Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Revenue Cycle Management Resources

MIPS: The New Meaningful Use

This white paper aims to give readers a comprehensive understanding of what MIPS is, how it affects the immediate future of medical practices, and the long term ramifications on the healthcare industry. Download white paper

eBrief: ICD-10 Denials: 5 Things Every Facility Should Know

Hospitals face new challenges when addressing ICD-10 claims denials. Here are a few tips to effectively respond to insurance companies and use denials as a tool for staff education.  Don't leave money on the table for your organization.... Download white paper

Case Study: BCBS Wellmark and Wheaton Franciscan Hospital - Exceed Quality and Financial Goals

Wellmark Blue Cross and Blue Shield of Iowa launched one of the first ACOs in the Midwest. Within one year of joining the shared savings payment mode, Wheaton-Franciscan Healthcare-Iowa  met and exceeded its quality goals, earning an incentive... Download white paper

Case Study: CMO Montefiore Care Management: Measuring ACO Success

The Montefiore ACO has consistently been one of the top-performing Pioneer ACOs in the country. Under CMS' Pioneer ACO Model program, they had to report on quality and prove their program lowered costs. To do this, they turned raw data from... Download white paper

A Strategy for Building a Value-Based Care Program: How Data Can Help You Shift from Fee-for-Service

Reimbursing care based on clinical or financial outcomes can seem like a daunting process--but it doesn't have be. This eBook breaks down the five key elements of a successul value-based care program and the important role of data. Download white paper

Population Health Management: A Bridge Between Fee for Service and Value Based Care

The move from fee-for-service to value-based payment isn't always seamless. Many organizations will have to balance multiple (and conflicting) revenue models at once. This eBook explains how a population health framework can help ease the... Download white paper

10 Questions Payers Must Ask When Choosing a Value Measure

Today's care models need a way to capture healthcare value--performance as it relates to cost. The proliferation of available measures makes it hard to cut through the clutter and decide which one is best for evaluating provider performance.... Download white paper

MACRA: How to Prepare for Tomorrow’s Healthcare Industry

Are you ready for the next wave of regulatory and reimbursement changes? Go beyond surviving - learn to thrive in this new healthcare environment. In our ebook, we've outlined things you need to know about MACRA, the Quality Payment Program,... Download white paper

5 Tips to Optimize Narrow Network Performance

Are you feeling a sense of urgency as the year comes to an end? Our panel of experts walk through 5 tips to optimize narrow network performance. Close the year off strong and maximize the value of every dollar. You can optimize... View webcast