Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • AMGA: Value-Based Reimbursement Transition Slower Than Expected

    December 8, 2016 - Fee-for-service revenue decreased by more than 20 percent as value-based reimbursement payments increased, reported the American Medical Group Association (AMGA). But the transition to value-based reimbursement may be slowing down compared to last year. The 205 healthcare leaders participating in the recent AMGA survey stated that 77.3 percent of their commercial revenue came from fee-for-service...

  • Slavitt Offers Value-Based Care Steps Post MACRA Implementation

    December 5, 2016 - As CMS gets ready for MACRA implementation in the new year, CMS Acting Administrator Andy Slavitt urged healthcare and political leaders to carry on value-based care progress made under the Affordable Care Act. In a statement at the MACRA MIPS/APM Summit in Washington, DC on Dec. 1, Slavitt suggested that the healthcare industry continue value-based care progress after MACRA implementation...

  • How a Small Hospital Increased Patient Collections by 300%

    November 29, 2016 - As patient financial responsibility continues to increase in a more consumer-focused healthcare environment, more hospitals are shifting healthcare revenue cycle management strategies to improve patient collections. Iroquois Memorial Hospital in Illinois is one of these healthcare organizations. Rebecca Wright, Vice President of Strategic Planning at the 25-bed community hospital, recently...

  • Using an Alternative Payment Model to Reduce Hospitalizations

    November 17, 2016 - Are clinical interventions enough to alter provider behavior to align with value-based care? Or are providers more motivated to change because of financial incentives under alternative payment models? CMS recently partnered with the University of Pittsburgh Medical Center (UPMC) along with five other organizations to uncover what spurs providers to align workflows with value-based care goals,...


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AMGA: Value-Based Reimbursement Transition Slower Than Expected

Fee-for-service revenue decreased by more than 20 percent as value-based reimbursement payments increased, reported the American Medical Group Association (AMGA). But the transition to value-based reimbursement may be slowing down compared to...

Judge Calls for Medicare Appeals Backlog Elimination by 2020

The Department of Health and Human Services (HHS) must eliminate the Medicare appeals backlog at the administrative law judge review level by Dec. 31, 2020, a federal judge recently decided. The most recent decision ends a two-and-a-half-year...

AHA, FAH: ACA Repeal Could Cost Hospital Revenue Cycle Billions

Providers could face billions in hospital revenue cycle losses if the Affordable Care Act is repealed without replacement legislation that preserves health coverage increases and rolls back claims reimbursement cuts, stated the American Hospital...

Do Medicaid Reimbursement, Admissions Produce Hospital Profit?

Do Medicaid reimbursement rates and federal uncompensated care payments really cover the healthcare costs of treating larger proportions of Medicaid beneficiaries and uninsured individuals? Two new studies in Health Affairs indicate yes, but...

NY Senator Challenges Rural Medicare Reimbursement Repayment

New York Senator Charles Schumer (D-NY) recently spoke out against a CMS plan to recoup supplemental Medicare reimbursement to rural hospitals that could cause hospitals in New York alone to repay the federal agency $15 to $20 million for payments...

Value-Based Care, Price Transparency Drive Hospital Mergers

Healthcare system and hospital mergers will likely increase as new value-based care models emerge, according to a recent Healthcare Financial Management Association (HFMA) report. But the rise in value-based reimbursement and price transparency...

Providers Skip Healthcare Costs Talk with 68% of Cancer Patients

As providers face increased patient financial responsibility, healthcare costs discussions with patients are becoming more important for obtaining full payment. But a new study from the Cancer Support Community showed that many providers are...

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