Price Transparency and the Current State of Healthcare
We’ve all heard the stories or know somebody who was impacted. It may even be you. Somebody needed medical care and they looked for the best physician they could find. The procedure was performed and the bill was submitted to the insurance carrier; unfortunately, the resulting patient bill left them in shock.
Category: Healthcare
Creating a Digital Front Door to Improve Patient Satisfaction and Streamline Operations
There is no question the global shift which occurred due to the COVID-19 pandemic has impacted every industry, and none more so than the Healthcare industry. Pressing rewind and thinking back to the beginning of 2020, had you ever experienced a telehealth or virtual care visit?
Category: Healthcare
What Everyone Should Know About the Robot Apocalypse
Are robots taking over the world? New, sophisticated automation built on deep learning, machine learning, and artificial intelligence can produce accurate work at incredible speeds – results that outperform the best human workers. What threats does automation pose and what can I do about it?
Category: Healthcare
Natural Language Processing in Healthcare Technology
Some of the most ground-breaking capabilities of Artificial Intelligence (AI) include listening, speaking, writing, and understanding human language. Natural Language Processing (NLP) is a subset of AI that extracts meaning from human language.
Category: Healthcare
FHIR: Lighting the Path for New Opportunities
Exponential Growth in Data Collection and Sharing within Healthcare Technology - Data is in every facet of today’s modern society. Not only is there an exponential increase in the volume of data, but there is also more data in more places. The total amount of data created, captured, copied, and consumed globally is forecast to increase rapidly, reaching 64.2 zettabytes in 2020.
Category: Healthcare
Provider Data Management - A Real Solution
The Challenge Around Provider Data - Throughout the healthcare industry, there is a vital need for accurate data about providers, yet organizations struggle to acquire and maintain the information they need to perform the most fundamental processes.
Category: Healthcare
Effectively Closing Clinical Care Gaps Can Save Lives
What are the most crucial aspects of an effective patient-provider encounter? Most can agree the primary goal is to prevent ailments or to cure them. For the patient, proper treatment of any health issue begins with a visit to the doctor and complying with treatment.
Category: Healthcare
The Unrealized Potential of Blockchain Technology in Healthcare
Manual processes have contributed to roughly $400 billion per year in unnecessary spending and write-offs caused by the complex rules and regulations, multiple parties coordinating care, and antiquated systems.
Category: Healthcare
Going Above and Beyond to Satisfy Compliance Needs
In 2020, the world was impacted by a pandemic that changed the way that businesses operated, requiring office locations to fully shut down in impacted areas. With important privacy regulations such as HIPAA to consider, companies in the healthcare industry were met with a new challenge: to enable a remote yet secure work environment that meets strict privacy standards.
Category: Healthcare
Automate Prior Authorization
Payer prior authorizations are expensive and administratively daunting. A high failure rate lowers care outcomes and drains revenue. However, we’ve found that process discipline and automation unshackles clinical staff, with big boosts to care quality and revenue.
Category: Healthcare
Clinical Reviews: A Collaborative Success Story
Risk adjustment has been a mainstay of Vee Technologies for the past several years. We have excelled at retrospective, concurrent and prospective reviews. Our HCC coders have abstracted codes for risk adjustment from medical records.
Category: Healthcare
Anesthesiology Billing Proper Reimbursement And Avoiding a RAC Audit
Anesthesiology practices are particularly vulnerable to Medicare audits because of the unique complexities of the billing process when it comes to time calculation, coding, and other areas.
Category: Healthcare
Leveraging Revenue Cycle Technology for Better Outcomes
Revenue cycle processes have had to continuously evolve over the years to keep pace with the rapid changes occurring in the healthcare industry. As a result, RCM vendor partners are now utilizing technology that hospitals do not have access to on their own. Read more
Category: Healthcare
COVID-19 from a Risk Adjustment Perspective
The epidemic of COVID-19 began in December 2019, springing a surprise on the healthcare community. Scientists and the medical community have a good understanding of viruses that impact the global population on a massive scale. Read more
Category: Healthcare
Bringing Automation to Revenue Cycle Management
Revenue cycle management continues to grow more complex. There are ever-changing regulations, the ongoing transition to value-based reimbursement (VBR) models, different requirements by payers, and the pressure by healthcare organizations to maximize cash collections.
