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 ...

8 Ways Technology Creates Agile Provider Compliance Work Plans

Healthcare compliance executives are constantly challenged to stretch limited resources when executing a compliance work plan. Those looking for a path to better efficiency and effectiveness will find the answer lies in using healthcare compliance software solutions as a tool across every work plan stage. When building a provider compliance work plan, you need smart, well-designed compliance software. This will simplify your job and improve organizational effectiveness. ...

By |2025-04-28T02:12:42+00:00February 22nd, 2023|Compliance|

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|