Healthcare Revenue Integrity News

Watch Two-Midnight Rule Nightmares? Let’s talk scenarios, challenges, and Medicare Advantage denials

Medicare Advantage (MA) plans are gearing up to implement the Two-Midnight Rule, necessitating a fresh perspective on securing inpatient status. In this webinar, health care reimbursement and operations expert Day Egusquiza unpacks the Two-Midnight Rule, explores key elements of traditional Medicare, and delves into distinct facets of the Two-Midnight Rule (2MN) – Presumption and Benchmark. This session includes real-world denials scenarios, offering practical insights into ...

Watch Two-Midnight Rule Nightmares? Let’s talk scenarios, challenges, and Medicare Advantage denials (Video)

  In this webinar health care reimbursement and operations expert Day Egusquiza unpacks the Two-Midnight Rule, explores key elements of traditional Medicare, and delves into distinct facets of the Two-Midnight Rule (2MN) – Presumption and Benchmark. Day Egusquiza brings over 40 years’ experience in health care reimbursement, including 20 years in an Idaho hospital leading hospital revenue cycle operation, contracting, new program development, auditing and ...

Two-Midnight Rule Nightmares? Let’s talk scenarios, challenges, and Medicare Advantage denials

Live webinar: Tuesday, November, 14​ Time: 1:00 PM ET | 12:00 PM CT | 11:00 AM PT Medicare Advantage (MA) plans are gearing up to implement the Two-Midnight Rule, necessitating a fresh perspective on securing inpatient status. Join health care reimbursement and operations expert Day Egusquiza to understand the Two-Midnight Rule, explore key elements of traditional Medicare, and delve into distinct facets of the Two-Midnight Rule (2MN) ...

How Do You Reduce Healthcare Revenue Leaks?

In this second blog in our Managing Revenue Risk series, Marcy Andersen, Director, Account Management at SAI360, discusses healthcare revenue leaks and how an automated workflow goes beyond simple work queues to support collaboration and effectiveness in payer audits and the denial appeal process. Healthcare revenue leakage is a moving target, thanks to fluctuating payer rules and the complexity of the denial and audit processes. ...

By |2025-04-28T02:09:46+00:00November 30th, 2022|Compliance, Healthcare Revenue Integrity|