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

Revenue Cycle Management Healthcare News

EHRs Still Disrupt Nursing Workflows, But Nurses Warming to Tech

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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

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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

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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

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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

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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

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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...

CMS OKs Maryland’s All-Payer Alternative Payment Model Expansion

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CMS greenlighted an expansion of an all-payer alternative payment model in Maryland that allows the state to set hospital reimbursement rates, the office of Governor Larry Hogan recently announced. Maryland’s unique alternative payment...

Most Physicians Will Not Drop Payer Contract Despite Poor Pay

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Provider organizations should be monitoring their payer contracts to ensure fair reimbursement, but most physicians still would not drop a payer if they were paying poorly, a recent Medscape survey found. The poll of 20,000 physicians across...

Location, Market Competition Influence Hospital Price Variation

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Hospital prices for the privately insured depend on where a facility is located and how consolidated its market is, a recent Health Care Pricing Project analysis revealed. Using insurance claims from three of the largest commercial insurers (Aetna,...

80% of Hospitals Vetting Full Revenue Cycle Management Outsourcing

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Approximately 80 percent of hospitals leaders in a new Black Book survey said they were vetting or considering outsourcing full revenue cycle management by 2019. The demand for revenue cycle management outsourcing is also significantly up, revealed...

Giving GA Hospitals Healthcare Cost Data to Lowering Spending

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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...

Pres Trump Eyes 340B Drug Reforms to Lower Prescription Drug Costs

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The 340B Drug Pricing Program could face some changes under the Trump Administration’s latest plan to reduce prescription drug costs. The United States had the highest per-capita prescription drug spending in 2015, the President said in...

Palliative Care Reduces Hospital Costs by Over $3K Per Patient

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Hospitals costs fell by an average of $3,237 per patient when providers added prompt palliative care to routine treatments during the course of a hospital stay, reported researchers from the Icahn School of Medicine at Mount Sinai and Trinity...

Healthcare Orgs Still Rely on Paper-Based Medical Billing

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A new survey from Waystar and HIMSS Analytics shows that patients and providers are not seeing eye to eye when it comes to medical billing and collecting patient financial responsibility. The survey of almost 900 financial executives from hospitals,...

New Org Aims to Help Independent Practices with Value-Based Care

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The value-based care transition has been a thorn in the side of independent practices, but a group of leading provider organizations is aiming to better support solo practices in the current healthcare landscape through the formation of a new...

Only 4 CMMI Alternative Payment Models Met Spending, Quality Goals

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The CMS Innovation Center is on the path to reducing healthcare costs while improving care quality through alternative payment and care delivery models, a recent Government Accountability Office (GAO) report found. But only four alternative payment...

HRSA Proposes Fifth Delay of 340B Drug Pricing, Penalty Rule

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The Health Resources and Service Administration (HRSA) recently proposed a one-year delay of a final rule that would implement 340B drug pricing rules and civil monetary penalties for drug manufacturers that intentionally overcharge hospitals....

Payment Plans Key to Collecting Patient Financial Responsibility

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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...

Epic EHR, Cerner Dominate Patient Accounting System Conversions

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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...

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

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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...

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