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

Revenue Cycle Management

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 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’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 to offer her perspective...

Top 4 Strategies to Achieve Affordable Value-Based Care

by Jacqueline DiChiara

Value over volume is the name of the revenue cycle game, with the reimbursement concept of “less is more” taking precedence. With the transition to value-based care underway, here are some top collected strategies for healthcare providers...

Nov. 20: 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...

Senate Committee Approves Rural Health Care Connectivity Act

by Jacqueline DiChiara

Those living in rural areas of the country without a hospital delivering affordable care nearby may soon be at ease due to passage of a new bipartisan bill. United States Senator John Thune (R-SD), Chairman of the Senate Committee on Commerce,...

KLAS Research Assesses Providers’ Value-Based Care Focus

by Jacqueline DiChiara

Healthcare providers must balance needs versus capabilities in the midst of stark competition, according to a newly released KLAS performance report. KLAS’s research assesses the overall effect of both value-based care consulting and...

Pew Urges CMS to Consider Physician-Focused Payment Models

by Jacqueline DiChiara

Lack of financial reimbursement may be preventing physicians from initiating imperative end-of-life discussions about a patient’s definitive health desires and wishes. The Pew Charitable Trusts (Pew) is concerned with the lack...


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