Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Exploring Key Components of the Healthcare Revenue Cycle

    August 21, 2017 - The healthcare revenue cycle encompasses “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue,” according to the Healthcare Financial Management Association (HFMA). But the cycle traditionally contains distinct areas that oftentimes function separately from each other. A traditional healthcare revenue cycle...

  • Real-Time Data for Denials Management Aids Practice’s Lagging A/R

    August 18, 2017 - Without transparency throughout the claim denials management process, healthcare organizations are leaving a significant portion of potential revenue on the table. Limited access to timely claim denial and reimbursement data can prevent providers from recouping revenue that is rightfully theirs. As a result, providers are passing up an opportunity to recover reimbursement for up to 63 percent...

  • Top 10 Enterprise Resource Planning (ERP) Vendors By Hospital Use

    August 16, 2017 - Healthcare providers have become increasingly interested in implementing enterprise resource planning (ERP) systems as part of their business intelligence and revenue cycle management suites. ERP systems are business management tools that give users an integrated view of core business operations, such as cash flow, production capacity, orders and purchasing, and payroll. The systems gather...

  • Physician Expert, Clinical Documentation Key to MIPS Success

    August 10, 2017 - Since the Obama administration signed MACRA into law in 2015, healthcare providers have been attempting to understand the Quality Payment Program and its Merit-Based Incentive Payment System (MIPS). But regular updates and tweaks to MACRA have made it increasingly difficult for providers to not only understand MIPS, but implement the necessary resources and workflows to succeed. Just recently,...


Today's Top Stories

Exploring Key Components of the Healthcare Revenue Cycle

The healthcare revenue cycle encompasses “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue,” according to the Healthcare Financial Management Association...

New Medicare Fraud Audits to Ease Burden on Compliant Providers

CMS recently updated its Medicare fraud and improper payment audit process to target providers and suppliers who continually demonstrate high medical billing error rates, according to the federal agency’s website. The new Targeted Probe...

Real-Time Data for Denials Management Aids Practice’s Lagging A/R

Without transparency throughout the claim denials management process, healthcare organizations are leaving a significant portion of potential revenue on the table. Limited access to timely claim denial and reimbursement data can prevent providers...

Post-Acute Care Payment Reform Threatens Rural Hospitals

A proposed unified Medicare reimbursement for post-acute care services and value-based care payment models, such as accountable care organizations (ACOs) and bundled payments, may propel rural hospital closures as the reforms lower their post-acute...

Court to Reconsider Timeline for Medicare Appeals Backlog End

The DC appeals court recently revoked the court-ordered elimination timeline for the current $6.6 billion Medicare appeals backlog, arguing that the previous court was in error of the law by requiring HHS to do away with the backlog despite the...

Top 10 Enterprise Resource Planning (ERP) Vendors By Hospital Use

Healthcare providers have become increasingly interested in implementing enterprise resource planning (ERP) systems as part of their business intelligence and revenue cycle management suites. ERP systems are business management tools that give...

Accountable Care Organization Saves $4.8M With Nutrition Aid

A case study in American Health & Drug Benefits showed that Advocate Health Care, an accountable care organization in the Chicago area, reduced healthcare costs by $3,800 per patient, or $4.8 million in total, by implementing a nutrition...

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