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

Revenue Cycle Management

GAO Announces New Physician-Payment Model Advisory Committee

by Jacqueline DiChiara

The Government Accountability Office (GAO) has announced 11 new initial committee members appointed to the Physician-Focused Payment Model Technical Advisory Committee. Selected members, who will serve intentionally zigzagged terms...

Why Focusing on Hospital Readmission Causes Is Essential

by Jacqueline DiChiara

The ongoing payment transition from volume to value is bringing the concept of forced alignment into the spotlight. Hospitals, unsure what new outpatient services are best to implement, are now focused on making effective choices. Are such choices focused...

October 9: 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...

How to Achieve Value Within the Value-Based Care Transition

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) is on a mission to associate 90 percent of Medicare payments to value within the next three years and Congressional passage of the Medicare Access and CHIP Reauthorization Act of 2015...

70 Healthcare Groups Pen Medicare Part B Letter to Congress

by Jacqueline DiChiara

Medicare Part B, which helps pay for the majority of outpatient services, is in the midst of heated Congressional conversation. As RevCycleIntelligence.com reported last week, according to predictions via a personal interview with the...

New Focuses Emerge with National Health IT Week’s Tenth Year

by Jacqueline DiChiara

Is health information technology (health IT) silently advancing the world of medicine? As the tenth anniversary of National Health Information Technology Week from October 5-9, 2015 begins this week, such a viewpoint...

MGMA: Healthcare Facility Operations Spending Grows By 12%

by Sara Heath

As the needs of healthcare facilities continue to increase, practices are spending more money on enhanced technology and nonphysician providers (NPPs), according to a Medical Group Management Association (MGMA) press release. In the Cost and...

Coalition for ICD-10, CMS Release Post-ICD-10 Statements

by Jacqueline DiChiara

ICD-10 implementation is officially underway as October 1, 2015 has now come and gone. Physicians, healthcare providers, and healthcare professionals are allegedly still standing, albeit perhaps merely for now.  As RevCycleIntelligence.com...

Do Physician Leaders Value Top Quality, Low-Cost Healthcare?

by Jacqueline DiChiara

Physician leaders are actively advocating to more tightly weave value into the fabric of the healthcare industry via a simple yet intricate concept: keep care quality high and cost low. According to a new survey from the American...

4 Autumn Predictions for Congressional Healthcare Agenda

by Jacqueline DiChiara

In a personal interview with RevCycleIntelligence.com, Joel White, President of the Council for Affordable Health Coverage, presents four key congressional healthcare agenda items that he says have a fair shot of reaching the president...

Healthcare Pricing Trends Suggest Marketplace Complexity

by Sara Heath

Is your healthcare marketplace “healthy?” A recent economic metrics analysis tool developed by the Health Care Cost Institute (HCCI) seeks to answer that question. The Healthy Marketplace Index Report (HMI), funded by the Robert Wood...

HHS Announces $685M Awards in Patient-Centered Clinician Aid

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) is on a mission to improve the quality of healthcare, advance patients’ information accessibility, and decrease expenses across the industry. According to today’s announcement from...

Black Book: CFOs Focused on ROI, Revenue Cycle Outsourcing

by Jacqueline DiChiara

Outsourcing may save the healthcare industry, according to Black Book’s yearly survey released today about high performing revenue cycle management (RCM) vendors, as reported by PR Newswire. With its research focusing primarily on RCM outsourcing...

ICD-10 Week is Here: Implementation Preparation Checklists

by Jacqueline DiChiara

ICD-10 implementation kicks off in only two days on this Thursday, October 1, 2015. Will the transition from ICD-9 to ICD-10 be as seamless and simplified as the recent change of seasons from steamy summer to abundant autumn? Despite...

Sept. 25: 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...

Burwell: ACA Progress Caused Record Drop in Uninsured Rate

by Jacqueline DiChiara

Over 17 million people have acquired healthcare coverage via Affordable Care Act (ACA) conditions with over 10 million uninsured individuals eligible for Marketplace coverage, according to a speech delivered earlier this week at Howard University...

Are Accountable Care Organizations Worth Investment Risk?

by Jacqueline DiChiara

Do Accountable Care Organizations (ACOs) have longevity in the healthcare industry or will they soon merely be gone with the wind? As RevCycleIntelligence.com reported, the Centers for Medicare & Medicaid Services (CMS) said within its 2014...

Will Medicare Advantage Plan Enrollment See Record Highs?

by Jacqueline DiChiara

Both the stabilization of Medicare Advantage premiums and improved accessibility of top-notch care plans are on the healthcare horizon, says the Centers for Medicare and Medicaid Services (CMS) in yesterday’s announcement. Enrollment...

3 Strategies to Improve Healthcare Supply Chain Management

by Jacqueline DiChiara

The evolution and progression of supply chain and reimbursement tactics and procedures within the healthcare industry serves as a keen focal point requiring acute attention to detail if success is to be met. The following is a compilation of...

VA, DoD eBenefits User Growth Stimulates Veterans’ Access

by Jacqueline DiChiara

Over five million users participate with the joint Department of Veterans Affairs (VA) and Department of Defense (DoD) eBenefits website, confirms a recent VA press release. “The successful collaboration of eBenefits and DS Logon is...

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