HMA Webinar: Overcoming Clinical Labor Shortages
This quarter Shearwater Health partnered with The Health Management Academy to host a virtual roundtable discussion on the topic of overcoming clinical labor shortages. Other panel participants included members from Integris Health, Memorial Hermann Health System, and Henry Ford Health System. Melissa Lacy (EVP, Quality & Performance) was a panelist for the webinar where she […]
Improving Patient Care with Coding
The healthcare industry has been no stranger to shortages of qualified workers over the few years, and the coding workforce is no exception to this trend. There is a need for more medical coders across the U.S., making it increasingly more challenging to find skilled and credentialed coders who can execute the specific type of […]
Health Insurance Claims Analysis
A current trend in the Healthcare industry is the increasing volume of inpatient claims denied by payers based on lack of medical necessity. While Medicare offers detailed payer categories compared to other providers, they also reject the highest number of shares. However, from 2021 to 2022, the inpatient claim denial saw a rise of 18.5% […]
2023 Healthcare Trends Forecast
The healthcare industry is constantly evolving, especially in the wake of COVID-19 and constant technological advancements. At Shearwater Health, we strive to revolutionize healthcare systems that align with our mission to “improve healthcare outcomes globally.” With the start of a new year, trends are emerging that could potentially impact the healthcare industry in 2023. From […]
Improving Healthcare with Virtual Case Management
With the nursing shortage and the overcrowding in hospitals, Virtual Case Management (VCM) is a valuable option for minimizing challenges that the healthcare industry faces. Hospitals today are understaffed, which leads to inefficiency in patient flow. Often this results in extended patient stays, compromise to the quality of care, and higher readmission rates. These factors […]
Pinuno Award: Leadership Excellence Awarded to Shearwater Health
We are thrilled to announce that Shearwater Health’s COO and Country Manager, Anshum Sinha, has been awarded the Healthcare Information Management Association of the Philippines (HIMAP) 2022 Pinuno Award of Excellence in Leadership. This award is a significant achievement, and we are thrilled for Anshum, who has been with Shearwater for almost a decade. We […]
Talento Award: HR & Recruitment Awarded to Shearwater Health
At Shearwater Health, we strive to be leaders in innovative healthcare solutions that improve healthcare outcomes globally. It’s always a huge honor when our work and our incredible staff, who work tirelessly to make it happen, get recognized. We are pleased to announce that Shearwater’s HR and Recruitment teams, led by Jenina Borlaza and Josefina […]
The Importance of Utilization Review in Workers’ Compensation
Ensuring that an injured worker receives the right care at the right time through the utilization review process is an important aspect of managing a workers’ compensation claim. Utilization review providers are tasked with the challenge of delivering quality care and a positive patient experience that promotes recovery and return to work, while also managing […]
Impact of Staff Shortages on Case Managers and Patient Care
Today’s healthcare system is undergoing fundamental changes due to labor costs and shortages, outdated care delivery models, and changes in payment models. Hospitals are under tremendous pressure to reduce costs while delivering high-quality patient care. Efficient patient throughput is key to ensuring excellent patient care at an appropriate cost. Throughput is the patient’s movement through […]
Coding Around the Clock (and Around the World!)
By Melanie Kiss-Endicott, MBA/HCM, RHIA, CDIP, CHDA, CPHI, CCS, CCS-P, FAHIMA The demand for experienced, certified medical coders is a constant challenge for healthcare organizations. One solution for this demand is outsourcing medical coding to companies with offshore coders to supplement your current team. Offshoring has several benefits, including cost savings, a highly qualified labor […]