Streamline Health Solutions, Inc.

Streamline Health Solutions, Inc. HIT solutions and services to help healthcare providers optimize revenue integrity in the move to value-based care Streamline Health Solutions, Inc.

is a healthcare industry leader in capturing, aggregating and translating enterprise data into knowledge – actionable insights that reduce exposure to risk, enhance operational performance and improve patient care. Through our Looking Glass™ platform, we provide clients with meaningful, intelligent SaaS-based solutions from patient engagement to reimbursement. We share a common calling and commitm

is a healthcare industry leader in capturing, aggregating and translating enterprise data into knowledge – actionable insights that reduce exposure to risk, enhance operational performance and improve patient care. Through our Looking Glass™ platform, we provide clients with meaningful, intelligent SaaS-based solutions from patient engagement to reimbursement. We share a common calling and commitm

Operating as usual

09/08/2021

Here we grow again! Streamline Health is excited to announce another provider is joining the movement to pre-bill revenue integrity validation https://bit.ly/3yVqUh5

Revenue cycle transformation can be a daunting process, but savvy leaders understand the people, process, and technology...
08/31/2021
Want to optimize your revenue cycle during times of financial uncertainty? Focus on attracting, retaining top talent

Revenue cycle transformation can be a daunting process, but savvy leaders understand the people, process, and technology (PPT) framework is a great blueprint for positive change. This blog post explores optimizing the ‘people’ element in light of our current environment... https://bit.ly/3t0MrmV

By: Roberta Peters, MS, RHIA Vice President, Solution Executive, eValuator™ Streamline Health *Part one of a two-part series* Today’s revenue cycle managers may be asking themselves this question: How can we ensure revenue integrity during times of financial uncertainty such as what we’re expe...

As if providers needed more incentive to proactively confirm revenue integrity prior to billing:  Medicare audits will s...
08/26/2021
More Money for CMS Means More Medicare Audits

As if providers needed more incentive to proactively confirm revenue integrity prior to billing: Medicare audits will soon be on the rise again as CMS doubles the budget for investigating fraud, waste and abuse. To learn more... https://bit.ly/2Y0ZglZ

The CMS budget for fraud, waste and abuse has doubled in size from 2021 to 2022. Two years ago, the federal government created a plan to audit Medicare

Some healthcare providers are tempted to consider contingency-fee based vendors to help them optimize coding accuracy. I...
07/26/2021
Why a ‘penny wise, pound foolish’ approach to revenue cycle management doesn’t work

Some healthcare providers are tempted to consider contingency-fee based vendors to help them optimize coding accuracy. In this blog, we explore the many reasons why this model hurts your revenue integrity and financial performance in the long run. https://bit.ly/3zBGgI9

By: Roberta Peters, MS, RHIA Vice President, Solutions Executive, eValuator™ Streamline Health We’ve all heard the idiom, ‘penny wise and pound foolish.’ It’s the idea that one can become so concerned with saving money in the moment that they fail to see the bigger picture and end up spend...

Looking forward to seeing old friends and meeting new ones at #FHIMA on Sunday! Visit us in Booth 300 to discover the dr...
07/16/2021
FHIMA Annual Meeting

Looking forward to seeing old friends and meeting new ones at #FHIMA on Sunday! Visit us in Booth 300 to discover the dramatic results being driven by eValuator, and you can also win a $100 Amazon Gift card playing the Random Sample Challenge! https://www.fhima.org/annualmeeting/

Click here to download a web-based version of the FHIMA Annual Convention program booklet. A printed copy will be available onsite at the meeting.

