We don’t sell a data platform for financial success, but instead provide Strategic Advisory for the charge master anchored by the use of state-of-the-art financial software. Our PinPoint algorithm discerns the statistical relationship among service line charges, volumes, individual service line profitability, payer contract reimbursements, and other key factors that determine financial success for hospitals. […]
Using predictive pricing analytics to model various revenue scenarios is the only proven way to forecast future net revenue accurately. Our PinPoint algorithm uses predictive pricing analytics to accomplish this, giving CFO’s a powerful statistical tool at budget time or any time of the year. This will enable you to hit financial targets, starting with […]
Today’s health care has more initiatives and directives than ever before, thus it’s easy to get lost in the weeds of change and process. A recent survey of CFO’s again confirmed the importance of securing the hospital’s net revenue stream moving forward. An article last week in a leading health care online newsletter explained why […]
The Senate seems poised to vote for what leadership is calling a fix to ensure the stability of the federal exchanges, yet it appears to be little more than a continuation of the ‘hand-outs’ to insurers. It will extend the subsidies for 2018 through 2019, long enough to get through the coming 2018 Congressional election […]
President Trump signed an Executive Order yesterday that enables the sale of health insurance across state lines. This is designed to expand choice in purchasing health insurance at a time when many of the state-run and federal insurance exchanges have only one insurer and rates are increasing dramatically. The Executive Order also allows individuals to […]
When is the best time to implement a new CDM strategy? CFO’s have tackled charge master changes, reviews, and bench-marking exercises at different times of the fiscal cycle with varying degrees of success. Having well-defined goals, a reasonable timeline (to avoid “mission creep”), and effective tasking are key. The short answer to the first question […]
The ACA has succeeded in changing the national conversation about health care despite not achieving its stated goals. The ACA’s purposeful shift in paradigm from Fee-for-Service (FFS) to value (patient outcomes) is underway, albeit at a slower pace than predicted. Some have advocated abandoning the charge master altogether, saying it is no longer relevant since […]
Health care is undergoing enormous change again and it’s far from complete. Industry senior executives who led their hospitals through the transition to the Federal DRG system in 1982 acknowledge that change from the Affordable Care Act is substantially greater. The full impact of the employer and individual mandates is still evolving and the Cadillac […]
The next generation of revenue cycle tools should help you tackle today’s problems and speak directly to a vastly different landscape, but will deliverables meet expectations? Much of the revenue cycle is evolving. ICD-10 is here, but it’s much too early to know how this affects receivables, physician productivity, coders, patient engagement, and patient satisfaction. […]
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