Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Giving GA Hospitals Healthcare Cost Data to Lowering Spending

    May 14, 2018 - With claims reimbursement rates falling and competition among healthcare organizations intensifying, hospitals are calling on their providers to increase efficiency and reduce healthcare costs for each admission. So, what do providers need to accomplish the monumental task of providing care at greater efficiency and lower costs? For the Georgia Hospital Association, it is healthcare cost data,...

  • Payment Plans Key to Collecting Patient Financial Responsibility

    May 8, 2018 - With the rise in popularity of high deductible health plans, hospitals are no longer waiting on just payers to collect what is owed to their hospital or practice. Patients have become a major revenue source, but hospitals are struggling to implement new strategies in response to the growth in patient financial responsibility. Patients saw their average out-of-pocket costs increase to $1,813...

  • Epic EHR, Cerner Dominate Patient Accounting System Conversions

    May 8, 2018 - Healthcare organizations are starting to implement new patient accounting systems to achieve clinical integration, and most are going to Cerner or Epic EHR for the revenue cycle management technology, according to the Patient Accounting 2018 report from KLAS. While Epic EHR and Cerner continue to dominate the patient accounting marketing, organizations that integrated Epic’s patient...

  • CMS Targets Value-Based Purchasing, Drug Costs to Reduce Spending

    May 7, 2018 - Healthcare spending is growing at an unstainable rate, and CMS aims to curb spending through initiatives that promote value-based purchasing, reduce administrative burdens, and lower prescription drug costs, CMS Administrator Seema Verma told attendees at the American Hospital Association (AHA) Annual Membership Meeting. “Despite all of the regulation, and a massive new entitlement,...


Today's Top Stories

AMGA Suggests CMS Improve ACOs, Medicare Shared Savings Program

The American Medical Group Society (AMGA) recently recommended CMS focus on improving accountable care organizations (ACOs) and the Medicare Shared Savings Program (MSSP) rather than put forth a new direct provider contracting (DPC) model. AMGA...

EHRs Still Disrupt Nursing Workflows, But Nurses Warming to Tech

The tides are starting to turn when it comes to EHR satisfaction among registered nurses. Only 69 percent of the providers now feel the EHR system is disruptive to the nursing workflow compared to 84 percent in the third quarter of 2016, a new...

Value-Based Care Driving Independent Practices to Consultants

Independent physicians and practices are turning to consultants to make the transition to value-based care and stay competitive in a shifting market. The latest research from Black Book shows physician-led practices have turned the tide that...

House Reps Want to Extend MSSP Track 1 ACO Participation

Seven House Representatives are calling on CMS to allow successful accountable care organizations (ACOs) in the Medicare Shared Savings Program’s (MSSP) Track 1 to continue in the upside-only financial risk track for a third agreement period....

Primary Care Physician Shortage Driving Bump in Compensation

Primary care physician compensation increased by more than 10 percent over the past five years. But the rise in pay indicates a worsening primary care physician shortage, according to the 2018 DataDive Provider Compensation report from the Medical...

Shifting Vaccinations to the Pharmacy Lowers Healthcare Costs

Pharmacies can administer a wide range of vaccines to patients at significantly lower healthcare costs than physician practices and other medical settings, a new report from the Pacific Research Institute found. The literature review showed that...

69% of Hospitals Use Multiple Vendors for Revenue Cycle Management

Almost 69 percent of healthcare organizations use more than one vendor solution for revenue cycle management. However, these organizations tended to have more problems with claim denials management, a recent Dimensional Insight and HIMSS Analytics...

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