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

Revenue Cycle Management

Education Investment Strengthens Revenue Cycle Management

by Jacqueline DiChiara

The secret to revenue cycle management success may lie in education. Healthcare executives are beginning to understand the monetary value of education and its effect on revenue cycle. But staff preparation levels are still a top concern for healthcare...

How the Affordable Care Act Refines Revenue Cycle Management

by Jacqueline DiChiara

The Affordable Care Act (ACA) provides many greater opportunity for healthcare providers to strengthen their revenue cycle operations. As a consumer-driven revenue cycle management is becoming the new norm, the ACA plays an active role in healthcare’s...

What Are the Greatest Revenue Cycle Management Challenges?

by Jacqueline DiChiara

RevCycleIntelligence.com recently polled over 60 readers to assess revenue cycle management challenges and opportunities, from the front-end, to the back-end, and everything in between. Readers said collecting payment from a patient in a timely...

4 HIMSS16 Revenue Cycle Management, Value-Based Care Focuses

by Jacqueline DiChiara

The topics of revenue cycle management innovation and value-based care will be of key importance at HIMSS16, one of the largest healthcare information technology (IT) conferences of the year, held next month in Las Vegas. Promoting financial...

Affordable Care Act Creates Tax-Funded Expenditure Majority

by Jacqueline DiChiara

Over 64 percent of healthcare spending is tied to tax-funded expenditures, according to new data from the American Journal of Public Health. This reported number apparently contradicts commonplace perceptions about the cost of healthcare. Researchers...

Moving Past the “Model Hospital” with Revenue Cycle Management

by Scott Pillittere

Many healthcare organizations have recently implemented a new electronic health record (EHR), resulting in a new revenue cycle system.  Through this transition, most of the major EHR vendors insist that you need to implement their “model...

Value-Based Care Models Still Pose Opportunities, Challenges

by Jacqueline DiChiara

The value-based care model is allegedly winning the claims reimbursement race, leaving its fee-for-service competitor in the dust. How valid is the widespread claim that value-based reimbursement models are tied to higher care quality levels,...

Revenue Cycle Management a Post-ICD-10 Implementation Focus

by Jacqueline DiChiara

Healthcare organizations are focused on strengthening revenue cycle management processes in a post-ICD-10 environment, according to Porter Research and Navicure’s national ICD-10-centered survey. As the concluding chapter of a...

Do Accountable Care Organizations Save Claims Reimbursement?

by Jacqueline DiChiara

Accountable care organizations (ACOs) are reportedly being penalized for high revenue cycle management performance. Healthcare providers looking to manage their claims reimbursement strategies remain focused on value-based care initiatives while...

High Patient Experience Ratings Up Revenue Cycle Management

by Jacqueline DiChiara

Positive patient experience ratings generate a healthy and happy revenue cycle management, according to Press Ganey’s new white paper. But healthcare payment reform challenges may be keeping providers from seeing more revenue...

55 Hospitals File Two-Midnight Rule Lawsuit Against HHS

by Jacqueline DiChiara

The healthcare industry is burning the two-midnight oil. Fifty-five hospitals filed a lawsuit last Friday against the Department of Health and Human Services (HHS) regarding the two-midnight rule’s 0.2 percent inpatient compensation...

HHS, CMS Speak Out on CMS’s Innovation Center Pilot Project

by Jacqueline DiChiara

Medicare reimbursements are preparing to emerge from a fee-for-service caterpillar’s cocoon to a value-based butterfly. The newly announced Accountable Health Communities [AHC] model – a CMS Innovation Center Pilot...

Can Automation Investment Keep Insurance Claim Costs Down?

by Jacqueline DiChiara

Hospitals are focusing on various outsourcing endeavors or different manual approaches to maintain a healthy revenue cycle. But is it working as planned? Perhaps only at a steep price. Expenditures for late payment follow-up...

The Revenue Cycle Focused Accountable Care Organization

by Jacqueline DiChiara

Are you a healthcare provider considering making the accountable care switch as a New Year’s resolution? Staying in the black for 2016 means anticipating and preparing for possible financial disaster. But where should your revenue...

CMS, HHS Get Social with $157M in Medicare, Medicaid Funding

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) has revealed a new 5-year $157 million funding opportunity this week to help advance the overall quality and affordability of Medicare and Medicaid. The health-related social needs of Medicare...

A Very Happy New Year from RevCycleIntelligence.com!

by Jacqueline DiChiara

2015 was The Year of ICD-10. News of grace period delays, deadline extensions, claims management woes, and discussions about a proposed freeze topped our most popular articles of the year. “The long-awaited U.S. transition to...

How a Palliative Care Focus Eases Healthcare’s Cost Burdens

by Jacqueline DiChiara

As physicians across the country mull over their New Year’s resolutions this week, the overarching desire for a healthy revenue cycle will likely be a common theme. Physicians often struggled with how to keep money flowing as easily as New...

Considering Healthcare Providers’ Value-Based Risk Burdens

by Jacqueline DiChiara

Value-based reimbursement may not be good for revenue cycle management. Increasing levels of financial risk may be setting healthcare providers back, but to what extent and at what cost? As the payment model landscape changes, can providers...

5 Supply Chain Management Questions and Answers

by Jacqueline DiChiara

A chain is no stronger than its weakest link. But strengthening the most fragile links when many moving parts collectively bump into each other along the way is no easy task when it comes to supply chain management. Here are 5 supply chain management...

CMS’s Quality Measurement Development Plan Supports MIPS, APM

by Jacqueline DiChiara

2016 may be an especially good year for healthcare providers when it comes to matters of revenue cycle management. The Centers for Medicare & Medicaid Services (CMS) recently posted a 63-page Measure Development Plan, a strategic framework...

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