06/28/2021

Looking forward to seeing old friends and meeting new ones at #TxHIMA this week! Visit Streamline Health in Booth 26 to learn how eValuator can quickly increase compliant financial performance from Inpatient and Outpatient care. You'll also get a chance to win one of multiple $100 Amazon Gift Cards https://bit.ly/35O02TV

CMS Hospital Quality Star Ratings are primarily designed to reflect your clinical performance, but they have a substanti...
06/16/2021
How automated pre-bill coding analysis impacts clinical performance metrics and can boost CMS Hospital Quality Star Ratings

CMS Hospital Quality Star Ratings are primarily designed to reflect your clinical performance, but they have a substantial impact on financial performance as well. Smart organizations know that accurate coding plays a crucial role in ensuring both your Star Ratings and reimbursements are optimized. See this blog post to learn why... https://bit.ly/3zw4KDy

By: Roberta Peters, MS, RHIA Vice President, Solutions Executive, eValuator™ Streamline Health Consumers use Amazon to compare product reviews, Kayak to compare flights, and a whole host of other websites covering everything from car insurance to meal delivery services, all designed to help them f...

As a proud sponsor of NAHRI, Streamline Health celebrates Revenue Integrity Week (June 7-11) in honor of the dedicated r...
06/07/2021
Revenue Integrity Week | NAHRI

As a proud sponsor of NAHRI, Streamline Health celebrates Revenue Integrity Week (June 7-11) in honor of the dedicated revenue integrity professionals across America https://bit.ly/3zaekM4

CR-4451_NAHRI-RIW-2021_logo-rgb_500x500.png

In this summary, we learn how RAC audits are back and already demonstrating aggressive strategies in their pursuit of po...
05/20/2021
OIG Rekindles Extrapolated Audits of Providers - RACmonitor

In this summary, we learn how RAC audits are back and already demonstrating aggressive strategies in their pursuit of potential overpayments. More confirmation that being thoroughly prepared is your best defense against exposure... https://bit.ly/3wjLEOp

OIG called attention to claims of less than two midnights that were paid as inpatient.

When considered appropriately, technology can be a catalyst for positive change. For providers seeking to upgrade their ...
05/18/2021
Is your revenue integrity strategy a catalyst—or deterrent—for your growth? Six questions to consider...

When considered appropriately, technology can be a catalyst for positive change. For providers seeking to upgrade their revenue integrity strategy, this blog highlights the six questions to consider that will ensure substantial and sustainable improvements. https://bit.ly/3wk7emb

By: Roberta Peters, MS, RHIA Vice President, Solutions Executive, eValuator™ Streamline Health Let’s face it. If there’s anything that COVID-19 has taught us, it’s that change is hard. Really hard. In the blink of an eye, our worlds were turned upside down, and we were thrust into a reality ...

April 18-24 is the 32nd Annual Health Information Professional Week, and Streamline is proud to honor the contributions ...
04/19/2021

April 18-24 is the 32nd Annual Health Information Professional Week, and Streamline is proud to honor the contributions of these dedicated workers. Please take a moment to recognize the HIM members of your organization #HIPWEEK21

April 18-24 is the 32nd Annual Health Information Professional Week, and Streamline is proud to honor the contributions of these dedicated workers. Please take a moment to recognize the HIM members of your organization #HIPWEEK21

Medical coding will never be an easy process, but this blog post explains how choosing a coding optimization partner wit...
04/06/2021
Innovation + Collaboration = Great Results

Medical coding will never be an easy process, but this blog post explains how choosing a coding optimization partner with a collaborative approach can help you continually improve results in terms of increased revenue integrity and optimized financial performance. https://bit.ly/3cRu3qc

By: Deanna Kane Strategic Account Executive, Continuing Success Team member Streamline Health, Inc. As renowned Coding/HIM expert Nancy Hirschl often states, “Accurate coding is as much an art as it is a science.” Most HIM managers would agree that accurate, compliant coding is driven by a rigid...

03/10/2021
Revenue Integrity - Time to Hit the Reset Button - ICD10monitor

A timely refresher on the basics of a healthcare revenue integrity program and its important role in supporting your long-term financial performance, including the transition to emerging payment models http://bit.ly/3qB15yB

Revenue Integrity - Time to Hit the Reset Button By Susan Gatehouse, RHIT, CCS,CPC, AHIMA-Approved ICD-10-CM/PCS Trainer Original story posted on: March 8, 2021 Whether you work for a full-scale enterprise or a smaller healthcare facility, revenue integrity programs' increasing importance is consist...

