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

Practice Management News

Benefits, Challenges of Value-Based Health IT Implementation

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From EHR systems to mHealth apps, health IT has the potential to help providers achieve value-based care goals. But with hundreds of new technologies seemingly emerging each day, many providers are struggling to select the most appropriate health...

Employing More Physician Assistants Reduces Healthcare Costs

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Adding more physician assistants to hospitalist care teams can lower healthcare costs while maintaining quality of care, a new study in the Journal of Clinical Outcomes Management contended. Researchers found that a hospitalist care team that...

How Broader Primary Care Teams Can Decrease Healthcare Costs

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Developing broader primary care teams that interact with specific patient populations can save healthcare costs and realize a return on investment, according to a recent PricewaterhouseCoopers (PwC) analysis. For example, a primary care team...

CMS: Rural Healthcare Faces Hospital Revenue Cycle Challenges

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In a statement at the CMS Rural Health Summit yesterday, CMS Acting Administrator Andy Slavitt identified rural communities as one of the biggest opportunities for healthcare reform because rural areas face more hospital revenue cycle challenges,...

How MACRA Implementation Rules Affect Provider Profitability

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New value-based reimbursement models under the Quality Payment Program will launch on Jan. 1, 2017, leaving a couple of months for providers to educate themselves on MACRA implementation rules and prepare their practices for the shift. But taking...

GAO: Quality Measure Misalignment Impedes Provider Improvement

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Healthcare quality measures are integral to determining value-based reimbursement, but misalignment of quality measures across public and private payers has made it more difficult for providers to develop quality improvements for value-based...

AHA Calls for Hospital Access to Prescription Drug Rate Info

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The American Hospital Association (AHA) recently urged the Health Resources and Services Administration (HRSA) to grant hospitals in the 340B Drug Pricing Program more access to prescription drug rate information. In a comment letter on a proposed...

Hospitals Saw 23% Rise in Inpatient Prescription Drug Spending

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Hospital inpatient prescription drug spending has increased by 23.4 percent from 2013 to 2015, reported a recent study from the University of Chicago’s NORC. The increases in spending have left most providers struggling to manage their...

3M, Verily to Create Healthcare Revenue Cycle, Pop Health Tool

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3M Health Information Systems recently partnered with Verily Life Sciences to develop a technological platform that providers and payers can use to analyze population health measurements to better assess clinical and healthcare revenue cycle...

OIG Identifies Several Quality Improvement Challenges at IHS

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The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) recently identified several quality improvement challenges at Indian Health Services (IHS) hospitals, including access to care limitations, clinical incompetency,...

Black Book Names Optum360 Top HIM, Coding Outsourcing Vendor

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Optum360 earned the top spot for health information management (HIM) and computer-assisted coding outsourcing vendor among hospital chains, systems, corporations, and integrated delivery networks as well as independent inpatient facilities, according...

How Value-Based Reimbursement Affects Physician Productivity

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As payers push for more value-based reimbursement adoption, many healthcare organizations are wondering how to restructure physician productivity strategies to meet the unique requirements of performance-based payments. But the key to success...

Appeals Court Supports FTC Request to Stop PA Hospital Merger

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A federal appeals court recently reversed a lower court’s decision to deny the Federal Trade Commission’s (FTC) request to temporarily pause the hospital merger between Penn State Hersey Medical Center and PinnacleHealth System until...

Cerner Earns Top Revenue Cycle Management Outsourcing Vendor

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Black Book Market researchers ranked Cerner Business Office Services as the top rated end-to-end physician revenue cycle management outsourcing vendor. Cerner earned high marks on eighteen key performance indicators relating to client experience...

Lessons Learned from the First Year of ICD-10 Implementation

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With the anniversary of ICD-10 compliance approaching, many providers are looking back on the past year to see how the new coding system has affected their organizations as well as preparing for fast approaching updates. At Baptist Health South...

HHS Unveils Simpler Medical Billing Process Challenge Winners

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The Department of Health and Human Services (HHS) recently announced two winners of a medical billing competition that sought a simpler patient payment collections experience. The “A Bill You Can Understand” competition, sponsored...

Former Hospital Exec Pays $1M to Settle Medicare Fraud Case

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The former chief executive officer of a South Carolina-based healthcare system agreed to pay $1 million and be excluded from federal healthcare programs for four years to resolve a 2013 Medicare fraud case, according to the Department of Justice...

Demand for Physician Assistants Led to Increased Pay in 2015

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Physician assistants saw a 3.4 percent increase in median provider compensation between 2014 and 2015, according to a report from the American Academy of PAs (AAPA). Comprising feedback from approximately 16,000 respondents, the 2016 AAPA Salary...

Health Systems, Physicians See Significant Revenue Losses in 2015

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Both integrated healthcare systems and private physician practices saw operating losses in 2015, according to a revenue cycle management survey conducted by the American Medical Group Association. Integrated healthcare systems saw an operating...

85% of Orgs Looking to Replace Revenue Cycle Management Systems

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Eighty-five percent of provider organizations, hospitals, and physician practices are currently seeking to replace their healthcare revenue cycle management systems or are deciding if it is time to switch, according to a new survey from Black...

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