Revenue Cycle Management Healthcare News

Two-Thirds of Patients Have Never Challenged a Medical Bill’s Accuracy

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Nearly two-thirds of patients have never challenged a medical bill, but among those who have, most charges were reduced or removed, according to a survey conducted by AKASA on behalf of YouGov. The...

Healthcare Has Yet to Feel Full Impact of Physician Retirements

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Healthcare organizations need to prepare for a wave of physician retirements, according to a new survey from the physician, physician leader, and advanced practice provider recruitment firm Jackson...

AMGA: FTC Non-Compete Agreement Ban Will Hurt Healthcare Workforce

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The American Medical Group Association (AMGA) is urging the Federal Trade Commission (FTC) to withdraw its proposal to ban non-compete agreements, stating that the ban would hinder care coordination,...

CMS Resumes IDR Payment Determinations Under No Surprises Act

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CMS has instructed certified independent dispute resolution (IDR) entities to resume payment determinations for disputes involving items or services furnished on or after Oct. 25, 2022, according to...

Patients with Alzheimer’s Disease See Higher Hospital Readmission Rates

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Readmission rates and episode costs were higher among patients with Alzheimer’s disease and related dementias (ADRD), suggesting hospitals should prioritize reducing avoidable hospitalizations...

AHA: Financial Assistance One Piece of Hospital Community Benefits

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The American Hospital Association (AHA) has responded to a recent analysis from Kaiser Family Foundation (KFF) that found tax exemptions provided to nonprofit hospitals exceeded hospital charity care...

Emergency Department Labor Costs Up 50% From Pre-Pandemic Levels

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Hospital expenses remain high in 2023, with emergency department labor costs in particular increasing 50 percent from pre-pandemic levels, according to a report from Syntellis Performance...

MedPAC Recognizes Impact of Inflation on Docs, Suggests Higher Rates

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The Medicare Payment Advisory Committee (MedPAC) recommended increasing physician payment rates based on an inflation-based index for Medicare. The independent advisory group suggested in its March...

ACR Recommends Changes to Prior Authorization Proposed Rule

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The American College of Rheumatology (ACR) commended CMS for its proposed prior authorization policies but asked the agency to expand its guidance to other utilization management tools and shorten the...

Past-Due Medical Debt Impacts Over 1 in 7 Adults

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More than one in seven nonelderly adults live in families with past-due medical debt, according to the Urban Institute in a new report. The report also finds that medical debt particularly impacts...

Practices Complete More Prior Authorizations, See More Care Delays

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Practices are completing more prior authorizations compared to last year and seeing more care delays as a result, according to new data from the American Medical Association (AMA). The AMA recently...

Hospital Contract Labor Expenses Jump 258% As Shortages Persist

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Not only did hospitals and health systems rely more on contract staffing firms to meet patient demand in 2020, but facilities also paid staffing firms more to compete for workers. A recent report from...

Biden’s FY24 Budget Aims to Extend Medicare Trust Fund Solvency

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President Biden has announced plans to extend the solvency of the Medicare Trust Fund by at least 25 years in the fiscal year (FY) 2024 budget. The budget includes proposals to stretch the solvency of...

AMGA Opposes Proposed Medicare Advantage Coding Changes

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AMGA has asked CMS not to finalize the coding changes included in the 2024 Medicare Advantage Advance Notice that would revise diagnoses and condition categories in the hierarchical condition...

How E/M Payment Policy Changes Impacted Physician Reimbursement

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Evaluation and management (E/M) payment policy changes implemented in 2021 resulted in higher Medicare reimbursement for most physicians but only led to a modest decrease in the payment gap between...

MEDITECH Leads Patient Accounting Vendors for Small Hospitals

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According to a new KLAS report, small hospitals are changing out their EHR and patient accounting systems more often than their larger peers. Many of these small hospitals are considering top EHR...

As Medicaid Unwinds, Hospitals Seek Relief from DSH Payment Cut

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Hospital and health system advocates are calling on lawmakers to stop an $8 billion cut to Medicaid Disproportionate Share (DSH) payments to safety-net hospitals. A letter sent to Congressional...

COVID-19 Vaccination Requirements Boosted Uptake Among NYC Municipal Workers

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After the testing option was eliminated, COVID-19 vaccination requirements were linked to an increase in the vaccination rate among New York City municipal workers in 2021, according to a study...

4 Common Surgeries Shifted to Outpatient During COVID-19

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The COVID-19 pandemic prompted greater uptake of outpatient surgery for four commonly scheduled general surgery operations, according to a new study in JAMA Network Open. Hospitals in the American...

Providers are Increasingly Billing Outpatient Visits at Higher Levels

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Outpatient visits are being billed at higher levels, leading to increased healthcare spending and concerns about upcoding, a Peterson-KFF Health System Tracker found. Healthcare providers can bill...