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

Revenue Cycle Management

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...

3 Hard Reimbursement Questions Physicians Are Afraid to Ask

by Jacqueline DiChiara

Physicians sought answers to many pressing reimbursement questions this year. 2015 saw heightened anticipation of reimbursement delay and claims denials once ICD-10 kicked into gear, ongoing discussion among physicians nationwide about how a...

10 Standout Revenue Cycle Management Quotes of 2015

by Jacqueline DiChiara

Actions speak louder than words. But sometimes, the pen is indeed mightier than the sword.  Here are 10 selected quotes (presented in no particular order), exclusive to RevCycleIntelligence.com from the last year that may make you stop...

CMS Releases Fee-for-Service Data for Home Health Agencies

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) is striving once again to make the healthcare industry more  transparent, affordable, and accountable with the dissemination of free-flowing information. CMS has released...

How Business Intelligence, CDI Focus Sharpens Revenue Cycle

by Jacqueline DiChiara

Celebrating success is generally much more fun than learning from failure. But the latter is sometimes more necessary. Eighty percent of nearly 300 healthcare providers surveyed last month said ICD-10 implementation was an overall success,...

ICD-10 Grace Period News Leads 2015’s Top 5 Stories

by Jacqueline DiChiara

With December already halfway over and talk of holiday celebrations and New Year’s resolutions well underway, here is RevCycleIntelligence.com’s year-end top stories list. The International Classification of Diseases, 10th Revision...

ICD-10 News the Landslide Leader in 2015’s Top 10 Stories

by Jacqueline DiChiara

Just as driving a car with your eyes permanently glued to the rearview mirror is not necessarily the most intelligent decision, catching a glimpse every now and then of your current whereabouts is essential. When it comes to continued revenue...

4 Noteworthy Point-of-Service Strategies We Learned in 2015

by Jacqueline DiChiara

Just as Ebenezer Scrooge from Dickens’ A Christmas Carol has money on his mind, so does the healthcare industry. The importance of collecting money from a patient at or before point-of-service was a significant revenue cycle focus this...

Hospitals Facing More Payment Claims Audits, Costly Denials

by Jacqueline DiChiara

Hospitals are allegedly trying to do the best they can, even when money is slow to come in. Nearly half of all Recovery Audit Contractor claim denials are denied by hospitals, according to a new report from the American Hospital Association (AHA)....

Top 7 New Strategies for Revenue Cycle Management Excellence

by Jacqueline DiChiara

Money may be the root of all evil, but it is also the root of the healthcare industry. Revenue cycle management, based upon the straightforward notion of continuously staying in the black, is about getting paid, and expediently so. Within the...

How a Cultural Transformation Can Advance Patient Safety

by Jacqueline DiChiara

Everyone makes mistakes. But what happens when an innocent mistake sends someone to the grave? Hundreds of thousands of patients reportedly die annually because of avoidable medical errors. How many more need to die before the healthcare...

5 Ways to Measure Patient Experience and Patient Happiness

by Jacqueline DiChiara

How do you best measure happiness? Perhaps with much more than a smile. Advancing the art of patient experience is a delicate task within the healthcare space that is often difficult to fully understand. Just because a patient fails to complain,...

Is It Too Soon to Gauge ICD-10’s Long-Term Coding Future?

by Jacqueline DiChiara

Regarding the future of revenue cycle management and ICD-10 implementation, is it merely too soon to tell what the long-term future of coding, laterality challenges, and documentation snafus holds? If so, what exactly comes next other than an...

CMS Announces Two-Midnight Payment Cut Commentary Period

by Jacqueline DiChiara

A notice and accompanying commentary period released yesterday from The Centers for Medicare & Medicaid Services (CMS) examines the core issue behind slashing hospital inpatient payments by 0.2 percent. This financial cut is tied to a “two-midnight...

CMS Reports $2.4B in Healthcare Consumer ACA Premium Rebates

by Jacqueline DiChiara

Consumers are apparently receiving major bang for their buck, although not in relation to this week’s hard-to-miss Black Friday and Cyber Monday holiday sales brouhaha. Healthcare consumers have received over $2.4 billion premium rebates...

Why Revenue Cycle Management Needs Greater Patient Advocacy

by Jacqueline DiChiara

Does a holistic or more selective approach to revenue cycle management make or break a healthcare organization? Lynn Giddens-Branscum, Revenue Cycle Director at Wise Health System, chatted with RevCycleIntelligence.com to offer her perspective...

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