Category: Healthcare
Exciting Clients with Value
Hype is very important to a business’ brand. Every business wants their brand to represent something special, unique, and valuable. Moreover, delivering hype to existing clients is extremely rewarding. Read more
Category: Healthcare
Risk Versus Quality in an ACO - Where Do We Go
The Affordable Care Act prompted many innovative care delivery and payment reform initiatives to address both the daunting growth of healthcare costs and less than optimal patient care outcomes. Read more
Category: Healthcare
Found in Translation
In the 2003 film, “Lost in Translation,” character Bob Harris, played by Bill Murray, struggles to communicate effectively with a Japanese director while filming a commercial. Read more
Category: Healthcare
Importance of Robotic Process Automation in Healthcare
Almost 50% of U.S. healthcare providers plan to increase their spending on RPA in the next three years. The COVID-19 pandemic situation put additional emphasis on optimizing cost and addressing the scarcity of resources. Read more
Category: Healthcare
Solving The Cost Conundrum: How 2,000 Renegade Physicians Changed a Population’s Behavior
The demand and cost of healthcare services continues to increase at a relentless pace. For many physicians and health systems, they are scrutinized by governing bodies, commercial payers, and “consumer-minded” patients to decrease the cost of care while maintaining its overall quality. Read more
Category: Healthcare
Fraud, Waste, and Abuse Prevention and Protection
In the United States, healthcare payers lose billions of dollars every year to insurance fraud, waste, and abuse (FWA). The Government Accountability Office (GAO) has designated Medicare as a high-risk program since 1990 because of its size, complexity, and susceptibility to improper payments. Read more
Category: Healthcare
Understanding Price Transparency in the Healthcare Market
In the healthcare market, patients continue to ask the question: what is it going to cost for my service or procedure? There are many factors involved, making it very difficult to determine the actual cost to the patient. Read more
Category: Healthcare
Assessing the Payer-Provider Convergence Conundrum
The healthcare enterprise is riddled with opportunities for playing intermediary. At its most basic, however, health care is simple: patient wants/needs care from a provider that can help them feel better. Read more
Category: Healthcare
2020/2021 Connected Ecosystem for Population Health Management
The year 2020 offered the difficult realization that the lack of sufficient public health data systemically hindered the U.S. healthcare infrastructure’s ability to timely fight a pandemic. Read more
Category: Healthcare
Anatomy of an Outstanding Partnership
Best-selling author and physician Eric Topol wrote, “If I think more about death than some other people, it is probably because I love life more than they do.” (The Patient Will See You Now; 2015). Read more
Category: Healthcare
Consulting Engagement: Identify Revenue Leakage in Clinical Documentation and Coding Process
According to the 2019 statistics released by CMS for “Common Causes of Improper Payment Error Categories”: 59.5% of cases are due to insufficient documentation Read more
Category: Healthcare
Mobilizing a Remote Workforce
In just a few short months, the events of 2020 changed everything in the healthcare industry. When COVID-19 hit, it immediately raised issues that few experts could have forecasted. In some hotspots, hospital capacity became a serious issue. Read more
Category: Healthcare
Navigating Healthcare Finance in a Post-Pandemic World
As the COVID-19 pandemic continued to wreak havoc worldwide, hospitals and health care systems were increasingly at risk for financial crisis as they faced organizational challenges. Read more
Category: Healthcare
Utilizing Predictive AI to Minimize No-Show Revenue Loss
In healthcare, a no-show is a patient that misses a scheduled appointment without proper cancellation. Reducing no-shows can have a tremendous, positive impact on a practice resulting in improved efficiency, reduced costs, and improved patient outcomes. Read more
Category: Healthcare
Building Solutions for Payer Services
Vee Technologies needed a tool for managing and navigating the tumultuous payer services market for a client. They needed to identify a way to support multiple disciplines in one, consistent, uniform tool. Read more
Category: Healthcare
Scale and Stability in Risk Adjustment
Teamwork in a Risk Adjustment Program. The Process within the Process: In the best and most stable of times, change in any kind of business strategy can be risky. Read more
Category: Healthcare
Top 10 HCC Diagnoses to Focus Teaching On and Why
