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

Revenue Cycle Management

Hospitals Dodge Financial Penalty with Medicare ACA Loophole

by Jacqueline DiChiara

According to the Affordable Care Act (ACA), hospitals demonstrating low quality measures face financial penalties under Medicare. However, due to a discovered loophole as confirmed within a new Health Affairs study, hospitals are...

Are Hospitals Committed to Population Health Collaborations?

by Jacqueline DiChiara

Population health is an area of strong interest and focus for hospitals and community partners, confirms a recent survey of over 1,400 hospitals conducted earlier this year from the Health Research & Educational Trust, the Association for...

Hospital Parties Argue CMS APA Violation, 0.2% Rate Cut Void

by Jacqueline DiChiara

According to a statement from various hospital parties delivered during a court brief this week, the United States District Court for the District of Columbia (the Court) cannot adequately settle hospitals’ legal challenge...

BCBS Licensing Agreement Questioned in Anthem Acquisition

by Jacqueline DiChiara

The proposed Anthem/Cigna deal continues to remain under active investigation. In a recent letter to the Department of Justice (DOJ) Antitrust Division, a lead counsel for a nationwide class of healthcare providers challenges Blue Cross and Blue...

ICD-10 Countdown Call to Present New Implementation Updates

by Jacqueline DiChiara

ICD-10 implementation begins in only 35 days as the Y2K of healthcare creeps closer. Although Y2K came and went without a hitch, will ICD-10 see a similar uneventful fate? As time more expediently ticks onward, healthcare providers,...

Congress Urged to Repeal Affordable Care Act’s Cadillac Tax

by Jacqueline DiChiara

The Affordable Care Act’s (ACA) “Cadillac Tax” – applying to employers offering healthcare plans that are more than double the average contribution – is a 40 percent non-deductible tax beginning in 2018 on the cost...

Public Market Financing Growth, Healthcare M&A Data Released

by Jacqueline DiChiara

Initial public offerings (IPOs), consumer-based initiatives, and mobile funding declines are shaping the current revenue cycle landscape, according to a new report from Mercom Capital Group on healthcare information technology (IT) funding...

How to Address Bundled Payment Cost Reduction Challenges

by Jacqueline DiChiara

As per the Affordable Care Act (ACA), the Centers for Medicare & Medicaid Services (CMS) will begin applying a value-based payment program under the physician fee schedule within the year in association with budget neutrality. This November,...

12 Value-Based Reimbursement Strategies to Cut Revenue Risk

by Jacqueline DiChiara

Value-based reimbursement is a hearty healthcare subject worth diving into as the shift from volume to value continues to evolve. Thirty percent of Medicare payments will be tied to alternative payment models, as per a recent announcement from...

How Mass General Hospital Excels in Revenue Cycle Management

by Jacqueline DiChiara

“How do you excel in revenue cycle management?” RevCycleIntelligence.com continues to ask hospital executives and leaders this simple yet intricate question to help advance the healthcare industry. As...

3 ICD-10 Changes Include Specificity, Expansion, Combination

by Jacqueline DiChiara

ICD-10 is almost here, with only 43 days remaining. Of paramount significance come October 1 when ICD-10 implementation swings into full gear is a keen and clear understanding of what will be different this time around. The following is a narrowed...

Healthcare Consumers Lack Transparency, Price Info Awareness

by Jacqueline DiChiara

Many obstacles impede healthcare consumers from acquiring high quality healthcare. Many healthcare consumers are unaware of the idea of price transparency. Still, many healthcare consumers yearn for more information about the cost of their healthcare,...

CMS Adds Pilot Project Participants to Reduce Medicare Costs

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has announced over 2,100 acute care hospitals, skilled nursing facilities, physician group practices, long-term care hospitals, inpatient rehabilitation facilities, and home health agencies...

CMS Answers 5 ICD-10 Coding, Reimbursement, Test Questions

by Jacqueline DiChiara

ICD-10 implementation formally kicks off in less than 50 days. To aid the healthcare industry with the upcoming transition and promote the dissemination of accurate, intelligent information, the Centers for Medicare & Medicaid (CMS) has released...

3 Simple Things to Know About Healthcare Spending’s Future

by Jacqueline DiChiara

Predicting the delicate future of healthcare cost and spending trends based on past algorithms, collected data implications, and the simple art of a strong financial guess based on knowledge and skill sets is an important aspect of understanding...

Does Improved Care Access, Insurance Coverage Stem from ACA?

by Jacqueline DiChiara

Can the Affordable Care Act (ACA) be considered a success? According to data analysis published in The Journal of the American Medical Association, the answer is a hearty yes. Although the time prior to the ACA’s initial enrollment period...

“Enormous” Impact When Radiologists’ ICD-10 Codes Sextuple?

by Jacqueline DiChiara

There are nearly 35,000 practicing radiologists, many of whom rely on referring physicians’ diagnostic information. The amount of ICD-10 codes radiologists handle will increase six-fold come October 1, confirms new research. The future...

ICD-1 to ICD-11 Timeline Highlights Healthcare’s Evolution

by Jacqueline DiChiara

Considering the past developments of ICD-10 – the tenth revision of the International Classification of Diseases – is imperative to best comprehend what’s next for the healthcare industry. From ICD-9’s inception via The...

August 7: Week That Was in Healthcare Fraud and Malpractice

by Jacqueline DiChiara

Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported below result in multiple millions of dollars...

3 Tips to Retain Coders’ Productivity Post-ICD-10 Transition

by Jacqueline DiChiara

Will a projected decline in coding efficiency become reality, perhaps caused by ICD-10’s greater specificity and high code volume? Will ICD-10's implementation kick off with a financial bang or merely...

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