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

Revenue Cycle Management

Does a Half Billion HIE Investment Create ROI?

by Jacqueline DiChiara

Following a decade of healthcare’s investment in health information exchange (HIE) platforms, the healthcare industry enters a state of reflection and analysis regarding what the return on investment implications may be. The Office of the...

Healthcare Experts’ Top 5 Accountable Care Organization Tips

by Jacqueline DiChiara

Accountable care organizations (ACOs) and accountable care models have existed on the forefront of the healthcare industry as an emerging and dynamic focus for healthcare providers, payers, and executives. As recent initiatives within the past...

CMS Shares $62B in Medicare Payment Data, Doctor Utilization

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) announced the third annual release of its Medicare hospital utilization and payment data at this week's annual Health Datapalooza conference in Washington, DC. CMS confirms this...

ACA Adds Billions in Bureaucratic Waste, Administrative Costs

by Jacqueline DiChiara

The Affordable Care Act (ACA) will prove a tremendous financial burden to the healthcare industry. Although the administrative costs of healthcare are projected to remain high throughout 2022, the ACA only promotes billions of dollars...

CMS: Successful April Medicare FFS ICD-10 End-to-End Testing

by Jacqueline DiChiara

According to today's announcement from the Centers for Medicare & Medicaid Services (CMS), ICD-10 implementation success is here. Between Monday, April 27 and Friday, May 1, Medicare Fee-For-Service (FFS) healthcare providers, clearinghouses,...

CMS Addresses Provider, Beneficiary Medicaid Payment Fraud

by Jacqueline DiChiara

Is Medicaid in danger as a high-risk program? Thousands of Medicaid beneficiaries and hundreds of healthcare providers are connected to allegedly erroneous or fraudulent payments, according to a recent US Government Accountability...

Healthcare Experts Speak Out on Rural Hospitals’ Medicare Cuts

by Jacqueline DiChiara

As RevCycleIntelligence.com recently reported, recent Congress testimony from 4 rural hospital leaders representing the Centers for Medicare & Medicaid Services (CMS) demanded urgently implemented change to alleviate rural hospitals’...

May 29: 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...

Is ‘Moderate’ ICD-10 Implementation Success Still a Success?

by Jacqueline DiChiara

What does ICD-10 implementation success mean for your healthcare practice come October 1, 2015? How will your healthcare practice be affected? Perhaps success is nothing more than the simple realization you are not in the red when it...

CMS Proposed Rule Modernizes CHIP and Medicaid Managed Care

by Jacqueline DiChiara

Following a recent series of proposed physician fee schedules and payment rules from the Centers for Medicare & Medicaid Services (CMS), a new proposed rule, CMS-2390-P, aims to modernize Medicaid managed care policies to mirror changes within...

CMS’s Transparency Gaps Yield Invalid Medicare Payment Rates

by Jacqueline DiChiara

The overall accuracy of Medicare payment rates significantly impacts the collective healthcare system. Medicare payment rate haste makes waste. Improved data and transparency efforts will dramatically improve accuracy within the healthcare...

Are Accountable Care Organizations Driving Patient Behavior?

by Jacqueline DiChiara

Accountable care organizations (ACOs) are on the tip of many a healthcare executive’s tongue. There is often a comfort and ease to the idea of reflection within the healthcare industry, especially within the realm of ACO implications. Looking...

Accountable Care Organizations Need Financial Accountability

by Jacqueline DiChiara

Accountable care organizations (ACOs) necessitate the recognition of collective accountability for a distinct population’s cost and quality of care. Although they may be slowly on the rise within the healthcare industry, their successful...

Top 8 ICD-10 Implementation Advice from Healthcare Experts

by Jacqueline DiChiara

As RevCycleIntelligence.com continues to stay ahead of the ICD-10 implementation curve, many leading healthcare experts and leaders have offered a plethora of valuable advice, tips, and insightful opinions on a variety of subtopics related to...

May 22: 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...

Reimbursement Strain Spurs Supply Chain Management Strategy

by Jacqueline DiChiara

Controlling costs within the healthcare industry is an ongoing endeavor. As RevCycleIntelligence.com recently reported, leading healthcare experts advocate for the harmonious assimilation of revenue cycle management and supply chain...

Do Reimbursement Limitations Deter Telemedicine Integration?

by Jacqueline DiChiara

Telemedicine and reimbursement do not always go hand in hand. Reimbursement complications often hinder telemedicine's progression within the healthcare industry, as RevCycleIntelligence.com reported. Nadia de la Houssaye,...

12 Organizations Demand CMS Advance Next Generation ACO Care

by Jacqueline DiChiara

Leading healthcare organizations are actively demanding the Centers for Medicare & Medicaid Services (CMS) step up its Next Generation Accountable Care Organization (ACO) Model financial game. The National Partnership for Women...

Will a $1B Investment Resuscitate Rural Hospitals, Doctors?

by Jacqueline DiChiara

Imagine only one healthcare provider serving an entire state. Such a concept is a stunning concrete fact. Critical Access Hospitals (CAHs) depending on location, such as the smallest state of Rhode Island, may have only 10 or fewer patients...

Will Voluntary ICD-10 Implementation Reduce Financial Burden?

by Jacqueline DiChiara

Consider the healthcare industry deep in the trenches of an ICD-10 Cinderella effect of sorts. As the ICD-10 implementation clock continues to tick tock, the healthcare industry ruminates and deliberates about how to address projected financial...

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