Proper Coding And Top HCC Diagnoses: According to the Centers for Disease Control and Prevention (CDC), chronic disease is responsible for seven of ten deaths each year, and treating people with chronic diseases accounts for 86% of our nation’s total healthcare costs. Read more
Category: Healthcare
We Couldn't Have Done it Without You - No, Really
There are multiple processes in the healthcare revenue cycle world that considerably ramp up in activity on a periodic basis. This is the story of how Vee Technologies solved a hospital’s last-minute problem when they couldn’t finish it alone. Read more
Category: Healthcare
How Vee Technologies Stepped In to Help Solve a Unique Client Problem
A large medical group, located in Connecticut, is the physician group associated with a hospital client of Vee Technologies for facility coding. Through a referral from the hospital, the Chief Medical Officer (CMO) for the medical group reached out to Vee Technologies for solutions to resolve issues faced by the organization. Read more
Category: Healthcare
Great Leadership Results in Improved Quality
Errors on prior authorizations were an ongoing problem for a healthcare system in the New Jersey area. Increased denials and other issues were leading to upset patients and a loss of revenue for the client. Read more
Category: Healthcare
Partnering for Long Term Success
In late 2013, many experienced and successful joint-venture, urgent care organizations were faced with a major problem. Delivering high quality work, with world-class customer service, while undergoing rapid growth was a challenge for most. Read more
Category: Healthcare
Customer Service Isn't Dead
It’s probably easy to believe that with the technological advances available today, consistent, quality customer service is no longer important to businesses. Everything is automated and it sometimes appears computers and robots can do most any job cheaper, faster and better. Read more
Category: Healthcare
Takes a Village to Raise Scores
Interest is growing in Risk Adjustment (RA). The number of healthcare groups and plans participating in RA is ever-growing. Everyone is jumping on the bandwagon, but not without challenges. Read more
Category: Healthcare
Assisting Physicians in Documentation with the Aid of a Virtual Assistant
Physicians today cite the administrative burden added to the work of patient care as the main reason for burnout. Chief among those administrative burdens was documenting in the electronic health record (EHR). Read more
Category: Healthcare
Reducing AR Through Analyzed Trends and Identified Issues
Children’s Hospital AR Problem: A large children’s hospital, repeatedly ranked as one of “America's Best Children's Hospitals,” had a rapidly increasing AR problem. Despite having a positive cash flow and a rapidly growing business line, the hospital could no longer afford to let their AR rise. Read more
Category: Healthcare
Embrace Collaboration, Alliances and Partnerships 5 Simple Steps that Will Assure Your Organization Will Remain Viable and Survive Into 2020 and Beyond
The turmoil within and around the U.S. healthcare and medical services sector has stretched many enterprises to their financial limits. It is generally agreed that starting a project from scratch is both time consuming and expensive, with no absolute guarantee that the effort will end in success. Read more
Category: Healthcare
Integrating RPA with AI to Unleash the Real Potential of Technology
Artificial Intelligence (AI) and Robotic Process Automation (RPA), two of the most exciting technologies of modern times, are on the verge of merging. While RPA aims to streamline the mundane, repetitive everyday tasks, AI adds the capability to think smart. Read more
Category: Healthcare
Essential Practices for Success in Outsourcing to India
There is increasing pressure to enhance healthcare innovation, as well as increase the migration of functional services offshore. Historically, healthcare delivery organizations used offshore partners to manage non-core activities. Read more
Category: Healthcare
Data Migration and New System Implementation
The current healthcare environment is creating one of the most active hospital and health system consolidations in history. Independent hospitals in particular have been caught up in the trend of consolidation. Read more
Category: Healthcare
Choose Your Business Partner Wisely
The current healthcare environment is creating one of the most active hospital and health system consolidations in history. Independent hospitals in particular have been caught up in the trend of consolidation. Read more
Category: Healthcare
Centers of Excellence - A Global Blueprint for BPM
The story of Vee Technologies and its ability to grow as a Business Process Management solution is reminiscent of the David and Goliath story of Compaq Computers taking on IBM in the 1980’s. Read more
