Accurate Provider Data Is the Foundation for Good Referral Management

By Peter White | November 18, 2015

Referral management is becoming an increasingly important factor in the delivery of effective healthcare. Physicians encounter patients almost every day that require special treatment beyond their medical specialty. The success of a medical group or a hospital depends on good...

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The Joint Commission and CMS Rules Require Communications with Multiple Providers in a Variety of Care Delivery Settings

By Taylor Ryan | October 08, 2015

Note: This is the first of a two part series on the importance of provider communications in today’s healthcare delivery environment.

The Joint Commission (TJC) and CMS have established specific rules on provider communications. If it is discovered during an audit that a...

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Surprisingly, new providers to a Health System can hurt revenue cycles

By Thomas White | January 30, 2015

Hospitals encounter anywhere from 5% to 15% "new" providers to their health system annually. New providers are either new to the area or their patient has travelled to or moved to the area. These are not credentialed providers but referring physicians. EMRs and revenue cycle...

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