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

Revenue Cycle Management Healthcare News

Revenue Cycle Management Integration Boosts the Bottom Line

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When you ask a provider which EHR system he uses, you expect to hear a single vendor, such as Epic, Cerner, or MEDITECH. But when you inquire about a provider’s revenue cycle management system, you are likely to get a laundry list of...

Healthcare M&A Leads to 90% of Markets Being Highly Consolidated

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The recent uptick in healthcare merger and acquisition (M&A) activity is leading to significant market consolidation, particularly among providers organizations, a recent Commonwealth Fund analysis revealed. The majority of...

How Can CMS Improve MACRA’s Quality Payment Program, MIPS?

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While providers commend CMS for replacing the Sustainable Growth Rate with MACRA and its Quality Payment Program, many still have some reservations about the Medicare program. After completing the first Quality Payment Program performance...

Post-Acute Care Providers Worry About Patient-Driven Payment Model

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Leading post-acute care associations are expressing concerns with the recently finalized Patient-Driven Payment Model (PDPM), which will tie skilled nursing facility (SNF) reimbursement to value, rather than therapy volume. CMS issued the...

AHA: Create Stark Law Exception for Value-Based Reimbursement

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The American Hospital Association (AHA) recently urged CMS to modify the Stark Law by adding value-based reimbursement exceptions that enable providers to coordinate care and advance patient outcomes.   “To reach the full...

Physician Assistant Compensation Increased Almost 3% in 2018

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Median annual physician assistant compensation was $105,000 in 2018, representing a 2.9 percent boost compared to the previous year, a new American Academy of PAs (AAPA) survey found. Meanwhile, the 2018 AAPA Salary Survey of over 9,000...

How Hospitals Bring in Revenue Through the Healthcare Supply Chain

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The healthcare supply chain is a cost center for provider organizations of all sizes. Through the supply chain, healthcare organizations spend money on the items and supplies they need to deliver the services that bring in revenue. As a...

Care Integration Driving Healthcare Mergers and Acquisitions

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Improving the integration of care across the continuum is the top driver of healthcare mergers and acquisitions, according to a recent Premier Inc. survey. The survey of 45 healthcare C-suite leaders found that almost one-quarter (24...

CMS Finalizes Hospital Price Transparency Rules, 3% Payment Boost

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CMS recently finalized a rule that will establish more comprehensive healthcare price transparency rules for hospitals. In the final rules on the Medicare prospective payment systems for the inpatient (IPPS) and long-term care (LTCH PPS)...

CAQH Stresses the Importance of Prior Authorization Automation

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CAQH’s Committee on Operating Rules for Information Exchange (CORE) is urging a group of industry leaders to encourage prior authorization automation as part of their efforts to improve the entire prior authorization process. The...

WA Makes Healthcare Price Transparency Consumer-Friendly

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How much does a knee replacement surgery cost at MultiCare Auburn Medical Center in Auburn, Washington versus St. Anthony Hospital in nearby Gig Harbor? Does EvergreenHealth Medical Center in Kirkland deliver the highest value birthing...

255 Healthcare Merger and Acquisition Deals Announced in Q2 2018

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Healthcare stakeholders announced 255 healthcare merger and acquisition (M&A) deals in the second quarter of 2018, a new report from the Health Research Institute at PricewaterhouseCoopers (PwC) showed. The 255 announced healthcare...

CMS Moves Medicare Payments for Skilled Nursing Facilities to Value

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CMS recently finalized a rule that will shift the Medicare payment system for skilled nursing facilities (SNF) away from fee-for-service and toward value starting in 2019. The federal agency will make the move by implementing the...

Ascension, Centene Partner to Launch Medicare Advantage Plan

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The nation’s largest non-profit health system, Ascension, and health payer Centene Corporation are teaming up to launch a Medicare Advantage plan in multiple markets, the organizations recently announced in a joint statement. The...

Falling Productivity Stifles Physician Compensation Boost in 2017

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Physician compensation increased by just 0.89 percent in 2017, marking the first year that provider salaries have grown less than two percent in over a decade, AMGA recently reported. The 31st annual AMGA Medical Group Compensation and...

Quantifying Financial Distress to Stop Hospital Bankruptcy, Closure

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More healthcare organizations will face financial troubles, and possibly a hospital bankruptcy or closure, in the coming years as the healthcare industry undergoes major changes. Changes that will result in lower reimbursement rates, more...

Hospital Groups Decry Proposed Outpatient Reimbursement Cuts

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Hospitals groups are voicing their concerns with potential site-neutral payments and other outpatient reimbursement reductions proposed in a new rule from CMS. CMS released its proposed CY 2019 Outpatient Prospective Payment System (OPPS)...

Revenue Cycle Management Outsourcing Market to Grow at 11.9% CAGR

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The global healthcare revenue cycle management outsourcing market is slated to significantly increase, with its valuation rising from just $11.7 billion in 2017 to $23 billion by the end of 2023, a new market report shows. The authors of...

Verma: Healthcare Payment Reform to Focus on Docs, Not Hospitals

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Focusing healthcare payment reforms efforts on providers, rather than hospitals, will be key to lowering healthcare costs, CMS Administrator Seema Verma recently told stakeholders. “Over the coming months, we will create new...

When Should Providers Consider a Strategic Hospital Acquisition?

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For many small hospitals, remaining independent as the healthcare industry hurdles toward value-based purchasing, population health management, and other transformations is a source of pride even if the organization has one foot in the...

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