Minimizing Revenue Loss Due to Inpatient Status Downgrades

Hospital revenue has taken a hit in recent years due to hurdles in meeting inpatient criteria established by payers. When these criteria aren’t met, payers will deny inpatient status, resulting in a payout reduction of up to 80%. Nowhere is this more common than with managed Medicare payers.

So how can hospitals mitigate revenue loss as a result of inpatient status downgrades?

In this insight, you’ll learn the how to best prevent inpatient payment denials by improving:

 

People



Streamlining and improving the way people and teams in your organization interact
Process



Developing and refining process maps to simplify handoffs and submissions
Technology



Leveraging technology to automate submissions and process monitoring