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

Practice Management News

Beth Israel, Lahey Health Move Forward with Healthcare Merger

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Massachusetts-based Beth Israel Deaconess Medical Center and Lahey Health announced plans to pursue a healthcare merger earlier this week. The two healthcare systems have debated a potential merger since 2011, but the recent letter of intent...

More Orgs Transitioning to Full Physician-Hospital Integration

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The proportion of healthcare organizations that have full physician-hospital integration with physicians on salary grew from 44 percent in 2008 to 55 percent in 2013, a new Rice University’s Baker Institute for Public Policy report found....

Predictive Analytics Top Healthcare Supply Chain Priorities

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Provider organizations ranked predictive analytics as the biggest healthcare supply chain opportunity in 2017, a recent Global Healthcare Exchange, LLC (GHX) survey revealed. The survey of 50 healthcare organizations with the most automated healthcare...

How Do Hospital Mergers Lower Costs, Drive Quality Improvement?

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Recent hospital mergers and acquisitions led to significant healthcare costs savings without sacrificing care quality and affordable prices, a recent Charles River Associates and American Hospital Association (AHA) report indicated. Based on...

Healthcare Groups Offer 21 Prior Authorization Improvements

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A coalition of 17 healthcare industry groups recently called on health plans, benefit managers, and other healthcare stakeholders to change prior authorization requirements to improve care continuity, reduce provider burdens, and improve timely...

How a Rural Hospital Used Health IT, EHR to Stay Independent

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In a time of declining claims reimbursement rates and value-based care, rural hospitals are struggling more than ever to improve their healthcare revenue cycle management strategies. For many rural hospitals, the decision oftentimes comes down...

CMS Brings Integrated, Multi-Payer Claims Data Access to CPC+

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In an official blog post, CMS recently touted its success with improving primary care provider productivity by giving practices in the Comprehensive Primary Care (CPC) program more multi-payer claims data access. The Medicare primary care program...

Electronic Claims Management Adoption to Save Providers $7.9B

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Healthcare providers could save about $7.9 billion annually by switching to automated claims management processes, particularly for prior authorizations, remittance advices, and claim attachment submissions, according to the 2016 CAQH Index....

Medicare Spending on Drug Coverage Tripled from 2010 to 2015

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Medicare spending on prescription drugs under the Part D catastrophic coverage program more than tripled from 2010 to 2015, increasing from $10.8 billion to $33.2 billion, the Office of the Inspector General (OIG) recently reported. The significant...

3 Most Common Healthcare Supply Chain Management Challenges

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From gauze and paper gowns to implantable medical devices and prescription drugs, provider organizations must implement efficient healthcare supply chain management processes to cut overall costs and standardize care delivery. But for many organizations,...

Flexibility Key to Revenue Cycle Management Vendor Selection

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With thousands of healthcare revenue cycle management and business intelligence analytics vendors in the market, how does a provider organization decide on just one? According to Robert Creaven, CMPE, MPA, Executive Vice President of Operations...

Market Power, Not Quality Linked to Higher Healthcare Costs

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Higher healthcare costs at New York hospitals are linked to increased market power and not higher quality of care, the New York State Health Foundation recently reported. More expensive hospitals tended to have increased market leverage, such...

Unexpected Patient Financial Responsibility in 20% of ED Cases

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Approximately 20 percent of hospital admissions stemming from an emergency department visit in 2014 led to unexpected patient financial responsibility in the form of surprise medical bills, a recent Health Affairs study reported. Using national...

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...

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