Thought Leadership

INSIGHTS

Lower cost

Pre-arrival Services – Differentiator for Patients

September 2017 – Terri Donohue, Director

Patients are becoming savvy healthcare consumers and taking a more active role in selecting where they want to go for services. Healthcare providers need to make sure they are delivering a positive patient experience in the first point of contact with the patient. One opportunity is to offer pre-arrival services over the phone prior to the date of service. Pre-arrival services include scheduling, pre-registration, insurance verification, payer authorization confirmation, patient liability identification, and collection, as well as wayfinding and testing preparations. Healthcare providers that offer these services reduce payer denials, decrease bad debt, and receive high customer satisfaction scores from their patients. Read More


Lower cost

Talk About a Mouth Full: Risk Adjustment and Hierarchical Condition Category (HCC)

August 2017 – Mary Ellen McLaughlin, Manager

Hierarchical Condition Category (HCC) is a payment model mandated by the Centers for Medicare and Medicaid Services (CMS). It was written into law in 1997 and implemented in 2004. CMS-HCC is used to identify Medicare Managed Care beneficiaries with serious or chronic illnesses. It assigns a risk factor score to the person based upon a combination of the individual’s health condition(s) and demographics.

The cost to physician practices that care for patients enrolled in Medicare Advantage (MA) Plans can be high for those practices that do not master the CMS-HCC coding model. Medicare Physician Group Practice (PGP) demonstration site shows a combined savings of $171, per person, a year. Additionally, Medicare will pay bonuses to the participating PGPs. These bonuses averaged $102, per beneficiary, a year. Reports show that 27% of all Medicare beneficiaries are enrolled in a Medicare Advantage plan which could lead to a substantial savings if done correctly. Read More


Lower cost

The Value of Data: Using Analytics in Compliance

July 2017 – Mary Ellen McLaughlin, Manager

Over the last few years, we have seen many of our clients implement bigger and more sophisticated electronic medical record (EMR) systems. These newer systems provide more robust data analytics which can be overwhelming to understand and use. Unfortunately, using the system capabilities can take a lot of time and effort. There is now a plethora of information available to your organization, however, the big question is, what to do with it all? Read More


Lower cost

Two Steps Forward, One Step Back: FFY 2018 Hospital Inpatient PPS Proposed Rule and Uncompensated Care

June 2017 – Becky Brugler, Manager

In this edition of IMA Insights, we will discuss the Centers for Medicare & Medicaid Services (CMS) Federal Fiscal Year (FFY) 2018 Proposed Inpatient Prospective Payment System (IPPS) Rule. More specifically, we will highlight CMS’ “on-again, off-again” reliance on the Medicare Cost Report’s Worksheet S-10 Uncompensated Care data in the Disproportionate Share Hospital (DSH) Factor 3 calculation formula for uncompensated care payments; how CMS used the Hospitals’ Internal Revenue Service (IRS) Form 990’s for validation of the Worksheet S-10 data; and why it’s so important for the hospitals’ tax, finance, and reimbursement teams to work together on their uncompensated care reporting for consistent results. Read More


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SUCCESS STORIES


UPCOMING EVENTS

HFMA TX Gulf Coast Luncheon

Friday, November 17, 2017
Methodist Hospital, TX
Jim Collins, Director, and Mario Feher, Director will be speaking on Revenue Recovery.
Click here for more information.

HFMA Region 10 & 11 Symposium

January 14-17, 2018
Las Vegas, NV
IMA Consulting is a proud Bronze Sponsor – visit us at booth #332.
More information to come.

HCCA Compliance Institute 2018

April 15-18, 2018
Las Vegas, NV
IMA Consulting is a proud Exhibitor – visit us at booth #319.
Click here for more information.

IN THE NEWS

July, 2017

Terri Donohue, Director, spoke at the AAHAM Keystone Chapter Conference in a session on Denials.

June, 2017

Tiffany Walls, National Director of Business Development, was a panelist at the Women’s Leadership Lunch in Atlanta, GA, hosted by the Georgia Chapter of HFMA.

June, 2017

Jim Collins, Director, and Mario Feher, Director, spoke at the HFMA SC Annual Institute in a session titled, “Revenue Recovery – Are You Capturing All You Can?”.

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PRESS RELEASES

June 26, 2017 – IMA Consulting honored by Philadelphia Business Journal

Firm named among Best Places to Work in 2017

May 20, 2017 – IMA Consulting Named One of Modern Healthcare’s Best Places to Work

Firm recognized nationally as one of the Best Places to Work in Healthcare.

May 10, 2017 – IMA Consulting Engages Cradles to Crayons for Community Day

Consulting Firm Selects Local Back-to-School Campaign for Annual Community Day.

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