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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Persuasion Strategies01:52

Persuasion Strategies

Researchers have tested many persuasion strategies, including the foot-in-the door and the door-in-the-face techniques, in a variety of contexts. Ultimately, the principles are effective in selling products and changing people’s attitude, ideas, and behaviors (Cialdini & Goldstein, 2004).
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
The Contractile Ring02:15

The Contractile Ring

Contractile rings are composed of microfilaments and are responsible for separating the daughter cells during cytokinesis. Contractile ring assembly proceeds along with other cell cycle events; however, very few mechanistic details are known about the timing and coordination of the contractile rings with the cell cycle.
A small GTPase, RhoA, controls the function and assembly of the contractile ring. RhoA belongs to the Ras superfamily of proteins. The activation of formins by RhoA promotes...

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Related Experiment Video

Updated: Jul 10, 2026

Contractility Measurements of Human Uterine Smooth Muscle to Aid Drug Development
07:56

Contractility Measurements of Human Uterine Smooth Muscle to Aid Drug Development

Published on: January 26, 2018

Contracting to improve your revenue cycle performance.

Terri L Welter1, George A Semko, Tony Miller

  • 1ECG Management Consultants, Inc, Arlington, VA, USA. twelter@ecgmc.com

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|October 17, 2007
PubMed
Summary

Hospital revenue cycles are significantly impacted by commercial contract variability. Key drivers include claim form issues, benefit design, contract complexity, coding, medical necessity, precertification, and payer activities impacting payment timeliness.

Related Experiment Videos

Last Updated: Jul 10, 2026

Contractility Measurements of Human Uterine Smooth Muscle to Aid Drug Development
07:56

Contractility Measurements of Human Uterine Smooth Muscle to Aid Drug Development

Published on: January 26, 2018

Area of Science:

  • Healthcare Administration
  • Health Economics
  • Revenue Cycle Management

Background:

  • Commercial contract variability presents significant challenges to hospital revenue cycles.
  • Understanding the drivers of this variability is crucial for financial stability.

Purpose of the Study:

  • To identify and analyze the key drivers impacting commercial contract variability in hospital revenue cycles.
  • To provide insights into factors affecting revenue realization and financial performance.

Main Methods:

  • Qualitative analysis of contract terms and payer policies.
  • Review of hospital billing and claims data.
  • Identification of common variance points in the revenue cycle process.

Main Results:

  • Claim form variance, benefit design, and contract complexity are major contributors to revenue cycle disruption.
  • Medical necessity, precertification/authorization, and claim adjudication requirements significantly influence payment outcomes.
  • Timeliness of payment and third-party payer activities are critical external factors affecting revenue.

Conclusions:

  • Addressing commercial contract variability requires a multi-faceted approach focusing on operational efficiencies and payer relationship management.
  • Hospitals must proactively manage claim processes, documentation, and payer interactions to optimize revenue capture.