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

Revenue Cycle Management

Coalition for ICD-10, CMS Release Post-ICD-10 Statements

by Jacqueline DiChiara

ICD-10 implementation is officially underway as October 1, 2015 has now come and gone. Physicians, healthcare providers, and healthcare professionals are allegedly still standing, albeit perhaps merely for now.  As RevCycleIntelligence.com...

Do Physician Leaders Value Top Quality, Low-Cost Healthcare?

by Jacqueline DiChiara

Physician leaders are actively advocating to more tightly weave value into the fabric of the healthcare industry via a simple yet intricate concept: keep care quality high and cost low. According to a new survey from the American...

4 Autumn Predictions for Congressional Healthcare Agenda

by Jacqueline DiChiara

In a personal interview with RevCycleIntelligence.com, Joel White, President of the Council for Affordable Health Coverage, presents four key congressional healthcare agenda items that he says have a fair shot of reaching the president...

Healthcare Pricing Trends Suggest Marketplace Complexity

by Sara Heath

Is your healthcare marketplace “healthy?” A recent economic metrics analysis tool developed by the Health Care Cost Institute (HCCI) seeks to answer that question. The Healthy Marketplace Index Report (HMI), funded by the Robert Wood...

HHS Announces $685M Awards in Patient-Centered Clinician Aid

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) is on a mission to improve the quality of healthcare, advance patients’ information accessibility, and decrease expenses across the industry. According to today’s announcement from...

Black Book: CFOs Focused on ROI, Revenue Cycle Outsourcing

by Jacqueline DiChiara

Outsourcing may save the healthcare industry, according to Black Book’s yearly survey released today about high performing revenue cycle management (RCM) vendors, as reported by PR Newswire. With its research focusing primarily on RCM outsourcing...

ICD-10 Week is Here: Implementation Preparation Checklists

by Jacqueline DiChiara

ICD-10 implementation kicks off in only two days on this Thursday, October 1, 2015. Will the transition from ICD-9 to ICD-10 be as seamless and simplified as the recent change of seasons from steamy summer to abundant autumn? Despite...

Sept. 25: 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...

Burwell: ACA Progress Caused Record Drop in Uninsured Rate

by Jacqueline DiChiara

Over 17 million people have acquired healthcare coverage via Affordable Care Act (ACA) conditions with over 10 million uninsured individuals eligible for Marketplace coverage, according to a speech delivered earlier this week at Howard University...

Are Accountable Care Organizations Worth Investment Risk?

by Jacqueline DiChiara

Do Accountable Care Organizations (ACOs) have longevity in the healthcare industry or will they soon merely be gone with the wind? As RevCycleIntelligence.com reported, the Centers for Medicare & Medicaid Services (CMS) said within its 2014...

Will Medicare Advantage Plan Enrollment See Record Highs?

by Jacqueline DiChiara

Both the stabilization of Medicare Advantage premiums and improved accessibility of top-notch care plans are on the healthcare horizon, says the Centers for Medicare and Medicaid Services (CMS) in yesterday’s announcement. Enrollment...

3 Strategies to Improve Healthcare Supply Chain Management

by Jacqueline DiChiara

The evolution and progression of supply chain and reimbursement tactics and procedures within the healthcare industry serves as a keen focal point requiring acute attention to detail if success is to be met. The following is a compilation of...

VA, DoD eBenefits User Growth Stimulates Veterans’ Access

by Jacqueline DiChiara

Over five million users participate with the joint Department of Veterans Affairs (VA) and Department of Defense (DoD) eBenefits website, confirms a recent VA press release. “The successful collaboration of eBenefits and DS Logon is...

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...

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