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

Practice Management News

Reducing Use of Low-Value Services Cuts Healthcare Costs


Providers can substantially lower their healthcare costs by reducing the use of low-value services, even though these services account for a substantially small portion of healthcare spending, according to a recent study by the RAND Corporation...

88% Improve Claims Submissions Using Revenue Cycle Analytics


According to a Navicure survey, medical organizations that used a revenue cycle analytics or business intelligence solution were able to boost performance on key healthcare revenue cycle metrics. About 88 percent of participants reported that...

Epic Systems Tops List of Hospital RCM Technology Users


The healthcare industry finds itself at a turning point in regard to reimbursement. Fee-for-service reimbursement is giving way to alternative payment models that emphasize value over volume, but it remains a financially significant feature that...

Medicaid Program Advances Patient Engagement, Interoperability


At the HIMSS16 conference in Las Vegas, the Centers for Medicare & Medicaid Services (CMS) will be presenting a discussion revolving around how health IT applications could incentivize patient engagement. The panel discussion will incorporate...

Federal Agencies Advance Alternative Payment Models in Medicine


In recent years, the federal government has positioned the healthcare industry to adopt new reimbursement tactics aimed at strengthening pay-for-performance initiatives. These regulations consist of alternative payment models such as bundled...

Providers Squeezed to Integrate Care Management Solutions


At this year’s HIMSS conference and exhibition, Chilmark Research released the 2016 Care Management Market Trends report, which outlines how the market is leaning on healthcare providers to create care management solutions. The report also...

Why Revenue Cycle Management Needs Electronic Data Exchange


More focus on electronic data exchange can potentially save healthcare organizations, hospitals, and health systems $8 billion annually, according to a report from the American Hospital Association (AHA). Rising healthcare costs may...

EHR Documentation Policies Improve Revenue Cycle Management


Revenue cycle management can reap substantial benefits from improved electronic health record (EHR) documentation. But the learning curve is perhaps still too steep to move forward without stumbling. Many physicians consider EHR implementation...

How to Slash Common Healthcare Supply Chain Management Costs


Healthcare supply chain management strategies are generally tied to keeping costs low. But with an apparently broken system still in place, this is not a simple task. Whereas other industries seem to have made supply chain progress, the...

How to Boost Ambulatory Revenue Cycle Management Performance


Ambulatory revenue cycle management is driven by a variety of factors, such as the market growth of Electronic Health Records (EHRs), the meaningful use program, and technological trends. Operating as outpatient healthcare facilities, ambulatory...

Why Hospital Revenue Cycle Demands More Patient Engagement


A lack of technological alignment may cause hospital revenue cycle to dip substantially, according to research from Accenture. Stronger patient engagement efforts and revision of digital health strategies may help hospitals protect their revenue...

Moving Past the “Model Hospital” with Revenue Cycle Management


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...

Can Automation Investment Keep Insurance Claim Costs Down?


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...

How to Bend Healthcare’s Cost Curve Over the Next Decade


Healthcare costs are growing but not as quickly as they once were. The big question is why? It’s a tough one to answer. To put it lightly, the delicate art of pinpointing specific or collective revenue cycle management causes poses...

5 Supply Chain Management Questions and Answers


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...

Is Primary Care’s Role Keeping Up with Health Demographics?


Is primary care here to stay, but only if it receives a heavy-handed makeover? According to new research from PwC's Health Research Institute (HRI), redesigned primary care system is best apt to deliver top-notch value to demanding...

Is U.S. Healthcare Really a Big Spender in Global Contrast?


Healthcare spending nationwide is more expensive in comparison with our international neighbors due to greater medical technology implementation and higher healthcare prices, confirms a Commonwealth Fund issue brief. But is the U.S. really that...

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


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%


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...

VA Benefits Management Systems Need Increased Management


Although the Department of Veterans Affairs (VA) has made great strides recently by implementing its Veterans Benefits Management Systems (VBMS) across all of the organization’s regional offices, the Government Accountability Office (GAO)...


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