Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Tracking Key Hospital Revenue Cycle Metrics to Up Profitability

    March 17, 2017 - As the value-based reimbursement transition rolls on, many hospitals have adopted “If you can measure it, you can manage it” as their new motto. But how can providers and executives measure hospital revenue cycle management? Hospital revenue cycle management processes track the organization’s financial health and efficiency from medical billing to clinical workflows. Since...

  • Senate Confirms Seema Verma as Next CMS Administrator

    March 14, 2017 - In a 55 to 43 vote yesterday, the Senate confirmed Seema Verma as the next CMS Administrator, according to a New York Times article. Verma, the founder, president, and CEO of a health policy consulting firm, will be charged with managing both the Medicare and Medicaid programs, which spend over $1 trillion a year on providing healthcare services to more than one-third of Americans....

  • Top 4 Claims Denial Management Challenges Impacting Revenue

    March 10, 2017 - For most healthcare organizations, claim denials are a normal, if not a frequent, occurrence. While very few can boast that their denial rates are close to zero, many providers face a number of challenges with implementing an effective claims denial management process. The average claim denial rate across the healthcare industry is between 5 percent and 10 percent, according to an American...

  • Health IT, Care Navigators Most Effective at Lowering Costs

    March 9, 2017 - While countless strategies are out there for making care delivery more efficient, a recent Health Affairs study revealed that interventions that use health IT and community health workers realized the greatest cost savings. Researchers examined 43 care delivery transformation projects in the ambulatory care setting funded by the CMS Health Care Innovation Awards initiative in 2012. The innovation...


Today's Top Stories

NAM Advises Leaders to Prioritize Value-Based Purchasing Reform

In a new report, the National Academy of Medicine (NAM) named value-based purchasing as one of four action priorities for healthcare stakeholders in 2017. To implement more value-based purchasing models, NAM suggested that stakeholders focus...

Managing Healthcare Costs, Data Analytics Top C-Suite Priorities

Under the Trump administration, the healthcare industry is bracing for some significant policy changes, such as a potential Affordable Care Act repeal. Despite the political change, healthcare executives still plan to make healthcare cost management...

Physician Shortage Projected to Grow to 104K Providers by 2030

The physician shortage is projected to grow to up to 104,900 providers by 2030, new research from the Association of American Medical Colleges (AAMC) revealed. The projected physician shortage increased from an estimated shortfall of up to 90,000...

MedPAC Targets Post-Acute Care for Healthcare Payment Reform

In its March 2017 report to Congress, the Medicare Payment Advisory Commission (MedPAC) pinpointed post-acute care for healthcare payment reform after Congressional and CMS inaction resulted in as much as $11 billion in lost savings since 2009....

CMS Delays Rollout of Cardiac, Ortho Bundled Payment Programs

CMS is pushing back the start date for a number of its bundled payment programs in an effort to provide additional time to review and prepare for the initiatives. In a notice posted in the Federal Register, CMS has issued three-month delays for...

Tracking Key Hospital Revenue Cycle Metrics to Up Profitability

As the value-based reimbursement transition rolls on, many hospitals have adopted “If you can measure it, you can manage it” as their new motto. But how can providers and executives measure hospital revenue cycle management? Hospital...

MGMA to CMS: Notify Clinicians About MIPS Eligibility ASAP

The Medical Group Management Association (MGMA) recently called on CMS Administrator Seema Verma to immediately release Merit-Based Incentive Payment System (MIPS) eligibility notifications as well as approved vendor lists and hospital or patient-facing...

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