HIM and RCM managers looking to optimize coding accuracy and financial performance can now data mine more easily than ev...
03/09/2021
Dynamic Lists:How ‘Googling’ your coded claims data could become a secret weapon

HIM and RCM managers looking to optimize coding accuracy and financial performance can now data mine more easily than ever, thanks to Dynamic Lists in eValuator. Learn how you can ‘Google’ your coding and charge data to help identify opportunities and issues for improved revenue integrity and financial results http://bit.ly/2OjkneC

By: Roberta Peters, MS, RHIA Vice President, Solutions Executive, eValuator™ Streamline Health In the Internet age, if you need information on anything, your first option is usually to use a search engine. ‘Googling’ a topic is simply the easiest, and often most effective, form of initial rese...

Further guidance that RAC audits are coming back at a higher volume than originally anticipated; see this informative ar...
03/04/2021
Expect More Medical Record Audits Under Biden - RACmonitor

Further guidance that RAC audits are coming back at a higher volume than originally anticipated; see this informative article on changes from CMS that reinforce the need to ensure coding accuracy before billing http://bit.ly/30fVu5S #revenueintegrity #compliance

More covered health services and more policing under the Biden administration.

02/22/2021
Whova Community Web App

For providers participating in the OHIMA 2021 Virtual Conference, please visit the Streamline Health booth to learn how eValuator is improving coding accuracy and financial performance. You’ll be entered to win a $100 Amazon gift card as well! http://bit.ly/3axjaZI

A timely reminder from Kaiser Health News for providers to proactively monitor HACs, HAIs and other preventable complica...
02/19/2021
Medicare Cuts Payment to 774 Hospitals Over Patient Complications

A timely reminder from Kaiser Health News for providers to proactively monitor HACs, HAIs and other preventable complications to protect revenue; https://bit.ly/2NFYAx8

Renowned medical centers are among the quarter of general hospitals that will lose 1% of Medicare payments for one year because their patients have high rates of bedsores, sepsis and other preventa…

Unlike many recent changes in healthcare, the new Evaluation and Management (E/M) guidelines for Office Services should ...
01/27/2021
Bracing for Impact: Understanding and Adjusting to the 2021 E/M Changes

Unlike many recent changes in healthcare, the new Evaluation and Management (E/M) guidelines for Office Services should actually make physicians’ lives a little easier. They include one key change that should enable providers to focus less on unnecessary and irrelevant documentation and more on direct patient care. To learn more, see this insightful blog post from Pamela Moore: http://bit.ly/2MpcHGv

By: Pamela Moore, MS, RHIA, CCS, CRC Professional Services Project Manager Streamline Health The Greek philosopher Socrates once said, ‘The secret of change is to focus all of your energy not on fighting the old, but on building the new.’ Change isn’t easy—particularly in healthcare where it...

Hear firsthand how eValuator is improving financial performance! In this recorded webinar, Jennifer Cooper, Director of ...
01/25/2021
Hunt Regional Webinar on Pre-Bill Coding Optimization with Streamline Health eValuator

Hear firsthand how eValuator is improving financial performance! In this recorded webinar, Jennifer Cooper, Director of HIM at Hunt Regional Healthcare, describes how they’re improving coding accuracy and achieving substantial financial improvements with automated pre-bill coding optimization https://youtu.be/DGGq0nlUS8w

Jennifer, Cooper, Director of HIM for Hunt Regional Healthcare, discusses how her team is driving increased compliant revenue and improving coding operations...

