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

Revenue Cycle Management

How does the ACA Impact Providers’ Trust of Payers?

by Jacqueline DiChiara

How are those healthcare payers participating in Affordable Care Act (ACA) implementation performing? Perhaps pretty well, according to a tenth annual PayerView report card and ninth annual Payer Trust Index released consecutively by athenahealth...

Is ICD-10 Implementation a Favorable Change Worth Making?

by Jacqueline DiChiara

Are you experiencing problems with your in-laws? There’s an ICD-10 code for that. Did your water skis catch on fire again? There’s an ICD-10 code for that, too. Injured while vacationing in outer space? An ICD-10 code indeed exists....

ICD-10 Implementation is a Reimbursement Risk for Physicians

by Jacqueline DiChiara

ICD-10 delay and implementation news is on the tip of many a healthcare executive’s tongue. With the possibility of an upcoming ICD-10 implementation freeze, swirling industry-wide confusion, anticipated revenue cycle disturbance, and a...

ACOs Fighting Revenue Cycle Setbacks, Says Black Book Survey

by Jacqueline DiChiara

The fastidious partnership of financial incentive and risk is a delicate balancing act the healthcare industry is now increasingly pressured to perfect. As the healthcare system expediently swings away from fee-for-service and into the realm...

CMS’s Internal Controls Neglect Payment Accuracy under ACA

by Jacqueline DiChiara

The internal controls that calculate and authorize financial assistance payments on behalf of the Centers for Medicare & Medicaid Services (CMS) are failing, says a report from the Office of the Inspector General (OIG)....

Coalition for ICD-10: Safe Harbor ‘Dangerous’ for Physicians

by Jacqueline DiChiara

A two-year ICD-10 “grace period” recently proposed by the House of Representatives, among a slew of similarly introduced bills, will result in unnecessary disaster for the healthcare delivery system, says the Coalition for ICD-10....

Will Enterprise-Wide System Data Bulletproof Revenue Cycle?

by Jacqueline DiChiara

The world of revenue cycle management possibly involves more variables than an introductory algebra course. The process of getting a professional claim paid often involves the execution of allegedly miraculous events. Bullet proofing a claim...

CMS Explores ICD-10 Scenarios with Interactive Case Studies

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has released a series of interactive case studies intended to enhance and advance the healthcare industry’s collective ICD-10 documentation comprehension. The ICD-10 countdown is formally...

ICD-TEN Act Ensures Reasonable, Responsible ICD-10 Transition

by Jacqueline DiChiara

The ICD-10 implementation deadline is up for review with the recent push for a new bill from Representative Diane Black (R-TN) and the House of Representatives – the Increasing Clarity for Doctors by Transitioning Effectively Now Act (ICD-TEN...

State Lawmakers, AMA, Back ICD-10 ‘Grace Period’ House Bill

by Jacqueline DiChiara

State lawmakers are pleading with Congress to actively mandate an ICD-10 delay. Such initiatives follow the announcement of a recently proposed bill from the House of Representatives – the Protecting Patients and Physicians...

Revenue Cycle Management, EHR Vendor Loyalty Gaining Momentum

by Jacqueline DiChiara

Revenue cycle management and integrated Electronic Health Records (EHR) vendor loyalty for smaller physician practices continue to flourish and thrive within the healthcare industry, confirms an annual 2015 Black Book survey released in today’s...

CMS Finalizes ACO Medicare Shared Savings Program Rules

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) announces a final rule updating the Medicare Shared Savings Program. The primary objective of CMS’s actions is to promote high quality care delivery for Medicare beneficiaries...

Is Consumer-Centric Revenue Cycle Management the Solution?

by Jacqueline DiChiara

Is revenue cycle management in need of a drastic overhaul? As the ever evolving landscape of the healthcare industry continuously adjusts its sails, revenue cycle management may be continuously falling backwards amidst antiquated winds. A...

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 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’...


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