Healthcare Revenue Cycle and Finance

Shared Care Plans and Utilization Management

By Robert Rowley MD – Utilization Management (UM) is ubiquitous in healthcare. It is a system of authorizations for procedures and some referrals, for the determination of medical necessity vs. elective, cosmetic or experimental procedures, for determining bed-day allowances in hospitals, and for establishing preferred drug formularies.




Caring for Flint

By Sara Rosenbaum – It’s fair to say Flint, Michigan, is facing a public health catastrophe: Thousands of city residents, including as many as 9,000 children, may have been exposed to toxic levels of lead through contaminated water. While the problem was entirely preventable, the question now is what will be done for its victims.



Fast Healthcare Interoperability Resources & Patient Matching

By Adam Culbertson – The promise of EHRs is that they will improve quality and lower cost. The basis of this claim is in part due to a presumption of EHR interoperability. Patient matching has been identified as a critical barrier to interoperability. Patient matching refers to the act of accurately linking individuals to their health data located in various disparate electronic health databases.