provider – MD Update

&FRONT Accounting

Revenue Cycle Management (RCM) in Healthcare: Part 2

June 1, 2022June 22, 2022 Adam Shewmaker, FHFMA ■ analytics, ■ claim management, ■ claim submission, ■ patient statement, ■ start, ■ start of claim, â– , analytics, balance of the claim, bill, charge entry, claim denial, claim management, claim submission stage, claim submission stage of the process, clinical function, collection of patient service revenue, collection stage, credentialing, determine insurance eligibility, eligible payment, facet of care, full scope of patient care, healthcare, healthcare professional, healthcare revenue cycle, HIPAA, insurance, insurance eligibility, insurer, itemized list, itemized list of charge, MD-Update #139, opportunity, overview of the revenue cycle process, patient 's visit, patient care, patient collection stage, patient schedule, patient service revenue, patient-centered, patient-centered approach, patient-focused, payment, provider, RCM, RCM process, RCM strategy, RCM team, reduce claim denial, resubmission, revenue, revenue cycle, revenue cycle management, revenue cycle of claim, revenue cycle process, significant point of friction, silo, statement of financial obligation, strategy, uncertainty of expense, vital demographic information

Editor’s Note: Part 1 of Revenue Cycle Management was published in MD-Update #139, April 2022. It is available online at

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Revenue Cycle Management (RCM) in Healthcare: Part 1

April 1, 2022June 22, 2022 Adam Shewmaker, FHFMA additional insurer, apply payment, balance of the patient 's claim, big organizational roadblock, billable party, charge entry, claim denial, claim rejection, claim submission, clinical function, collection of patient service revenue, denial, denial management, determine amount, determine amount of reimbursement, determine cause, determine cause of claim denial, facet of care, full scope of patient care, healthcare, healthcare revenue cycle, insurance, insurance eligibility, insurance verification, insurer, medical appeal, medical code, patient 's claim, patient collection, patient demographics, patient insurance, patient registration, patient service revenue, patient-centered, patient-centered approach, payment, payment denial, provider, RCM, refund, revenue, revenue cycle, revenue cycle management, revenue cycle of claim, secondary claim submission, significant point of friction, submit claim, uncertainty of expense, universal medical code

Healthcare professionals strive to deliver exceptional service and outcomes to their patients throughout every facet of care. A significant point

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The CARE Collaborative and Self-Measured Blood Pressure Monitoring Program

February 1, 2022April 19, 2022 Natalie Littlefield $2, additional support, behavior, blood pressure, blood pressure education awareness program, blood pressure monitor, blood pressure zone, BS, burden, cardiovascular assessment, cardiovascular disease risk, Care, Care collaborative education, Care SMBP, Care SMBP coach, Care SMBP combine, Care SMBP program, classes.4, coach, dementia.1, dementia.1 heart disease, diastolic blood pressure, disease control, DrPH, educational classes.4, engagement, FQHCs, Frankfort, FRANKFORT hypertension, free blood pressure education awareness program, free blood pressure monitor, healthcare provider, heart disease, high blood pressure, high burden of hypertension, home blood pressure monitor, home visit program, hypertension, hypertension education, Kentucky, Kentucky heart disease, Kentucky man, Kentucky patient, KY department, KY heart disease, Ky., lifestyle, lifestyle modification, lifestyle modification goal, maintenance decision, measurement, meta-analysis, modification, monitor, MS, one-on-one counsel, out-of-office, out-of-office blood pressure measurement, participant, participant 's blood, participant 's engagement, participant tool, prevention, provider, public health, qualified health center, regular measurement, regular measurement of blood pressure, regular one-on-one counsel, regular out-of-office blood pressure measurement, reliable measurement, respectively, risk-reduction, self-measured, self-measured blood pressure monitor, Self-Measured blood pressure monitor program, simple hypertension education, SMBP, SMBP clinical service use, SMBP program, stroke, stroke prevention program, systolic blood pressure, telephonic support tool, university of Kentucky, usual care

FRANKFORT Hypertension or high blood pressure is a major risk factor for heart disease, stroke, chronic kidney disease, and dementia.1

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Informed Consent: Not a Mere Formality

February 1, 2022April 19, 2022 Stephanie M. Wurdock 7th-to, 7th-to 8th-grade level, appropriate person, category of risk, condition impact cognition, consent, consent claim, consent discussion, consent process, consent statute, conversation, designated Healthcare power, designated Healthcare power of attorney, discussion, documentation, follow-up discussion, healthcare, healthcare malpractice claim, healthcare power, important aspect of patient care, important component of care, informed consent, informed consent claim, informed consent discussion, Kentucky, Kentucky 's informed consent statute, Kentucky 's patient population, KRS 304.40-320, lack of informed consent, litigation exposure, malpractice, means provider must, means provider must avoid use complex medical terminology, mere formality, necessary medical care, non-medical person, outcome, patient 's ability, patient factor, patient representative, patient return, procedure, provider, provider guideline, reasonable alternative, reasonable individual, risk of the procedure, significant complication of a procedure, specific risk, term patient, treatment 's success, valid informed consent

