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

Revenue Cycle Management Healthcare News

End-to-End Revenue Cycle Management Key to Success at Ascension

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The healthcare revenue cycle contains many moving parts. Hospitals and health systems typically rely on a patchwork of technologies and best practices to ensure everything from patient access and registration to medical billing and...

Patient Access to Care Falls As More Docs Look to Retire, Cut Hours

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Patient access to care could decrease as a greater number of physicians plan to cut down their hours, retire, or find a non-clinical job in 2018 compared to two years ago, a recent survey from the Physicians Foundation and Merritt Hawkins...

Value-Based Purchasing, Consumerism Top Healthcare Exec Challenges

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Transitioning to value-based purchasing and responding to healthcare consumerism continue to be among the top challenges, issues, and opportunities healthcare C-suite leaders are facing in 2019, according to a new poll from the Healthcare...

Less Than a Third of Docs Owned Independent Practices in 2018

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Physicians are continuing to flock to hospital employment models rather than take on a private, independent practice, according to a new survey. Only about 31.4 percent of physicians identified as independent practice owners or partners...

Patient Attribution Key Component to APMs, Value-Based Contracts

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Patient attribution is a critical component of alternative payment models (APMs) that appropriately hold providers accountable for their care performance. “Attribution methodology is at the core of constructing actuarially sound,...

Time Helps Accountable Care Organizations Realize Savings in MSSP

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Experience is a key factor to realizing greater cost savings in the Medicare Shared Savings Program (MSSP), a new Avalere analysis found. Accountable care organizations (ACOs) in the MSSP for four or more years generated nearly all of the...

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...

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