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

Practice Management News

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)...

Healthcare Supply Chain Transparency May Save Billions in Waste


The evolving connection between healthcare supply chain and revenue cycle management is yet to be explored. As reported, an innovative discipline level within the healthcare supply chain realm is emerging as healthcare...

Does a Half Billion HIE Investment Create ROI?


Following a decade of healthcare’s investment in health information exchange (HIE) platforms, the healthcare industry enters a state of reflection and analysis regarding what the return on investment implications may be. The Office of the...

Do Reimbursement Limitations Deter Telemedicine Integration?


Telemedicine and reimbursement do not always go hand in hand. Reimbursement complications often hinder telemedicine's progression within the healthcare industry, as reported. Nadia de la Houssaye,...

Medicare Smart Card Technology a Cost Benefit to Healthcare?


Whether you check the time on your smart phone, smart watch, or an only moderately intelligent clock radio, the realm of all things electronically stimulating is indubitably interwoven into the fabric of all technological facets within the healthcare...

Will Hospital Ratings Promote Transparency or Blind Eyes?


Choosing a hospital based on quality of care in relation to financial factors can be an arduous task. The Centers for Medicare & Medicaid Services (CMS) is simplifying this process through its new introduction of hospital star ratings announced...

Quality Care: Fee-for-Service or Data-Driven Reimbursement?


Financial reform efforts require alignment to reward quality over volume within the realm of health information technology (HIT), confirms a recent report published by Aziz Sheikh, MD, Harpreet S. Sood, MD, and David W. Bates, MD (Sheikh, et...

EHR, Claims Systems Data Integration: Physician as Scientist


Data, data everywhere. From smartphones to smartwatches to even smarter people, data's future within the healthcare industry was a massive trend sparking tangible widespread interest within last week’s annual HIMSS15 conference...

Permanent SGR Repeal, Physician Medicare Fees Overhauled


The Senate, in conjunction with the House of Representatives, has approved the Sustainable Growth Rate (SGR) repeal to replace it with the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2). The Senate overwhelmingly voted 92 to 8...

Physician Practices Struggling with New Payment Models


As physician practices continue to utilize new healthcare payment models to increase quality and decrease costs, they are actively struggling. The way physicians and health professionals are paid by the federal government and private payers is...

Congress Debates Economic Benefits of EHR Incentive Programs


The Electronic Health Record (EHR) Incentive Programs are failing to prove economically beneficial and impose unreasonable mandates on providers according to members of the Senate Health, Education, Labor and Pensions Committee hearing on Health...

Cost Management Effectively Optimizes Revenue Cycle Activity


Effective means for managing revenue cycle activity and optimization continue to evolve amidst the upcoming effects of ICD-10 implementation, the urgent push for mainstream mobile data processing, and a vigorous demand for bundled and capitated...

Electronic Transactions Could Save Healthcare Billions  


As the healthcare industry continuously eliminates paper-based administrative processes and pushes for mainstream electronic transactions, the possible result is essentially tens of billions in savings for the healthcare industry. If six routine...

The Difficulty in Quantifying Improper Medicaid Payments


Recently, the Government Accountability Office (GAO) recommended that state Medicaid agencies should mandatorily quantify improper Medicaid payments and inform the effectiveness of their electronic payment-integrity tools to the federal...


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