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

Revenue Cycle Management Healthcare News

HHS Releases Alternative Payment Model for Ambulance Providers

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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)...

Finding Medicaid Eligibility Cuts Hospital Bad Debt by 10%

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Extending insurance discovery efforts to insured patients can boost a hospital’s Medicare bad debt recovery by as much as ten percent annually, a new analysis shows. Identifying insured patients who are also eligible for Medicaid...

Vertical Integration in Healthcare Doesn’t Boost Care Quality

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A new study from Rice University’s Baker Institute for Public Policy shows vertical integration in healthcare has little to no impact on care quality. Performance on a range of measures, including hospital readmissions rates, was...

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

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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...

Providers Seek Prescription Price Transparency, Patient Cost Data

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Providers want to boost prescription price transparency to lower costs and improve care quality, a new survey of over 500 healthcare professionals uncovered. The Engine Group and Surescripts survey showed that 78 percent of professionals...

Driven By Prices, Private Healthcare Spending Reaches New High

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Average annual healthcare spending for individuals with employer-sponsored insurance grew 4.2 percent from 2016 to 2017, the latest data from the Health Care Cost Institute (HCCI) revealed. The growth translated to $5,641 per commercially...

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

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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...

Clinical Documentation and Coding Top Revenue Cycle Vulnerability

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Hospital leaders are concerned that their organization’s clinical documentation and coding processes are vulnerable to errors that could result in lost or decreased revenue, according to a recent survey. Consulting firm and...

Healthcare Price Transparency in NH Reduced Out-of-Pocket Costs

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Healthcare price transparency shifts care to lower-cost providers and saves consumers and payers money, according to a recent study out of the University of Michigan. Costs fell by five percent for patients and four percent for insurers...

Humana Brings Value-Based Care to Independent Practices in 3 States

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Humana is helping bring value-based care to independent practices in Louisiana, Pennsylvania, and West Virginia. The Louisville, Kentucky-based payer announced a new value-based care arrangement with physicians in Aledade’s...

AHA Wants More Alternative Payment Models for Rural Hospitals

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In its 2019 Rural Advocacy Agenda, the American Hospital Association (AHA) called for more opportunities for rural hospitals to successfully participate in bundled payment models, the Quality Payment Program, and other alternative payment...

AMGA: Full MACRA Implementation Needed to Advance Value-Based Care

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AMGA is urging Congress to enforce MACRA implementation as policymakers intended by no longer excluding providers from the Merit-Based Payment Incentive Program (MIPS). “MIPS was designed as a viable transition tool to value-based...

Baylor Scott & White, Memorial Hermann End Hospital Merger Talks

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Two large non-profit health systems in Texas are calling off a potential $14 billion hospital merger deal five months after signing a letter of intent to combine. In a joint statement, Baylor Scott & White Health and Memorial Hermann...

Hospital Prices Increased Faster Than Physician Prices, Study Finds

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EDITOR'S NOTE: This article has been updated with a statement from the American Hospital Association. Hospital prices increased much more quickly than physician prices for both inpatient and outpatient care from 2007 to 2014,...

Reducing the Rate of Hospital-Acquired Conditions Saved $7.7B

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A significant reduction in hospital-acquired conditions (HACs) saved providers $7.7 billion in hospital costs since 2014, the Agency for Healthcare Research and Quality (AHRQ) recently reported. New data from AHRQ and CMS shows providers...

CHI, Dignity Finalize Hospital Merger, Introduce CommonSpirit

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After over a year of negotiations, Catholic Health Initiatives (CHI) and Dignity Health recently finalized their hospital merger deal to create one of the largest non-profit health systems. The health systems jointly announced the...

Would New Care Access Standards Pave the Way for VA Privatization?

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Veterans may be able to seek more private healthcare under a new proposed rule from the Department of Veterans Affairs (VA), which Secretary Robert Wilkie says is a move to improve care quality for veterans, not VA privatization. Released...

Only 13% of Hospital CFOs Prepared for Value-Based Reimbursement

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Fewer hospital CFOs are prepared to manage the financial impact of evolving business conditions, such as value-based reimbursement and care delivery models, a new survey finds. Consulting firm Kaufman Hall recently surveyed CFOs and other...

KLAS Names Best Vendors for Financial, Revenue Cycle Management

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Epic Systems continued to take the lead across several categories in the 2019 Best in KLAS report, including a key revenue cycle management market. In addition to being named the top overall software suite for the ninth consecutive year,...

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