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

Reimbursement News

$628K Awarded to Boost US Healthcare Spending Research


The Peterson Center on Healthcare has awarded a $628,000 grant to the University of Washington’s Institute for Health Metrics and Evaluation (IHME) to analyze US healthcare spending and predict future spending trends, a recent statement...

4 Healthcare Supply Chain Management Tips for Revenue Success


In a healthcare organization, keeping tabs on the ebb and flow of medical supplies is an incredibly important yet often overlooked task.  From syringes and gauze to drugs, disinfectant, and paper gowns, understanding supply chain management...

What Does the Rise of Bundled Payments Mean For Providers?


One of the attributes of a sustainable value-based healthcare delivery system is payment based on the value of services delivered, instead of the volume-based fee-for-service model. Bundled payments have been explored for several years as an...

Patient-Centric Strategy Key for Value-Based Care Reimbursement


As is common in today’s healthcare industry, the move toward value-based care reimbursement has put a greater focus on patient satisfaction and engagement. Quality of care is intrinsically tied to superior health outcomes and patient satisfaction....

3 Change Management Strategies for Revenue Cycle Results


Healthcare consumers receive the highest quality of service when operational inefficiencies are reduced and business processes are aligned to the goal of that service. That’s true for consumers, but also for providers, third-party relationships,...

Provider Communication Key for Success in Bundled Payments


The Centers for Medicare & Medicaid Services (CMS) has established a number of different healthcare reimbursement strategies including pay-for-performance, alternative payment models, and bundled payments. For instance, the CMS Comprehensive...

Revenue Cycle Management Must Change for Community Hospitals


Community hospitals in Massachusetts will continue to close if they do not make appropriate changes to their revenue cycle management strategies, a study reveals. The study, released by the Health Policy Commission (HCP) in Massachusetts, shows...

Medicare Shared Savings Grows Among Burgeoning Payment Models


Since the healthcare industry has experienced rising costs over the years, providers and federal agencies have focused their energies on implementing new value-based payment models and healthcare delivery systems like accountable care organizations...

AHA Endorses Quality Reporting Software for Value-Based Care


The American Hospital Association (AHA) recently announced that it has endorsed ENCOR Quality Reporting and Management Solution from Medisolv Inc. for providing services and products that help member healthcare providers improve value-based care....

VA Creates Call Center to Reduce Claims Reimbursement Delays


The Department of Veterans Affairs (VA) has established a community care call center to assist veterans and healthcare providers who are experiencing issues with debt collection because of incorrect or delayed claims reimbursement payments under...

Value-Based Care Reimbursement Needs Greater Customization


With rising healthcare spending found throughout the US, the federal government has put greater focus on value-based care reimbursement than ever before. Healthcare providers and payers are seeking ways to move beyond fee-for-service payment...

Direct Physical Therapy Access Could Reduce Healthcare Costs


When it comes to healthcare costs, the federal government, medical providers, and payers are attempting to reduce rising spending and adopt value-based care reimbursement.  A number of different strategies have been implemented including...

Value-Based Reimbursement May Not Bring Benefits for SNF Care


CMS has released the Skilled Nursing Facility Utilization and Payment Public Use File, a dataset on the care skilled nursing facilities (SNF) provided to Medicare beneficiaries in 2013.  The data raises questions about the effect of...

CMS Releases 2016 Results for Value-Based Care Program


The Center for Medicare and Medicaid Services (CMS) released the results for calculating the 2016 Value Modifier, which will come as financial boost to some and hindrance to others. Out of the 8,395 eligible physician groups, which satisfactorily...

4 Healthcare Revenue Cycle Outcomes Make Headway at HIMSS16


With the HIMSS16 conference in Las Vegas, Nevada coming to an end, it is useful to look back and see which avenues are making an impact on the healthcare revenue cycle among providers. Both health IT solutions and new reports coming out of the...

HIMSS: Providers Not Ready for Value-Based Care Reimbursement


In recent years, the healthcare industry and the revenue cycle of providers has had a much greater target of achieving value-based care reimbursement and moving away from fee-for-service payment systems. The Centers for Medicare & Medicaid...

Federal Agencies Advance Alternative Payment Models in Medicine


In recent years, the federal government has positioned the healthcare industry to adopt new reimbursement tactics aimed at strengthening pay-for-performance initiatives. These regulations consist of alternative payment models such as bundled...

How EHR Data Analytics Influences Value-Based Reimbursement


As the transition away from traditional, fee-for-service payment models towards value-based reimbursement continues, the implementation of electronic health records (EHRs) is becoming the rule rather than the exception. The Centers for Medicare...

Revenue Cycle Management Success is About the Fundamentals


Revenue cycle management success is the heart of any healthcare organization. Defined as the clinical and administrative management of claims management, payment, and revenue production, revenue cycle management is in essence one large financial...

Why Executives are Demanding Supply Chain Management Value


As hospitals transition into the value-based payment realm, they remain focused on effectively slashing costs. Supply chain management is the second largest expense for healthcare providers, according to a study from Cardinal Health and SERMO...


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