Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid
  • Bots Make Claim Status Inquiry More Efficient for Avera Health

    February 20, 2019 - Robots in healthcare do not have to be large human-like machines that replace providers. But bots embedded in software applications can be a key tool for reducing the burden of mundane, common tasks, such as claim status inquiry. At least that is what Mary Wickersham, Vice President of Central Business Office Operations at Avera Health in the upper Midwest found after implementing a...

  • HHS Releases Alternative Payment Model for Ambulance Providers

    February 15, 2019 - HHS and the CMS Innovation Center (CMMI) recently announced a new alternative payment model for ambulance providers that aims to improve Medicare emergency transport services. The five-year Emergency Triage, Treat, and Transport (ET3) model will test a new payment method for ambulance providers that will steer Medicare fee-for-service beneficiaries who call 911 to the most appropriate...

  • Data Sharing Critical to Value-Based Purchasing, HHS Leaders Say

    February 13, 2019 - To move the industry to value-based purchasing, healthcare leaders are putting healthcare data sharing and interoperability high on their priority lists in 2019. “Technology, and the sharing of data, underpin the entire move to innovative payment mechanisms in healthcare,” CMS Administrator Seema Verma emphasized at this year’s HIMSS conference in Orlando....

  • Hospital Cost Accounting Tool to Cut Costs, Boost Value-Based Care

    February 12, 2019 - The Healthcare Financial Management Association (HFMA) is making a hospital cost accounting roadmap available to all providers looking to reduce variation, waste, and inefficiency. The leading healthcare finance group recently partnered with Strata Decision Technology to launch the HFMA-Strata L7 Cost Accounting Adoption Model (L7 Model). In a joint announcement, the organizations...


Today's Top Stories

Hospitals Seek Another Delay for $4B Medicaid DSH Payment Cut

America’s Essential Hospitals, American Hospital Association (AHA), Association of American Medical Colleges (AAMC), and five other national hospital groups are calling on policymakers to implement another delay for scheduled cuts to...

Hospital Acquisitions of Physician Practices Rose 128% Since 2012

Hospital acquisitions of physician practices continues to be a strong trend in the healthcare space, according to new data from Avalere Health and the Physicians Advocacy Institute (PAI). In an emailed press release, the organizations...

Healthcare Spending Slated to Increase 5.5% Annually Until 2027

National healthcare spending increased by approximately 4.4 percent in 2018, and the rate of growth is slated to significantly rise over the next decade, according to a new report from the Office of the Actuary at CMS. The report,...

21% of Rural Hospitals at High Financial Risk of Closing

A new analysis from consulting firm Navigant revealed that one-in-five rural hospitals is at high risk of closing based on their current financial position. The analysis of publicly available data explored the financial viability and...

Bots Make Claim Status Inquiry More Efficient for Avera Health

Robots in healthcare do not have to be large human-like machines that replace providers. But bots embedded in software applications can be a key tool for reducing the burden of mundane, common tasks, such as claim status inquiry. At least...

HCTTF Helps Providers Find Value-Based Purchasing Partnerships

A new open-sourced tool from the Health Care Transformation Task Force (HCTTF) is helping providers and payers assess value-based purchasing partnerships. The Partnership Evaluation Tool is a new resource that allows healthcare...

No Health IT Workforce Exec for Over Half of Non-Acute Providers

Hospitals and non-acute providers are using significantly different health IT workforce strategies to meet their technological needs, according to the 2019 HIMSS U.S. Leadership and Workforce Survey. The survey of over 260 health...

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