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

Revenue Cycle Management Healthcare News

Small Health System Achieves ROI with Asthma Management Clinic

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Asthma is one of the most expensive chronic diseases for providers, payers, and patients. But a recent study in the American Journal of Managed Care showed that a stationary pediatric asthma management clinic can achieve a return on investment...

25% of Physicians Dissatisfied with Provider Compensation Rates

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Even though a majority of physicians either received the same or an increase in provider compensation in 2016, about one-quarter of them expressed dissatisfaction with their annual pay last year, a recent PraticeMatch survey revealed. The survey...

Health Center Work Conditions Drop After Practice Transformation

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Improving work conditions for clinicians and staff members may be key to implementing practice transformations for value-based care in federally qualified health centers (FQHCs), a new Health Affairs study suggested. Recent survey results showed...

NYC Health’s ERP System to Bring Business Ops to Digital Age

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From payroll and workload management to orders and purchasing, health systems manage a myriad of back-end business operations, using a combination of automated systems as well as manual processes associated with each function. The web of disparate...

Hospitals Turning to Staff Buyouts to Reduce Healthcare Costs

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Massachusetts-based Brigham and Women’s Hospital may extend a voluntary buyout offer to employees in order to reduce healthcare costs in the face of growing labor expenses and stagnant claims reimbursement rates. In April 2017, the hospital...

Medicare Reimbursement Add-On to Boost Palliative Care Revenue

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A recent study in the Journal of Palliative Medicine showed that providers should be leveraging a supplemental Medicare reimbursement to enhance palliative care in the last seven days of life. CMS pays providers for furnishing routine home care...

Patient-Reported Data Helps Providers Find High-Cost Patients

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Self-reported patient data on health conditions, status, and utilization may be the key to identifying high-cost patients and guiding them to care management models to reduce their spending, a recent American Journal of Managed Care study indicated....

Primary Care Job Growth Slows, Affecting Healthcare Spending

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With the number of specialist jobs rising nearly six times faster than primary care provider positions between 2005 and 2015, industry efforts to control and reduce healthcare spending may be in trouble, a recent Health Affairs blogpost suggested....

CMS Ups Medicare Reimbursement for Inpatient Admissions $2.4B

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Medicare reimbursement updates and other payment policy changes finalized in a new rule from CMS will boost inpatient hospital payments by $2.4 billion in 2018 and decrease long-term care hospital payments by $110 million. “This final rule...

Top 4 Rural Hospital Challenges with Revenue Cycle Management

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Rural hospitals may be the only healthcare option for individuals living in sparsely populated areas, but revenue cycle management challenges have forced many of these facilities to permanently close their doors. The healthcare industry has seen...

Medicaid Reimbursement Woes Key Concern for Healthcare CEOs

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Approximately 85 percent of healthcare executives identified shrinking Medicaid reimbursement rates and funding as a top concern in 2017, according to a new Deloitte survey. Deloitte surveyed 20 CEOs from health systems that collectively produced...

Complex Surgery Costs 10.5% Less With Hospital Consolidation

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Overall healthcare charges for complex pancreatic and hepatic surgeries were 13.4 percent lower in markets with higher levels of hospital consolidation than charges for the same operations in unconcentrated and moderately concentrated markets,...

Skilled Nursing Facilities See $370M Medicare Reimbursement Bump

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Skilled nursing facilities are slated to receive a 1 percent increase in Medicare reimbursement in 2018, representing $370 million more dollars in healthcare payments, CMS recently announced in a final rule. While CMS finalized Medicare reimbursement...

Accountable Care Organizations Grow, But Face New Challenges

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Since the Affordable Care Act paved the way for accountable care organizations (ACOs) in 2010, healthcare providers have increasingly turned to the alternative payment model as a way to engage in value-based care across patient populations. In...

CMS Details $43B Drop in Medicaid Uncompensated Care Support

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In a recently proposed rule, CMS outlined a methodology for reducing Medicaid support for hospitals incurring significant uncompensated care costs starting in 2018. The rule would implement reductions of $1 billion per year in Medicaid Disproportionate...

Volume, Value of Healthcare Merger and Acquisition Deals Up

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Healthcare merger and acquisition activities among hospitals were up 15 percent in the second quarter of 2017 compared to the same quarter the previous year, recent research from Kaufman, Hall & Associates, LLC showed. The number of transactions...

Hospitals to See 7.61% Rise in 2018 Prescription Drug Rates

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Hospitals and health systems should anticipate a 7.61 percent increase in prescription drug rates in 2018, researchers predicted in a recent Vizient study. Using the group purchasing organization’s 2016 and 2017 data on hospital and non-acute...

Healthcare Revenue Cycle Software Market to Grow at 4.5% CAGR

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The healthcare revenue cycle management software market is slated to grow at a modest compound growth rate (CAGR) of 4.5 percent between 2017 and 2021, stated a recent Research and Markets report. “The latest trend gaining momentum in the...

MSSP ACOs Missed $886M in Potential Revenue By Avoiding Risk

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Accountable care organizations (ACOs) in Track 1 of the Medicare Shared Savings Program (MSSP) could have received an additional $886 million in net payments in 2015 if the organizations took on downside financial risk and earned the 5 percent...

Breaking Down the Top 5 Healthcare Revenue Cycle KPIs

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With value-based reimbursement and healthcare consumerism taking hold of the industry, provider organizations are under pressure to ensure their healthcare revenue cycle is operating at maximum efficiency. To effectively track healthcare revenue...

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