Overcoming the silent payer discount

Tuesday, July 16th, 2024 | 1:00 PM - 2:00 PM CT

A consistent (3% to 5%) margin of revenue opportunity is lost due to the complexity of documenting and coding for complex inpatient cases. This uncaptured revenue is significant to a hospital's bottom line, with a 5% loss in a mid-size hospital potentially equaling $22 million to $38 million in lost revenue annually.
 
Hospitals cannot rely solely on generalist clinical documentation improvement for complex cases, as they need specialist expertise to navigate clinical nuances and ensure accurate documentation.

Learn more about strategies to overcome the silent payer discount in this interactive panel discussion featuring clinical and revenue cycle experts, alongside health system leaders who have implemented successful solutions to combat this critical issue.
 
Key takeaways:
 
  • To supplement their internal revenue cycle teams, hospitals require specialized support for complex cases to navigate clinical nuances and ensure accurate documentation
  • Hospitals face a significant burden due to denials caused by complexities in guidelines and varying criteria
  • Enhancing financial sustainability and improving quality metrics go hand in hand, both positively impacting patient outcomes

Presenters: 

Candice_Daszewski - Sydney Mason

Candice Daszewski

Chief Client Officer, Accuity

Hani Judeh - Sydney Mason

Hani Judeh, MD

Chief Medical Officer, Accuity