Most healthcare malpractice claims allege a failure to properly diagnose or treat a medical condition, which is what most providers

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News News & Events

News – Feb 2022

February 1, 2022April 19, 2022 MD-Update Staff A., advanced practice provider, American medical group association, Aqeel Mandviwala, Bardstown Flaget memorial hospital, Berea, breast, breast cancer, cancer, Carmel 's list, Carmel 's list of accomplishment, Carmel Jones, Cecil, central Kentucky, CEO Anthony Houston, certified medical practice executive, chi, chi saint, clinic, COVID-19, COVID-19 patient, davenport, delta surge, Donny Hardy, Dr. Hardy, finance leadership role, Flaget, Flaget memorial hospital, founder of hope scarf, graduate of Transylvania university, group association, group management association, growth of a high perform physician enterprise, health care career, high perform physician enterprise, high quality physician, hope scarf, image002 photo, image003 photo, image004 photo, John Abe, Jon Myers, Jones, Joseph, Joseph Berea, Joseph health, Joseph London, Joseph medical foundation, Joseph medical group, Kentucky, Lara, leadless, leadless pacemaker, Lexington, Lexington Carmel Jones, Lexington clinic, Mandviwala, Marymount hospital, medical group, medical group management association, member of the medical group management association, Michael T., native of London, News, overall physician, overall physician of the year, pacemaker, photo, physician, physician enterprise, physician of the year, practice executive, practice provider, president of chi saint, president of the chi saint, provider, Pulmonology, quality physician, recent delta surge, Robert A. davenport, scarf, Shailendra Chopra, T, traditional pacemaker, wonderful team

Jones Named President of CHI Saint Joseph Medical Group LEXINGTON Carmel Jones has been appointed president of the CHI Saint

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Special Section

Generations of Care

December 1, 2021February 15, 2022 Debra Green affiliation, anesthesiologist, Ballard Wright, ben sloop, bluegrass, care physician, center 's desire, center 's physician, CEO image002, CEO image002 photo, chi, chi saint, chronic pain, clinic, corner of regency road, daughter of Dr. Ballard Wright, Dr. Ballard Wright, expanded care, expert physician, family medicine doctor, generation of Care, heather, Heather Wright, help patient cope, image001 photo, Inc. stone road surgery center, Joseph, Joseph health, Joseph health 's network of hospital, Karim Rasheed, Lauren Larson, legacy pain treatment center, legacy pain treatment center of the bluegrass, Lexington, medical director of the pain treatment center of the bluegrass, medicine, Multi-Specialty, new affiliation, new era of collaboration, Olivia Kelley, outpatient, outstand medical care, pain, pain issue, pain management, pain treatment center, pain treatment center of the bluegrass, palliative care physician, Pasadena, Pasadena drive, patient 's pain, photo, physician, practice pain medicine, provider, refer provider, regency, regency road, rehab doctor, sloop, specialist, surgery, therapist, therapy

LEXINGTON For some people, acute or chronic pain is a fact of life, but expert physicians and specialists can help

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Special Section

The Mental Health Impact of COVID-19 on Healthcare Professionals: Occupational Hazard, Unique Opportunity

December 1, 2021February 15, 2022 Miriam Silman, MSW $2, A., affective disorder, anxiety, burnout, C., check-in, compassion, compassion fatigue, confidential mental health coverage, COVID-19, COVID-19 pandemic, crisis response, critical driver, current pandemic leave healthcare provider, D., E., EAP resource, elevated self-reports, elevated self-reports of depression, emotional exhaustion, evidence-informed, evidence-informed way, exception, exposure, fabric of healthcare system, fatigue, Frankfort, G., health concern increase vulnerability, health impact, healthcare, healthcare professional, healthcare provider, healthcare system, healthcare work, healthcare worker, huddle, I, image002 Miriam Silman, international journal, J., journal, journal of affective disorder, K., L., leadership, leave healthcare provider, level of healthcare, level of transformative change, M., mental health, mental health concern increase vulnerability, mental health impact, mental health impact of COVID-19, mental health of healthcare professional, mental health of healthcare worker, meta-analysis, moral distress, MSW, multi-tiered system, multi-tiered system of support, N., negative psychosocial response, occupational hazard, P., pains.1, pains.1 emerge data, pandemic, past pandemic, physician, plethora of negative psychosocial response, positivity, pre-pandemic, provider, psychosocial impact, public awareness, R., resilience-building, resilience-building practice, resilient workforce, robust body of literature, S., screener, secondary trauma, secondary traumatic stress, self-care, somatic ache, staff meet, staff well-being, stress, supervision, sustainable healthcare system, symptom of traumatic stress, system responsibility, toll, toll of healthcare work, transformative change, trauma, traumatic stress, unpredictability of the current pandemic leave healthcare provider, well-being

