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

Revenue Cycle Management Resources

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

Infographic: The Rise of Patient Responsibility

The rise of high-deductible health plans (HDHPs) is forcing more and more patients to take responsibility for their healthcare payments - leaving providers to spend twice as much to earn the same dollar. Download this infographic and you will... Download white paper

Infographic: The New Healthcare Consumer: Riding the Sea Change

65% of bad debt in healthcare comes from unpaid patient balances, and the average family deductible has increased 67% since 2010. It's time to set a new course to better financial and administrative improvements. Download this infographic... Download white paper

Infographic: Quick Guide to Alternative Payment Models (APMs)

Alternative Payment Models (APMs) are the most advanced options under the Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program. APMs offer the highest incentives and could be the preferred model of the future.... 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

An Everything Guide to MACRA and Beyond

In 2019, Medicare Access & CHIP Reauthoriza­tion Act (MACRA) will determine how Medicare reimburses doctors. Start getting ready for MACRA immediately. Download this whitepaper to learn how to be proactive and successfully prepare with... Download white paper

Patient Pay: Discovering the Best Ways to Collect

Physicians are facing mounting financial pressure from all directions. Discover the best way to target the areas that will be of most value. Download this ebook to learn four areas of focus to improve patient pay collections. Download white paper

From Information to Insight:  MACRA, Analytics and the Move from Volume to Value

Advances in technology have provided healthcare organizations with a myriad of disparate systems from which to get information. While the volume of data has grown exponentially in recent years, the availability and access to that data has dropped... View webcast

Infographic: 10 Things You Need to Know About MACRA

Finally figuring out PQRS, VM, and MU? Don't get too comfortable. The new MACRA ruling creates a whole new framework to drive providers to value-based care. Medical practices need to understand and prepare for this complex mandate or suffer... Download white paper

Earning Incentives, Avoiding Penalties: 5 Keys to Success with PQRS and Beyond

Despite the frustrations of keeping up with each new mandate, there is an intended goal in sight: Improve the quality of care while lowering costs. The principal strategy involves replacing traditional fee-for-service reimbursement, which rewards... Download white paper

Thriving as an Independent Practice: The 5 Keys to Success

In a recent Epocrates survey, 58% of doctors said they prefer independent practice to employment, and indications suggest the outlook for independent providers may be improving. And According to data from the athenaHealth network, independent... Download white paper