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Business Intelligence and the High-Performance Provider

January 29, 2007

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Key Attributes of High-Performance Providers Accenture has conducted extensive research into the components of high performance in other industries. This knowledge is largely derived from the Accenture Institute for High Performance Business, a focused group of experienced senior professionals. The institute runs rigorous, original research programs, all based upon deep inquiry and analytic skill, extensive […]

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Eliminating Healthcare Fraud Through Technology

January 29, 2007

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There are many types of healthcare fraud. It can be driven by healthcare and insurance providers, patients, employers or any combination of the above. Healthcare providers might make claims for services not provided, or overcharge for services they did provide. They might also submit claims for additional or more expensive services than were strictly necessary. […]

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On-Demand Medical Records

January 29, 2007

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ChartOne is the leading provider of ondemand medical record solutions. ChartOne combines Web-based technology with professional services to offer flexible and affordable deployment options for electronic chart management, remote coding and automated release of information. ChartOne helps healthcare organizations increase productivity and profitability by making it easier to access and manage medical information. Depending on […]

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Consumer-Centric Focus on Billing Improves Patient Satisfaction

January 29, 2007

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The world of healthcare has undergone a somewhat littlenoticed, but nevertheless profound change. In the past, while patients were the actual recipients of physician and hospital medical services, the real customers – or the ones who paid the bills – were the insurance companies and managed care plans. All that is changing.With healthcare costs growing […]

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The Business of Healthcare Demands a Legal EHR

January 29, 2007

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The business of healthcare depends upon a hospital’s ability to produce a legal health record, the hospital’s documented set of information for each patient encounter. The legal health record helps the hospital get paid, justifies its performance and improves its performance. Specifically, the legal health record is a subset of the entire patient database and […]

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High Performance: A Road Map to Payer Success in U.S. Healthcare

January 29, 2007

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Forces at Work The highly complex market characterized by powerful and constantly changing market forces requires agility, foresight and relentless execution from payers that hope to survive and prosper. Examples of some of the challenges affecting these organizations include: Changing demographics; Increasing costs due to a growing shortage of hospital beds, a lack of personnel […]

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A Focus on Laboratory Revenue Cycle Management

January 29, 2007

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According to CMS, 40 percent of laboratory claims are rejected or denied due to errors or incomplete information. Only half of these are ever corrected and resubmitted.While lab orders account for 30 percent of all claims, they represent only about 2 percent of healthcare spending. The sheer volume of low-dollar claims combined with the complexities […]

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Q&A With Grace-Marie Turner

January 29, 2007

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Healthcare Technology: Why did you found the Galen Institute? Grace-Marie Turner: Health policy is something that I think is tremendously important to every one of us. I was a consultant in the early 1990s, writing policy papers and doing research for individuals and companies on a number of issues. I increasingly wanted to focus on […]

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Hospitals Rely on RES-Q to Manage Their Most Valuable Resources

January 29, 2007

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Skilled professionals are every hospital’s most valuable resource, and labor costs generally represent more than half of a hospital’s total operating expenses. Ineffective management of labor intensifies the fundamental problems that hospitals confront today. Consider the nursing shortage. Mandatory overtime for nurses is often a necessity. However, overtime is expensive, and excessive overtime can weaken […]

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