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

Policy & Regulation News

CMS Shares New Qualified Entity Program Growth Developments

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It is an exciting time for healthcare, says the Centers for Medicare & Medicaid Services (CMS). Notable transparency developments are underway, wrote Niall Brennan, CMS Chief Data Officer and the Director of the Office of Enterprise...

How Business Intelligence, CDI Focus Sharpens Revenue Cycle

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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,...

Bipartisan Congressional Support for Cadillac Tax Growing

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Although the Cadillac Tax is not related to fast and furious cars, it is associated with widespread limitations on workplace health insurance. The United States Senate voted 90-10 earlier this month to approve an amendment fully repealing...

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

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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

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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...

Keeping an Eye on the Affordable Care Act: 2015 in Review

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The Affordable Care Act (ACA) has come a long way over the past 12 months. It is intended, as the name implies, to make health insurance more affordable and make sure more patients greater levels of overall coverage. Here is a 2015...

Why Successful Healthcare Executives Focus on Education

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The Affordable Care Act (ACA) aims to increase the number of people with health insurance by expanding Medicaid coverage nationwide. Are targets being hit or merely glossed over? Medicare Part D beneficiaries make up the bulk of the Medicare...

December 11: Week That Was in Healthcare Fraud and Malpractice

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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 (OIG). The crimes reported below result in multiple millions of...

Why Patient Advocacy is the New Future of Healthcare Reform

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There is power in numbers, especially when it comes to healthcare reform. A group of 9 major patient advocacy groups – AIDS United, American Liver Foundation, Amputee Coalition, the Christopher & Dana Reeve Foundation, Hemophilia Federation...

How to Sustainably Bend the Cadillac Tax Cost Curve

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The Cadillac of healthcare coverage is the talk of the healthcare industry as 2016 draws nearer. The United States Senate recently voted 90-10 to repeal the Cadillac Tax – a 40 percent excise tax and Affordable Care Act component...

Physicians List Top 5 Value-Based Payment Success Factors

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Physicians say lack of time is one of the leading obstacles they face regarding value-based care delivery, according to a study from the American Academy of Family Physicians (AAFP). One-third of family physicians are actively pursuing value-based...

Is Increased Medicaid Coverage the Chronic Disease Solution?

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What do Manhattan rents, Ferraris, college tuition, and chronic disease all have in common? They are all really expensive. What is especially problematic is that chronic diseases are not only very costly, but also very common within the healthcare...

Senate Votes to Repeal Affordable Care Act, Reactions Ensue

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The United States Senate voted 52-47 last night in support of the Restoring Americans’ Healthcare Freedom Reconciliation Act (H.R. 3762.) This bill, which repeals segments of the Affordable Care Act, apparently slashes the Planned...

December 4: Week That Was in Healthcare Fraud and Malpractice

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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 (OIG). The crimes reported below result in multiple millions of...

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

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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 Confirms More Affordable 2016 Medicare Part B Premiums

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Healthcare consumers’ wallets will apparently be a tad fuller next year. 2016 will not see a cost of living increase for those under Social Security, according to an announcement from the Centers for Medicare & Medicaid Services...

CMS Announces Two-Midnight Payment Cut Commentary Period

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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

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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...

CMS Approves Outpatient Ambulatory Patient Experience Survey

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How can you best measure patient experience? Perhaps with a 37-question survey. The Centers for Medicare & Medicaid Services (CMS) has approved the administration of an Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare...

Why ICD-10 Denial is an Easy Electronic Health Record Fix

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Did Electronic Health Records (EHRs) save the healthcare industry from massive post-ICD-10 implementation claims denial? The healthcare industry will not have a confident grasp about tangible payment process success until Thanksgiving, said Joshua...

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