Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Payer Collaboration Key to Value-Based Reimbursement Strategy

    June 28, 2017 - Value-based reimbursement arrangements come in a myriad of shapes and sizes much like provider organizations. But successful value-based contracts will align provider and payer goals for care quality and healthcare utilization as well as establish provider incentives within the healthcare organization, attendees learned at Xtelligent Media’s 2017 Value-Based Care Summit in Chicago. “There...

  • Implementing Value-Based Healthcare Revenue Cycle Management

    June 26, 2017 - To align healthcare revenue cycle with value-based reimbursement, healthcare organizations should start by breaking down clinical and financial siloes established by fee-for-service payment models, agreed presenters at Xtelligent Media’s most recent Value-Based Care Summit in Chicago. Value-based care re-designs must foster a culture of care management across the continuum, emphasized...

  • Exploring Quality Measures Under Value-Based Purchasing Models

    June 22, 2017 - CHICAGO – Jason Goldwater, MPA, MA, Senior Director of the National Quality Forum, recently likened the value-based purchasing transition to the evolution of music at Xtelligent Media’s Value-Based Care Summit in Chicago. Music started with the radio. Individuals could listen to whatever came out of the device. Fast forward to the age of the iPod and individuals can now store up...

  • Care Standardization Key to Healthcare Revenue Cycle Excellence

    June 20, 2017 - To be named a top health system by Truven Health Analytics and IBM Watson Health, it takes a range of clinical quality improvements and healthcare revenue cycle efficiencies. But for St. Luke’s Health System, one of 15 top health systems in 2017, it started with care standardization. Bart Hill, MD, the Idaho-based health system’s Vice President and Chief Quality Officer, attributed...


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Surveys Reveal MACRA Implementation, QPP Knowledge Lacking

Two recent surveys indicated that healthcare provider and executive knowledge of and readiness for MACRA implementation and the Quality Payment Program are lacking despite the value-based reimbursement program launching in January 2017. A new...

Payer Collaboration Key to Value-Based Reimbursement Strategy

Value-based reimbursement arrangements come in a myriad of shapes and sizes much like provider organizations. But successful value-based contracts will align provider and payer goals for care quality and healthcare utilization as well as establish...

68% of Consumers Did Not Pay Patient Financial Responsibility

About 68 percent of patients with medical bills of $500 or less did not fully pay their patient financial responsibility to hospitals in 2016, according to a recent TransUnion Health study. The proportion of individuals failing to pay off full...

Industry Orgs Back 2018 MACRA Implementation Flexibilities

Healthcare industry organizations largely applauded the recently-released 2018 MACRA implementation proposal from CMS. The medical organizations commended the federal agency’s continuation of the transition year into 2018 as well as the...

Implementing Value-Based Healthcare Revenue Cycle Management

To align healthcare revenue cycle with value-based reimbursement, healthcare organizations should start by breaking down clinical and financial siloes established by fee-for-service payment models, agreed presenters at Xtelligent Media’s...

$262B of Total Hospital Charges in 2016 Initially Claim Denials

Approximately 9 percent of hospital charges in 2016 were initially claim denials, according to a new Change Healthcare study. As a result, $262 billion out of $3 trillion in claims submitted last year was denied. The analysis of over 3.3 billion...

Exploring Quality Measures Under Value-Based Purchasing Models

CHICAGO – Jason Goldwater, MPA, MA, Senior Director of the National Quality Forum, recently likened the value-based purchasing transition to the evolution of music at Xtelligent Media’s Value-Based Care Summit in Chicago. Music started...

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