John Andrews

John Andrews is an independent freelance writer from Des Plaines, Ill. A professional journalist for more than 30 years, he has written exclusively for the healthcare industry since 1990 and has appeared in dozens of trade publications during his career.

With the fee-for-service business model changing to prospective payment and value-based care, healthcare organizations are undergoing a cultural shift that dramatically alters their approaches to patient intake, eligibility verification and claims processing.

By John Andrews 09:30 am April 20, 2016
Revenue cycle management has gone from being a "back office" function to an "end-to-end" system that begins at patient intake or even before, claims specialists say. Advanced technologies, in tandem with improved workflows and better data have resulted in RCM systems that encompass the entire healthcare enterprise.
By John Andrews 07:46 am April 12, 2016
Some experts are predicting a spike in denials beginning on Oct. 1, 2016 when the Centers for Medicare and Medicaid Services will require claims to be more specific. Forward-looking providers are assembling teams to prepare now. 

Allyson Gilmore, principal data scientist at Ayasdi, said that understanding trends can help providers avoid losing money, but the data is complex. 

By John Andrews 10:12 am April 11, 2016
Advanced analytics and machine learning technologies are critical to pinpointing problems in large datasets that could be losing providers money. That’s why some organizations are investigating every single denied claim to better understand trends. 
By John Andrews 09:41 am April 11, 2016
Hospitals are starting to hire younger, more diverse people to handle the new coding. The shift will likely benefit healthcare organizations in time, but it won’t happen overnight.  
By John Andrews 08:18 am April 11, 2016
The healthcare industry appears to have successfully withstood the transition from ICD-9 to ICD-10. But are the sighs of relief premature? Is another shoe waiting to drop?
Foad Dabiri, chief technology officer at San Francisco-based WANDA
By John Andrews 10:27 am March 30, 2016
Across the healthcare industry, "the state of decision-making is really bad." Following the so-called Three Ps could point a way forward.
While its achievements may not yet be where they were projected to be a decade ago, connectivity between disparate systems is a reality, electronic health records have made inroads into the healthcare establishment and milestones are being celebrated.
By John Andrews 11:30 am February 15, 2016
Construction process is revealing more layers of procedure needed to elevate the industry's clinical and business model, experts say.
By John Andrews 09:50 am January 07, 2016
By leveraging the historical data included in the records, healthcare providers can target patients, populations more than ever.
crystal ball
By John Andrews 09:01 am November 25, 2015
As healthcare shifts from being reactive to proactive, information technology is taking that move a step further through intuitive apps and programs that anticipate patient problems before they happen.
Roper St. Francis
By John Andrews 03:09 am November 02, 2015
There's an old adage that states, "If you want something done, give it to a busy person." If that's the case, then send all requests to Melinda Cardell in care of Roper St. Francis Healthcare in Charleston, S.C.

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