill team far longer than initially anticipated. Choosing a team that fits well with your staff and organization’s culture will have a substantial impact on customer service and your bottom line, all during a time when your team is fully occupied with the installation of a new system and all of your cash is generated from the soon-to-be-legacy system.

While it will require a bit of introspection, there are 5 key factors you should consider before starting your vendor selection for a backfill support team:

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Topics: EHR go-live support tips, EHR ROI, vendor selection, Change management, strategic planning

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