Revenue Cycle Management Healthcare News

Should Population-Based Payments Account for Social Risk Factors?

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Efforts to make the healthcare system more efficient and equitable by adjusting population-based payments for social risk factors may be missing the mark, suggests a new study from Harvard and Yale....

Consumers are Frustrated with Healthcare Billing Correction Process

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Consumers are frustrated with the healthcare billing process and face challenges when it comes to identifying and solving billing errors, according to a survey from Zelis and Hanover Research. The...

Judge Wants HHS to Remedy 340B Underpayments to Hospitals

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A federal court has decided to let HHS determine how to repay hospitals for years of 340B underpayments. The decision issued Tuesday by the US District Court for the District of Columbia comes as a...

Practices Experience Staffing Changes After Private Equity Acquisition

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Private equity (PE) acquisitions of physician-owned medical practices lead to workforce composition changes, such as greater replacement of clinicians and the addition of more advanced practice...

CMS Awards 200 Residency Slots to Bolster Healthcare Workforce

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CMS has awarded 200 Medicare-funded residency slots to support hospitals in underserved communities, according to a recent announcement. The awards are part of a larger push to provide 1,000 physician...

Bundled Payment Model Reduced Spending on Medical, Surgical Episodes

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Participating in Medicare’s Bundled Payments for Care Improvement (BPCI) initiative was associated with cost savings for medical and surgical episodes, but savings varied among hospitals and...

Affordability, Labor Shortages Top Issues for Healthcare Execs

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Confronting affordability and solving clinical labor shortages are among the top pivotal issues for healthcare executives in 2023, according to a new report from PricewaterhouseCoopers...

VillageMD Completes $8.9B Acquisition of Summit Health-CityMD

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Editor's note: a previous version of this story incorrectly stated that the transaction's value was $8.9 million instead of $8.9 billion. VillageMD has finalized its $8.9 billion acquisition...

AHA Urges MedPAC to Consider Higher Medicare Payment Updates for 2024

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The American Hospital Association (AHA) has asked the Medicare Payment Advisory Commission (MedPAC) to consider higher Medicare payment updates before issuing its final recommendations, including...

Financial Challenges for Health Systems Will Likely Persist in 2023

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Hospitals and health systems will likely face another year of financial challenges in 2023 as they expect to continue grappling with inflation, staffing shortages, and low margins, according to data...

Hospital Margins Improved in November But Remained Negative

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Hospitals’ financial performances saw slight improvements in November 2022 as expenses declined and revenue was stable, but hospital margins remained negative, according to data from Kaufman...

Orgs Need to Be More Competitive to Keep Advanced Practice Providers

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As healthcare organizations face a workforce crisis, they have to be more competitive to attract and retain advanced practice providers, including nurse practitioners (NPs) and physician assistants...

Federal IDR Process Faces More Disputes Than Expected, Backlog Growing

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Payers and providers are utilizing the independent dispute resolution (IDR) process far more than the government expected to resolve disagreements about payment for items and services covered by the...

Financial Losses, Poor Assets Driving Closure Risks for Rural Hospitals

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More than 600 rural hospitals are at risk of closing after consistently losing money on patient services and lacking net assets to offset these losses, according to data from the Center for Healthcare...

Nurse Practitioners Have Lower Productivity than Physicians, Study Finds

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Nurse practitioners (NPs) use more medical resources but achieve worse patient health outcomes compared to physicians, highlighting the productivity variations between the two professions, according to...

Share of Unionized Healthcare Workers Remained Low for 12 Years

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Over the last 12 years, the share of unionized healthcare workers remained stable at 13.2 percent, with nurses, older workers, and those working full-time more likely to report being unionized,...

Exploring the Role of Supply Chain Management in Healthcare

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Cutting healthcare costs has become a mantra for many hospitals and physician practices, especially as payers start to tie claims reimbursement amounts to quality and cost performance. Many organizations...

Medicare Part B Spending on Laboratory Tests Totaled $9.3B in 2021

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Medicare Part B spending on laboratory tests increased by 17 percent between 2020 and 2021, resulting from high volumes of COVID-19 tests, genetic tests, and chemistry tests, a report from the Office...

Providers Tap Vendors to Support Rolling Forecasting Transition

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A new approach to healthcare financial planning is emerging. Rolling forecasting provides a more flexible approach to healthcare financial planning and analysis, especially after organizations were hit...

OIG Identifies Provider Noncompliance when Claiming Medicare Bad Debts

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A handful of providers did not comply with federal requirements when claiming Medicare bad debts, leading to nearly $30,000 in unallowable Medicare reimbursement, a report from the Office of Inspector...