Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • 5 Ways to Cut Costs through Hospital Revenue Cycle Management

    May 16, 2016 - As healthcare costs continue to rise, hospital revenue cycle management has become an important focal point for providers. Healthcare expenditures in the US are projected to reach $4.4 trillion by 2018, according to an article in The American Journal of Clinical Pathology. This would amount to 20.3 percent of projected gross domestic product. It can be tricky for hospitals to maximize cash...

  • 5 Most Common Hospital Revenue Cycle Management Challenges

    May 4, 2016 - Since the Affordable Care Act, the task of hospital revenue cycle management has changed significantly. Between ICD-10, MACRA, and accountable care, it has become a hospital’s best interest to have an effective revenue cycle management system in place so they can handle the financial pressures that come from regulation. Overall, the healthcare revenue cycle is dynamic and continues to...

  • Top 5 Facts to Know about MACRA Alternative Payment Models

    May 2, 2016 - CMS recently proposed a rule that would put last year's MACRA's legislation into action. The proposal introduces several significant changes to the way providers will attest to quality improvements and technology use, but also includes a heavy emphasis on value-based reimbursements, alternative frameworks for payments, and patient-centered care. In this primer, RevCycleIntelligence.com...

  • Top 5 Ways to Optimize Healthcare Revenue Cycle Management

    April 22, 2016 - Revenue cycle management remains relatively elusive in the new healthcare landscape, as new regulations and reforms have led the industry to evolve and left many hospitals scrambling to keep their revenue strong in a value-based care reimbursement model. Today, technology platforms can play a role in assisting providers, payers, and consumers communicate and interact more efficiently, which...


Today's Top Stories

Hospital Profitability Down for 27 Percent of PA Facilities

More than a quarter of acute care hospitals in Pennsylvania failed to achieve profitability in 2015, according to a recent report by the Pennsylvania HealthCare Cost Containment Council (PHC4). Twenty nine percent of the 170 hospitals in...

5 Ways to Increase Hospital Profitability, Aid Revenue Cycle

In this period of healthcare reform, numerous organizations continue to change their business practices so they can obtain more hospital profitability while also delivering quality care. Healthcare expenditures are expected to reach $4.4 trillion...

Congress Asks CMS to Scrap Prior Authorization for Home Health

A CMS proposal to require a prior authorization screening for every home health service would be an administrative nightmare and may produce barriers to care for needy patients, a group of 116 lawmakers said in a letter to CMS this week. "This...

GAO: Weak Medicare, Medicaid Provider Screening Allows Fraud

The Centers for Medicare & Medicaid Services’ (CMS) provider enrollment screening process is vulnerable to fraud because many ineligible providers are still being entered into the Provider Enrollment, Chain and Ownership System (PECOS),...

Newly Launched MACRA Initiative Aims to Support Providers

On May 25, American Medical Group Association (AMGA) launched a resource to help its members prepare for MACRA implementation as well as all risk-based payment systems. “We are making it our priority to ensure our members have the tools...

OIG: CMS Not Reducing Medicare, Medicaid Improper Payments

In testimony submitted to House of Representatives Subcommittee on Oversight and Investigations, the Office of Inspector General (OIG) urged the Centers for Medicare & Medicaid Services to work with states to correct gaps in their...

Wisconsin Hospital Questions Hospital Profitability Study

In a hospital profitability study, researchers from Health Affairs drew the conclusion that Gundersen Lutheran Medical Center earned a profit of $302.5 million, or $4,241 per patient, in 2013. However, Gundersen Lutheran Medical Center claimed...

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