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

Revenue Cycle Management Healthcare News

Nurse Practitioners Earn a 6% Increase in Annual Compensation

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Nurse practitioners received a significant boost in compensation compared to other advanced practice registered nurses (APRNs), a new survey revealed. The survey of over 3,200 advanced practice registered nurses (APRNs), including nurse...

Hospital Revenue Unstable Despite Outpatient Volume Growth

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Hospitals recently saw increases in national inpatient and outpatient volumes. However, net hospital revenue continues to be unstable for non-profit organizations, according to a new analysis from the public accounting, consulting, and...

Value-Based Care, Price Transparency Rule Top Stories of 2018

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2018 has kept healthcare revenue cycle management and finance leaders on their toes. The healthcare industry continued its slow, but steady transition to value-based care and purchasing all while navigating the new landscape of healthcare...

26% of Hospitals Without Effective Revenue Cycle Management System

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Approximately one-quarter of US hospitals (26 percent) do not have an effective healthcare revenue cycle management solution in place, according to a new Black Book survey. Black Book surveyed over 4,640 individuals from 522 hospitals and...

Healthcare Spending Growth Slows, Increasing 3.9% in 2017

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Healthcare spending grew at a rate of 3.9 percent in 2017, slowing to rates observed during the 2008 to 2013 period, CMS actuaries recently reported. The analysis from the Office of the Actuary at CMS, published by Health Affairs, showed...

New Medicare Reimbursement for Lab Tests May Overpay by Billions

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A new Medicare reimbursement system for clinical laboratory tests could increase spending for the public healthcare program by over $11 billion by 2020, a new Government Accountability Office (GAO) report shows. The federal watchdog found...

Healthcare Interoperability, Rule Reform Key to Value-Based Payment

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Healthcare interoperability is vital to the transition to value-based payments, the second in command at HHS recently stated at the Office of the National Coordinator for Health Information Technology (ONC) annual...

AHA, AAMC Sue HHS Over Site-Neutral Payment Expansion

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The American Hospital Association (AHA), Association of American Medical Colleges (AAMC), and three healthcare organizations are suing HHS over a new site-neutral payment policy slated to take effect on January 1, 2019. The site-neutral...

HHS Unveils Plans to Increase Healthcare Competition, Choice

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Deregulation is at the top of HHS’ mind, according to a new blueprint on increasing healthcare competition and choice from several White House agencies. HHS, along with the Departments of the Treasury and Labor, the Federal Trade...

Accounting for the Patient in the Healthcare Revenue Cycle

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From value-based care to record-high levels of patient financial responsibility, the healthcare industry is undergoing a tremendous amount of evolution. And the healthcare revenue cycle is having to learn some new tricks to keep up. Top...

55% of Hospitals Earn Incentive in Value-Based Purchasing Program

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More hospitals participating in the Hospital Value-Based Purchasing (VBP) Program will see a Medicare payment increase in 2019, CMS recently reported. The Hospital Value-Based Purchasing Program adjusts Medicare reimbursement to hospitals...

HHS to Implement 340B Drug Price Ceiling, Penalties in Jan 2019

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After several delays, HHS will implement drug price ceilings and civil monetary penalties for manufacturers under the 340B Drug Pricing Program in 2019, according to a final rule from the HHS agency, Health Resources and Services...

AGs Approve Large Hospital Mergers, But with Special Conditions

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Attorneys General in California and Massachusetts recently approved two separate hospital merger deals. But the approvals came with a set of special conditions the health systems must meet to finalize the mergers. After 17 public...

Clinicians Less Optimistic About Value-Based Care Than Execs

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Clinicians are more skeptical about the benefits or viability of value-based care and reimbursement compared to healthcare executives, a new survey shows. Only about one-third of clinicians (38 percent) in a recent NEJM Catalyst survey...

Hospital ERP Adoption Up to 38.4% and Will Continue to Climb

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Enterprise resource planning (ERP) adoption remains slow and steady, HIMSS Analytics recently reported. Hospital ERP adoption increased from 18.8 percent of hospitals in 2008 to 38.4 percent of hospitals a decade later, the analysis of...

68% of Hospital Execs Plan for 2018 Revenue Cycle IT Budget Growth

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Fewer healthcare organizations are increasing their revenue cycle IT budgets compared to last year, a new survey shows. The annual Healthcare Financial Management Association (HFMA) and Navigant survey of 107 hospital and health system...

CMS Advances Healthcare Price Transparency With Comparison Tool

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CMS is advancing its healthcare price transparency efforts through a new online tool that allows healthcare consumers to compare Medicare payments and copayments for certain surgical procedures. The recently launched Procedure Price...

Hospital Wage Data Inaccuracies Led to Medicare Reimbursement Issues

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CMS may not be appropriately adjusting Medicare reimbursement to hospitals for local labor prices, a new HHS Office of the Inspector (OIG) report reveals. The HHS watchdog found “significant vulnerabilities” in the hospital...

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