For the coming year, see this summary of potential RAC activity with regards to inpatient rehab facilities, including co...
01/15/2021
Looking Ahead in 2021: What IRFs Can Expect - RACmonitor

For the coming year, see this summary of potential RAC activity with regards to inpatient rehab facilities, including continuing waivers and compliance discoveries revealed in current audits of these services http://bit.ly/3nHRLHD #healthcare #revenueintegrity

IFR providers expect that the pandemic as well as new regulatory issues will impact their services. 2020 was certainly a historical year, punctuated by the COVID-19 pandemic and an overwhelming number of waivers and flexibilities for healthcare providers attempting to provide care amid chaos. Those....

01/11/2021
register.gotowebinar.com

Want to take charge of your financial performance? Learn how MEDITECH-based Hunt Regional Healthcare optimized coding accuracy before billing to drive revenue integrity in this informative webinar on 1/21 at 2:00 PM CT https://bit.ly/2Xua3Sf

CMS recently announced multiple regulatory changes that impact how providers are reimbursed for services. See this post ...
12/17/2020
Staying Ahead of Regulatory Changes During COVID-19 and Beyond

CMS recently announced multiple regulatory changes that impact how providers are reimbursed for services. See this post from Roberta Peters, MS, RHIA, summarizing these changes and offering some helpful suggestions on how to adapt your processes accordingly http://bit.ly/2LMA0d9 #compliance #revenueintegrity

By: Roberta Peters, MS, RHIA Vice President, Solutions Executive, eValuator™ Streamline Health Just when you start to feel moderately confident in your organization’s approach to achieving revenue integrity, changes come along that complicate your strategy. Regulatory and compliance changes add ...

The final Policy, Payment and Quality Provisions changes to Medicare PFS for CY21 have been released by CMS, including E...
12/07/2020
Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021 | CMS

The final Policy, Payment and Quality Provisions changes to Medicare PFS for CY21 have been released by CMS, including E/M payment changes. To learn more, see the CMS Fact Sheet here: https://go.cms.gov/3glMNyv

On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021.

Very proud to announce the expansion of our partnership with Allscripts to include CDI and eValuator, enabling them to o...
11/04/2020
Streamline Health® Expands Reseller Agreement with Allscripts to include eValuator™ and CDI Solutions | Streamline Health Solutions

Very proud to announce the expansion of our partnership with Allscripts to include CDI and eValuator, enabling them to offer a full suite of Mid-Revenue Cycle solutions to their clients! https://bit.ly/2I3pZXb
#revenueintegrity

The Investor Relations website contains information about Streamline Health Solutions's business for stockholders, potential investors, and financial analysts.

CMS has adjusted the guidance for meeting ‘reasonable and necessary’ requirements of Medicare eligibility, potentially e...
10/23/2020
CMS Proposes Expanded Options for Determining “Reasonable and Necessary”

CMS has adjusted the guidance for meeting ‘reasonable and necessary’ requirements of Medicare eligibility, potentially expanding access to new treatment options and subsequent reimbursement. To learn more... https://bit.ly/34jQgsS #revenueintegrity

The Social Security Act has long held that Medicare coverage is only available when the item or service is “reasonable and necessary for the diagnosis or treatment of illness or injury or to imp

From the OIG: COVID-based reimbursements will now face additional audits to ensure they meet all requirements; now more ...
10/19/2020
Audit of Medicare Payments for Inpatient Discharges Billed by Hospitals for Beneficiaries Diagnosed With COVID-19

From the OIG: COVID-based reimbursements will now face additional audits to ensure they meet all requirements; now more than ever, providers need the power of eValuator’s automated coding analysis to optimize— and safeguard —their reimbursements prior billing. https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000515.asp #compliance #revenueintegrity

Office of Inspector General | U.S. Department of Health and Human Services

Address

11800 Amber Park Drive; Suite 125
Alpharetta, GA
30009

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

Telephone

888-99-STREAM

Products

HIM, CODING & CDI:
Automated Coding Analysis
Coding Audit Services
Computer Assisted Coding
Clinical Documentation Improvement
Enterprise Content Management
Release of Information
Abstracting
Physician Query

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