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

Practice Management News

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...

Value-Based Care Transition Begins with Physician Engagement


Physician engagement is the key to improving how the American healthcare system performs in 2015 in regards to a smooth value-based care transition, according to The Advisory Board Company’s Annual Health Care CEO Survey. Physician engagement...

Telehealth Reimbursement Needed for its Growth, Advancement


An increasingly digitalized healthcare system has experienced significant telehealth reimbursement changes — even within the past five years — as it becomes more routinely integrated. The snowballing demand for telehealth solutions...

AHA Supports Proposed Changes for Virtual CAHPS Surveys


The American Hospital Association (AHA) expressed support Friday for the Agency for Healthcare Research and Quality’s (AHRQ’s) proposal to improve the Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS)...

Telehealth Reimbursement Complications Paint a Vague Future


Despite its overwhelming benefits for improved patient quality of life, reimbursement complication is a major negative aspect regarding teleheath’s evolving legislation limitations. Fluctuating definitions regarding location may affect expected...

EHR Incentive Payments, Medicare Payment Adjustments in Brief


The EHR Incentive Programs comprise two distinct programs: one for Medicare and other for Medicaid providers. The Medicare & Medicaid EHR Incentive Programs grant incentive payments for qualifying healthcare providers to actively utilize ...

Costly Aspects of an Overstretched Revenue Cycle Management


It is imperative physicians adequately review all expected possible financial shortcomings within revenue cycle management to immediately improve long-term healthcare performance and pinpoint performance opportunities that are commonly ignored...

Focusing on esMD for Healthcare Revenue Cycle Optimization


With such a high volume of requests for medical documentation each year, handling them efficiently is beneficial for those working toward healthcare revenue cycle optimization in the years to come. Claim review contractors receive over 1,000,000...


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