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

Revenue Cycle Management Healthcare News

Physician Compensation Increased for Just 37% of Docs in 2017

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Average annual physician compensation for most specialties remained relatively flat from 2016 to 2017, leading to mediocre income satisfaction rates among physicians, the second annual PracticeMatch survey uncovered. Only 37 percent of...

CMS Floats Rule to Save Providers $1.1B, Cut Administrative Burden

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Healthcare providers are slated to save an estimated $1.12 billion annually under a recently proposed rule from CMS that would reduce administrative burdens. The savings would stem from proposals to simplify and streamline...

13% of People Live in an Area with a Primary Care Physician Shortage

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Approximately 13 percent of US residents, or 44 million individuals, live in a county with a primary care physician shortage, according to new data from UnitedHealth Group. The primary care physician shortage impacts all types of...

3 Patient Collections Best Practices to Boost the Bottom Line

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Patient financial responsibility is steadily climbing, accounting for a greater portion of healthcare revenue. With patients shifting a provider’s revenue sources, hospitals and practices alike must implement internal patient...

Policymakers Concerned with ACO Shared Savings Under Updated MSSP

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The House Committee on Ways and Means recently voiced concerns that proposed changes to the shared savings arrangements under the Medicare Shared Savings Program (MSSP) overhaul would harm accountable care organizations (ACOs). In a...

Hospitals Seek Non-Acute, Supplier Partners for Value-Based Care

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Hospitals are looking to strategically expand their footprint in the non-acute care space to succeed in value-based care and alternative payment models, a new study of hospital decisionmakers found. L.E.K.’s ninth annual...

Medicare Spending Falls 3.3% in First Year of CJR Bundled Payments

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Hospitals reduced average Medicare spending on lower extremity joint replacements (LEJRs) by 3.3 percent during the first performance year of Medicare’s mandatory bundled payments model for joint replacements, CMS recently...

Providers Oppose Collapsing Medicare Reimbursement for E/M Visits

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Providers are calling on CMS to not finalize a proposal to collapse Medicare reimbursement for evaluation and management (E/M) visits into a single, blended payment rate for E/M Levels 2 through 5 visits. In a recently proposed rule for...

New Alternative Payment Model Tackles Holistic Addiction Recovery

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A national multi-sector alliance of healthcare industry leaders is looking to incentivize providers and payers to deliver coordinated, holistic addiction recovery services to patients through a new alternative payment model. Nearly 21...

Hospital Markups Drive Prescription Drug Spending, PhRMA Says

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Prescription drug spending is rising because approximately 83 percent of hospitals charge patients and payers more than double the acquisition cost for medications, according to a recent analysis by the Moran Company for the Pharmaceutical...

MSSP ACOs Saved $1.84B, Nearly Double CMS Estimate, Study Finds

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CMS estimates that accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP) saved $954 million from 2013 to 2015. However, a new Dobson DaVanzo & Associates analysis, commissioned by the National Association...

RCCH Uses Predictive Analytics to Boost Claim Denials Management

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Predictive analytics are key to implementing an effective and efficient claim denials management strategy that tackles the right denials at the right time, according to the Vice President of Revenue Cycle at Tennessee’s RCCH...

Do Hospital Mergers, Acquisitions Increase Prices, Reps Ask MedPAC

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Energy and Commerce Committee leaders are calling on the Medicare Payment Advisory Commission (MedPAC) to settle the debate on whether hospital mergers and acquisitions raise prices for patients. In a recent letter to MedPAC’s...

Hospitals Create Drug Company to Combat Drug Shortages, Prices

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Seven health systems are stepping up to the plate to tackle two of the healthcare industry’s most pressing challenges: drug shortages and rising prescription drug rates. Catholic Health Initiatives, HCA Healthcare, Intermountain...

AMA Adds Connected Health CPT Codes, Pushes for Medicare Payment

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The American Medical Association (AMA) updated the Current Procedural Terminology (CPT) code set in 2019 to include new codes for connected health services in an effort to encourage CMS to pay for the services. The 2019 CPT code set...

Bon Secours, Mercy Health Finalize Hospital Merger After 6 Months

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Mercy Health of Ohio and Maryland-based Bon Secours Health System recently announced the completion of their hospital merger deal establishing one of the largest hospital chains and Catholic health systems in the country. In what the...

Developing a 2018 MIPS Reporting Strategy to Avoid a Penalty

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Eligible clinicians can avoid a financial penalty under the Merit-Based Incentive Payment System (MIPS) in 2020 by focusing their reporting on one of three performance categories: Quality, Improvement Activities, or Promoting...

How Next Generation ACOs Built a Foundation for Success

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Employing additional administrative staff, prioritizing care management, and building data analytics capacity were key strategies accountable care organizations (ACOs) implemented to participate in the Next Generation model, CMS recently...

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