Category: Healthcare
Staffing Flexibility: Working with Our Clients to Solve Short Term Deadlines
A large healthcare analytics client of Vee Technologies had a problem. How could they provide quality assurance (“QA”) to hundreds of thousands of scanned images in a six-week period? It wasn’t feasible for the client to hire staff for such a short-term project or train temporary personnel because of concerns relating to quality and speed to market. Read more
Category: Healthcare
The First Leg on the Journey to RCM Innovation
Healthcare is undergoing significant change. The shift from fee-for-service (FFS) to value-based healthcare payment models demands out-of-the-box thinking to meet new challenges. Leading organizations are beginning to leverage technology by shifting resources from back office support to patient-facing positions. Read more
Category: Healthcare
Executive Presence, Global Solutions
Assessing an Outsourcing Option for Robotic Process Automation: Bots, the end-product of Robotic Process Automation (RPA), are currently all the rage in health care. Working without breaks nor needing shift changes, and without requiring sick, personal, or vacation days, bots streamline manual repetitive processes across multiple user interfaces. Read more
Category: Healthcare
Coding Assistance Platform : CAP Helps to Deliver High Quality and Fast Turnaround
The Hierarchical condition category (HCC) coding division at Vee Technologies was growing quickly. Staffed with over 500 coders, Vee Technologies required efficiency in mass chart volume management with superior quality standards. A high demand for experience certified HCC coders increased wages and created challenges with recruitment and retention. Read more
Category: Healthcare
Vee Technologies Delivers Immediate Impact to Unbilled Charts
A large ambulatory surgery center was using a competitor for its coding services, although was facing large volumes of unbilled charts and low quality on the work being completed. They needed an immediate solution and quick implementation to turn around their situation, they contacted Vee Technologies to step in and help alleviate the situation Read more
Category: Healthcare
The Significance of CDI and Its Impact on the Risk Adjustment Factor
A large hospital system from the east coast was concerned about poor documentation and its effect on their RAF (Risk Adjustment Factor). The data for the hospital system’s geographical location indicated a sick patient population of 44%, however, their hospital system data recorded the sick patient population at 35% Read more
Category: Healthcare
Outsourcing and the Offshore Security Conundrum
The economics of health care is complex and highly regulated. Health systems, hospitals, physician practices, ACOs and providers of all types find it harder and harder to stay out of the red. Efficiencies must be gained, and healthcare business executives looking to alternative delivery models and cost cutting measures where possible.Read more
Category: Healthcare
The Intersection of Human Capital and Technology
Traditionally, Accounts Receivables (A/R) work was a manual process leveraging callers attempting to track down owed monies. But our clients want to receive cash faster, reduce losses, identify and correct issues that delay payments, and move to a more prescriptive denials management process.Read more
Category: Healthcare
Calls to Action: Call Center
The smart money always stays long on the value of interpersonal communications. Client stay long on partners who understand that. Arguably no division of business within a company holds more client responsibility than the call center.Read more
Category: Healthcare
Sustainable Practices for Capturing Risk Adjustment Bonus Payments
The manual processes being used by health plans and provider groups lack sustainability, in an environment realizing a rapid expansion of value-based care payment models. Payer and provider C-suites are abandoning their conventional methodology of capturing as much beneficiary market share as possible for a more targeted approach that encompasses the extensiveness, contrast, and intricacies of a systematic value-centric partnership model between payers and providers.Read more
Category: Healthcare
Technology and Process Knowledge Develop Innovative Solutions
An academic hospital system from the East Coast was struggling with their oncology, infusion and interventional radiology (IR) medical coding management. Their incumbent coding vendor had been delivering poor quality and was failing to manage case volume. The group that had acquired the hospital system placed a high emphasis on running lean and efficient operations.Read more
Category: Healthcare
HEDIS and Risk Adjustment Reviews Combined – The Impossible Dream?
