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Resources and Articles2020-07-26T19:44:03-04:00

Rebuilding Your Medicare Annual Wellness Visit Program in the Age of COVID

By | October 23rd, 2020 |Blogs|

Provider volumes for medically necessary and preventive care visits dropped dramatically at the start of the COVID-19 pandemic.  Volumes for medically necessary visits have largely rebounded because of the  relaxed telehealth and in-person visit guidelines, and providers have an opportunity [...]

Kicking the Tires on Vendor Management: The Basic Questions to Ask

By | November 19th, 2019 |Blogs|

Vendors are an integral part of every revenue cycle solution. From software/technology to outsourcing/AR management – and everything in between. In an ideal world – vendors would run autonomously and produce expected results without management or oversight. Unfortunately, this is [...]

3 Factors that Reduce the Accuracy of Your Hospital’s Cost Estimation

By | July 1st, 2019 |Blogs|

Price transparency has become a major topic of discussion within healthcare. To offer greater transparency, healthcare providers can use products to automatically estimate a patient’s liability prior to service. However, the accuracy of the estimate is what truly provides transparency and allows patients to make informed decisions.

Are Your Epic HB Workqueues Broken? Here’s How to Fix Them

By | March 25th, 2019 |Blogs|

Workqueues (WQs), worklists, spreadsheets, reports. They are all trying to help us answer the same question. What accounts should we work and in what priority? How frequently is your PFS management team asking staff to re-sort their workqueues, work off spreadsheets for special projects, or work through a stack of paper denials? Workqueue build in Epic is one of the most critical pieces of your install and ongoing maintenance. After all, these are the primary workdrivers for your exception-based workflows. But are you really working the exceptions? Are your workqueues setup as effectively as you’ve been led to believe?

Pinnacle Welcomes Kevin Blanchard to the Team

By | October 22nd, 2018 |Announcements|

We are pleased to announce Kevin Blanchard has joined the Pinnacle Healthcare Advisors team.  Kevin has extensive experience leading revenue cycle transformation engagements with large multi-system hospitals, pediatric hospitals and single-facility hospitals.  Kevin’s areas of expertise include Epic Resolute Hospital [...]

Why Accounts Receivable Outsourcing Fails & How to Avoid Common Pitfalls

By | January 18th, 2018 |Blogs|

Your internal self-pay team can’t handle the increasing volume of calls.  You’re aged insurance accounts receivable (AR) continues to increase.  Or maybe your internal resources just don’t have the necessary expertise (or time) to work a specialty population like out-of-state [...]

Managing the Shift from Traditional Medicare to Managed Medicare Plans – Here’s How to Get It Right

By | September 6th, 2017 |Blogs|

As the mix within Medicare continues to shift from traditional to managed plans, hospitals that don’t take steps to address the differences in administrative expectations and claims processing between plan types run the risk of increased denials and mounting accounts [...]

How to Determine if Your Current EHR Platform Can Solve Your Revenue Cycle Challenges

By | June 29th, 2017 |Blogs|

Don’t Buy More Software! - Four questions to help determine if your current EHR platform can solve your revenue cycle challenges   When hospitals determine that they have a challenge to be solved within their revenue cycle, it is extremely common [...]

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