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

Practice Management News

CMS Adds 2 Compare Websites to Boost Healthcare Transparency

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In effort to increase healthcare transparency, CMS recently added two new healthcare organization Compare websites and updated performance data for existing hospice care, hospital, and physician Compare websites. “At CMS, one of our top...

Provider Orgs Seek Healthcare Costs Tools for Value-Based Care

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Provider organizations are increasingly looking to implement healthcare costs tools to better manage healthcare supply chain costs under value-based care models, a recent Black Book Market Research survey stated. The survey of 1,158 healthcare...

Value-Based Care, Hospital Revenue Cycle Lead Top 2016 Stories

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From the final MACRA implementation rule to new value-based care initiatives, 2016 certainly did not leave healthcare providers bored at their desks. Instead, providers were busy digesting changes to reimbursement structures and researching ways...

OR Cost Scorecards Help Reduce Healthcare Supply Chain Costs

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Healthcare supply chain costs dropped by 6.54 percent per case in surgical departments that provided surgeons with monthly cost scorecards and had a financial incentive to reduce surgical supply chain spending, a new study in JAMA Surgery found....

Value-Based Care, Price Transparency Drive Hospital Mergers

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Healthcare system and hospital mergers will likely increase as new value-based care models emerge, according to a recent Healthcare Financial Management Association (HFMA) report. But the rise in value-based reimbursement and price transparency...

Providers Skip Healthcare Costs Talk with 68% of Cancer Patients

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As providers face increased patient financial responsibility, healthcare costs discussions with patients are becoming more important for obtaining full payment. But a new study from the Cancer Support Community showed that many providers are...

How a Small Hospital Increased Patient Collections by 300%

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As patient financial responsibility continues to increase in a more consumer-focused healthcare environment, more hospitals are shifting healthcare revenue cycle management strategies to improve patient collections. Iroquois Memorial Hospital...

Staffing Shortages, Healthcare Reform Top C-Suite Concerns

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Healthcare C-suite executives identified staffing shortages and healthcare reform as having the largest impact of their organization’s ability to delivery care, a recent Premier survey found. About 41 percent of the 52 C-suite level respondents...

Price, Utilization Increases Upped Healthcare Spending by 4.5%

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Healthcare spending for privately insured individuals increased by 4.6 percent because of rising prices for outpatient, inpatient, and professional care services as well as prescription drugs, the Health Care Cost Institute (HCCI) recently reported....

Do Hospital Mergers Disincentivize Orgs to Lower Their Costs?

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While hospital mergers and acquisitions increase a healthcare system’s market power to negotiate higher private payer claims reimbursement rates, consolidation may also disincentivize hospitals to lower their healthcare costs, a recent...

AMA Backs Team-Based Care Delivery, Value-Based Drug Pricing

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The American Medical Association (AMA) recently released updated organization-wide ethical guidelines that detailed how organizations can lower healthcare costs using team-based care delivery as well as how the industry can implement value-based...

Health Centers Face Post-ACA Revenue Cycle Management Issues

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Although the Affordable Care Act provided temporary funding to federally qualified health centers, a new study from the UCLA Center for Health Policy Research showed that community health centers will still need funding to resolve healthcare...

Only 23% Have Consumer-Centered Healthcare Capabilities

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While approximately two-thirds of healthcare leaders view consumer-centered healthcare as a priority, especially in light of value-based reimbursement, only 23 percent stated that their organization had the capabilities to develop consumer insights,...

Does Higher Hospital Profitability Drive Up Healthcare Costs?

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The push to maximize hospital profitability across for- and non-profit organizations is driving up healthcare costs, contends a new commentary in The American Journal of Medicine. Hospitals are focusing on boosting profitability rather than reducing...

PCP Awareness of Healthcare Costs Cuts Low-Value Resource Use

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Healthcare organizations can cut down on costly low-value services, such as antibiotic prescriptions for acute sinusitis or osteoporosis screenings for young patients, by educating primary care providers about healthcare costs, a recent study...

How to Improve Healthcare Mergers and Acquisitions Strategies

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Large and mid-size healthcare organizations should implement more proactive healthcare mergers and acquisitions strategies to avoid common acquisition mistakes, such as undefined growth strategies and deal overpayments, asserted Deloitte in a...

90% Report Clinical Documentation Improvement Boosted Revenue

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Nearly 90 percent of hospitals with 150 or more beds and outsourced clinical documentation functions realized at least $1.5 million in appropriate healthcare revenue and claims reimbursement following clinical documentation improvement (CDI)...

How to Adopt a Retail Approach to Boost Healthcare Transparency

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More hospitals are implementing healthcare transparency strategies that borrow from the retail industry in order to retain and attract consumers, according to a recent PricewaterhouseCoopers Health Research Institute report. The report found...

GA Provider Receives Jail Time for a Healthcare Fraud Scheme

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A Georgia-area provider has recently been sentenced to three years and two months in prison stemming from a healthcare fraud case, the Department of Justice (DoJ) reported. Robert E. Windsor of Georgia was charged with fraudulent medical billing...

86% Say Provider Compensation Tied to Fee-for-Service, Salary

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About 86 percent of primary care physicians and specialists reported that their provider compensation was still primarily under fee-for-service or salary arrangements, representing a modest increase from 84 percent in 2014, according to a recent...

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