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

Healthcare Revenue Cycle

How the Affordable Care Act Impacted Healthcare Revenue Cycle

by Jacqueline Belliveau

From the transition to value-based care to the rise in patient consumerism, the Affordable Care Act has significantly changed the healthcare revenue cycle management landscape since its passage in 2010. Healthcare providers restructured how they...

AHA: Limiting Low-Value Medical Resource Use Cuts Healthcare Costs

by Jacqueline Belliveau

While it is always reassuring to know that a provider will stop at nothing to diagnosis and treat his patients, limiting some medical resource use may actually help to decrease healthcare costs and improve quality of life for some patients, reported...

Team-Based Primary Care Cuts FFS Healthcare Revenue by 2.5%

by Jacqueline Belliveau

As healthcare providers continue to transition to value-based care, many hospitals and physician practices have focused on how to improve care coordination and team-based approaches to improve patient outcomes and boost their healthcare revenue...

Healthcare Employment Increases Challenge Provider Orgs

by Jacqueline Belliveau

Despite significant increases in healthcare employment rates this year, employers and providers are still facing many challenges when it comes to delivering high quality care, such as physician burnout and rising turnover rates. A recent report...

Exploring the Role of Supply Chain Management in Healthcare

by Jacqueline Belliveau

Cutting healthcare costs has become a mantra for many hospitals and physician practices, especially as payers start to tie claims reimbursement amounts to quality and cost performance. Many organizations have looked to the billing and services...

4 Medical Billing Issues Affecting Healthcare Revenue Cycle

by Jacqueline Belliveau

Medical billing is the backbone of healthcare revenue cycle management, but many providers experience significant challenges with efficiently and accurately billing patients and payers for services they perform. The medical billing process can...

88% Improve Claims Submissions Using Revenue Cycle Analytics

by Jacqueline Belliveau

According to a Navicure survey, medical organizations that used a revenue cycle analytics or business intelligence solution were able to boost performance on key healthcare revenue cycle metrics. About 88 percent of participants reported that...

Healthcare Costs Concerns Impact Provider Rationing Behavior

by Jacqueline Belliveau

It is not uncommon to hear patients say that healthcare costs are going up, especially as more individuals enroll in high-deductible health plans. But, some providers oftentimes question if they should be responsible for helping to control costs....

Cerner to Increase Focus on Value-Based Reimbursement

by Kyle Murphy, PhD

Cerner has named Adventist Health System's Jeff Hurst to oversee its revenue cycle management division, the company announced Tuesday. Hurst, who currently serves as Florida Hospital's Senior Vice President of Finance at Florida Hospital...

FTC: States Should Avoid Agreement Laws on Hospital Mergers

by Jacqueline Belliveau

The Federal Trade Commission has made clear its stance on certain state laws governing hospital mergers while at the same time dismissing a complaint against the merger of Cabell Huntington Hospital and St. Mary’s Medical Center. The federal...

31% of Providers Still Use Manual Claims Denial Management

by Jacqueline Belliveau

As the transition to value-based care carries on, many healthcare providers are reexamining their current healthcare revenue cycles to account for new alternative payment models. With providers experiencing an increase in claims denials and denial...

CMS: Proposed Changes to Dialysis, ESRD Claims Reimbursement

by Jacqueline Belliveau

The Centers for Medicare and Medicaid Services (CMS) has recently announced proposed changes to claims reimbursement models for end-stage renal disease (ESRD) and dialysis as well as revisions to the competitive bidding program for durable medical...

74% of Providers See Increased Patient Financial Responsibility

by Jacqueline Belliveau

A recent report from InstaMed found that 74 percent of healthcare providers reported an increase in patient financial responsibility in 2015, which has prompted healthcare revenue cycle management strategies to focus more on consumers. “With...

Ambulatory Surgery Centers Help Reduce Healthcare Costs

by Jacqueline Belliveau

With a push for more healthcare transparency, more beneficiaries are now equipped to reduce healthcare costs by selecting the cheapest option for medical services. However, some providers may not be as lucky since site of care can create significant...

Coding Productivity Fell by 14% After ICD-10 Implementation

by Jacqueline Belliveau

As the anniversary of ICD-10 implementation approaches, a survey from the American Health Information Management Association (AHIMA) Foundation has revealed that coding productivity and accuracy has marginally declined since ICD-10 began. “Health...

Survey: Value-Based Reimbursement to Eclipse FFS by 2020

by Jacqueline Belliveau

As federal agencies and commercial payers push to eliminate fee-for-service payment models, value-based reimbursement structures have been on the top of most healthcare provider and payer agendas. The majority of healthcare providers and payers...

Detailing ACO Challenges with Risk, MACRA Implementation

by Jacqueline Belliveau

While accountable care organizations (ACOs) are popular and effective ways to implement value-based care, many ACOs are still facing significant challenges with managing risk and healthcare costs as the industry prepares for MACRA implementation....

Hospital Profitability Down for 27 Percent of PA Facilities

by Catherine Sampson

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

by Catherine Sampson

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...

Patient Billing Challenges Revenue Cycle Management

by Catherine Sampson

Patient payment and billing are significant revenue cycle management challenges that should not be ignored.  According to a recent survey conducted by Navicure, 63 percent of participants recognized that patient payment processes were “a...


Join 30,000 of your peers and get free access to all webcasts and exclusive content

Sign up for our free newsletter:

Our privacy policy

no, thanks