Dear Reader –

I am pleased to introduce you to the latest issue of The nQuirer. As always, we focus this edition on an array of pieces focusing on health care industry trends, as well as health information management standards and success stories.

For starters, I encourage you to read a presentation recap of our recent educational session at the 2019 AHIMA Annual Conference. Denise Johnson, nThrive vice president of Process Excellence and Amy Rector, senior director of CDI and Charge Audit, presented on a topic entitled, "Integrating Clinical and Financial Process and Data to Drive Revenue Integrity." Attendees learned effective tips on how to utilize CDI technology for continuous improvement, as well as reasons why the integration of clinical and financial processes and health care data is critical to a sustainable provider organization.

On another note, as the issue of price transparency remains at the forefront of our industry, I remind you that now is an ideal time to evaluate the value of your health care organization’s chargemaster (CDM). Executing a proper CDM Compliance Review is crucial as you consider updating your chargemaster solutions to facilitate improvements throughout the entire revenue cycle and continuum of care. A fully maintained charge description master can help reduce negative factors such as denials, revenue loss, fines and penalties.

Next, we recognize nThrive President of Service Solutions Brenda Cline, who was recently quoted in a Modern Healthcare article titled, "More providers outsourcing all of their revenue cycle." Given the growing demand for the outsourcing of revenue cycle management services, Brenda states that partnering with a revenue cycle management expert like nThrive offers providers accountability and a better line of sight to an entire performance breakdown. Click here to read the full article and see nThrive at the top of the list of revenue cycle management firms.

This issue of The nQuirer also features two case studies. The first centers on a Boston-based health system that partnered with nThrive to recover a staggering $9.3 million in underpayments. With our assistance, the provider was able to improve contract management, modeling and variance follow-up processes, allowing them to manage increasingly complex contracts to collect this impressive sum while bolstering their revenue cycle health.

The second case study involves North Mississippi Health Services (NMHS) and the nationwide transition to value-based care in both the private and publicly funded sectors. NMHS effectively leveraged nThrive’s Quality Payment Program (QPP) Registry, achieving maximum upside adjustment and garnering a portion of the performance incentives available to high performing health systems. Learn more about this unique success story here.

As always, I invite you to contact us at info@nthrive.com with questions or concerns. Our health information technology and revenue cycle management experts are here to help your medical organization navigate the complex health care landscape with educational tools and valuable solutions to create a quality improvement in health care.

Best,

Joel Hackney, CEO