Although health plans annually perform both Risk Adjustment reviews and HEDIS quality abstractions, there is significant duplication of efforts when obtaining the charts needed for both programs because there is often little communication between them. Imagine the frustration at a provider’s office while they fax the same records to the same health plan, but to two different fax numbers. Read more
Category: Healthcare
How to Maximize Operational Efficiencies
As business continues to evolve and as mergers and acquisitions increase, the need to rethink operational workflow has never been more apparent. As a labor-intensive industry that is experiencing change almost daily, the healthcare industry is at the forefront of this new frontier. Read more
Category: Healthcare Provider
Technology that Works
A dejected executive at a conference reported how much she's spending on technology and how little benefit her team extracts. "We need technology that works." Her points hit home as she chronicled her experiences, stating that: Expensive software prevents effective processes, Fragmented systems don't integrate and integrated systems aren't flexible, KPI improvements diminish investment returns Read more
Category: Healthcare Provider
Patient Time
“My interaction with the patient in the exam room has been lost and replaced with large amounts of data entry on my part. I click away, staring at the screen and barely have time to make eye contact with my patient. This is the greatest loss, in my opinion.” Read more
Category: Healthcare Provider
Meeting High Growth Demands an HCC Coding Story
A large healthcare analytics company needed to expand its HCC coding operations. At the time, Vee Technologies was very experienced in many different coding disciplines but had no prior experience in HCC coding. We wanted the business, but weren’t sure if we should pursue it. Read more
Category: Healthcare Provider
Moving from Fee-for-Service to Fee-for-Value
The U.S. spends over $8,250 per capita on health care every year. That's 22% higher than the next highest country and 170% higher than the average of the 50 highest-spending countries in the world! Read more
Category: Healthcare Provider
Free Cash Flow: Account Prioritizing Lowered Timely Filing Losses 47%
We found a gap. We’re always hunting for opportunities to improve cash flow for our clients. One valued client, we’ll call Kurt, had a big one. Read more
Category: Healthcare Provider
19 Specialties, 18 Days 1 Partnership
In 2014, hospitals and health systems faced immense challenges as they approached ICD-10 mandates. According to a 2014 Sterling Associates survey of 650 hospitals, approximately 50% expected to outsource ICD-10 coding services come October 2015—an increase from the 19% already outsourcing at the time. Read more
Category: Healthcare Provider
Making a Transition - the Right Managed Services Partner Will Get You through the Inevitable Storm
Transition takes on many faces – a company may update its business platforms, change its ownership structure or encounter the need to take strong measures to correct its financial situation. In all of these cases, having a managed services partner who can grab the steering wheel during the storm is essential to staying on course. Read more
Category: Healthcare Payer
A Third Party for a Third-Party Administrator
A true 360-degree understanding of all parties within the healthcare ecosystem isn’t just to be preferred, it is absolutely a prerequisite to a thriving business. The traditional understanding of the delicate eco-system among the three critical players in the insurance industry are: patient, outside payer, Doctors/Hospital
Read moreCategory: Healthcare Payer
High Performing Business Development
If you've been in business for any length of time, chances are you've come across the phrase, "eating your own dog food," which I understand to mean "using your own product or service to demonstrate its effectiveness." After all, if your company has developed something you want others to buy, doesn’t it make sense to use it internally? Doesn’t that show confidence?
Category: Healthcare Analytics
Account Intelligence Guided Agents Drive AR Gains
Experience with AR follow up and denial transactions across 20 million account touches on leading practice management systems leaves us continually driving for higher reimbursements.
Category: Healthcare Analytics