FRANKFORT The ferocity, duration, and unpredictability of the current pandemic leave healthcare providers particularly vulnerable to negative psychosocial impacts: COVID-19

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Critical Delays: The Importance of Meeting the Standard of Care for Cancer Diagnosis

December 1, 2021February 15, 2022 Andrew Desimone, Esq additional pain, breach, breach of the standard of care, cancer, cancer screen program, causation, causation defense, causation standard, chance, common lawsuit, competent physician, COVID-19, COVID-19 pandemic, COVID-19 patient, critical delay, damage exposure, defend delay, defendant physician, delay, delayed diagnosis, diagnosis, diagnosis case, diagnosis of cancer, diagnosis of cancer case, diminished chance, diminished chance of survival, expert testimony, general negligence claim, healthcare, healthcare professional, hospital redirect resource, injury, jury, Kentucky, legal causation standard, levels.1, lost chance, lost chance of survival, malpractice, malpractice case, malpractice defense, medical malpractice case, medical malpractice defense, medical probability, multiple hospitalization, necessary expert proof, negligence, NIH find show, oncology, oncology service, oppose expert, outcome, pandemic, patient-physician, patient-physician relationship, physician, physician breach, physician breach of the standard of care, pre-pandemic, pre-pandemic levels.1, probability, provider, reasonable degree, reasonable degree of medical probability, reasonable degree of probability, reduction of the odds of recovery, requirement of an expert witness, routine cancer screen, significant damage exposure, site surgery, standard of care, subset of a general negligence claim, summary dismissal of the lawsuit, surgery, survivability, survival, testimony, wrong site surgery

One of the most common lawsuits in medical malpractice defense is a delay in diagnosis of cancer. According to the

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Will You Be Surprised When the “No Surprises Act” Goes into Effect Jan. 1, 2022?

December 1, 2021February 15, 2022 Chip Dalton balance, balance bill, bill, bill staff, billed charge, commercial health plan, consent, consumer demand transparency, contracted rate, cost share calculation, CPI-U, determine cost share calculation, dispute resolution process, emergency, faith estimate, good faith estimate, health plan, healthcare treatment, in-network, in-network facility, in-network hospital, in-network plan, insurance, insurance plan, median of contracted rate, medical debt, member 's cost, member 's plan, new arbitration, new law, non-emergent service, out-of-network, out-of-network care, out-of-network claim, out-of-network emergency care, out-of-network emergency service, out-of-network hospital, out-of-network provider, out-of-network service, patient 's in-network, patient 's protection, payment, plan network, pre-authorization, president trump, provider, provider service, qualify amount, recognized amount, state 's medical bill law, submission process, surprise, surprise act, surprise bill

Patients have never been more concerned and affected by the cost of their healthcare treatment, as medical debt continues to

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News News & Events

News – Dec 2021

December 1, 2021December 10, 2021 MD-Update Staff $36, 36 year healthcare veteran, 373-bed, 434-bed, 434-bed hospital, Agarwala, American college, American pathologist, Antonio Lopez, APRN, baptist health, breast, breed, Brown, brown cancer center, cancer, Care, central Kentucky, chi, chi saint, chief operate officer, Chris Roty, clinic, day-to-day leadership, diagnostics, diagnostics center, Dunlap, Emily Volk, family medicine, FCAP, fellowship, healthcare veteran, Hejazi, hospital 's leadership, ICU, image001 photo, inpatient, internal medicine, J., Jessamine, Joseph, Joseph health, Joseph medical group, Kamran Hejazi Kenari, Kentucky, Kiltinen, Kyaw, LA Grange, laboratory medicine, leadership, Leslye Jones, Lexington, Lexington clinic, Louisville, Louisville school, lung, lung cancer, lung disease, management of the 434-bed hospital, Matt Bailey, medical degree, medicine, Neal Dunlap, neck, neck cancer, Nessa Timoney, News, nurse, nurse practitioner, oncology, osteopathic medicine, Paducah, Paducah hospital, pathologist, pathology, pediatrics, photo, physician, post-graduate, president of baptist health, preventative, provider, Pulmonology, radiation, radiation oncology, radiology, residency, Roty, Roty 's leadership, S., Sanjay Agarwala, Siddiqui, Staten, Tennessee, treatment of lung, UofL, UofL health, Valerie, Valerie breed, vice president, Volk

Roty Named Chief Operating Officer at Baptist Health Lexington LEXINGTON After serving as president of Baptist Health Paducah, Chris Roty

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