
Financial health in today’s healthcare organizations is dependent on a revenue cycle that speeds claim approval and reimbursement. Amid tight…

Even before the COVID-19 pandemic dealt a significant blow to their bottom lines, hospitals, and health systems nationwide were functioning…

The Basics Hierarchical Condition Categories (HCC) were mandated in 1997 by the Centers for Medicare and Medicaid Services (CMS) and…

In the first part of this two-part blog series on revenue integrity in the COVID-19 era, I discussed the long-term…

The change brought about by healthcare’s greater reliance on technology—especially as it relates to data access and analytics—during the COVID-19…

In 2020, CMS stepped up the creation and distribution of Comparative Billing Reports (CBRs). These reports are designed to be…

Telemedicine has carved out a critical niche within the response to COVID-19. Having been green-lighted for reimbursement by the Centers…


2021 will be here before we know it and with it comes a major overhaul in the Evaluation and Management…


Healthcare Business Today recently published the article “Revenue Integrity in the Era of Heightened Regulatory Scrutiny” written by Hayes’ Vice…

COVID-19—and the resulting move by the Centers for Medicare and Medicaid Services (CMS) to expand reimbursement for its use—has pushed…

The healthcare industry has been under duress for the past decade for a number of reasons: transition to value based…