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

Revenue Cycle Management Resources

Four Steps to Develop, Implement, and Operationalize a Bundled Payment Strategy

The paradigm shift to value-based reimbursement creates increasingly complex reimbursement scenarios for health plans. According to a “Journey to Value” study Change Healthcare commissioned, an overwhelming 97% of health plans and... Download white paper

Healthy Hospital Revenue Cycle Index: Denial Trends and Impact on Providers

Denials. They erode providers’ bottom lines, impede timely reimbursement, and sap time and money to appeal. But how much provider revenue is put at risk by denials annually? How much does it cost to rework a claim? And how much are providers... Download white paper

Next Generation Provider Relationship Management

The implementation of the Affordable Care Act and adoption of value-based reimbursement is forcing payers to rethink their relationships with providers. A healthcare economy based on outcomes requires greater communication and collaboration between... View webcast

3-Minute Case Study- Intensive Chart Prep

Researchers have identified top performers on key financial and clinical metrics across the athenahealth network, and are uncovering the innovations that drive their success. Here’s a snapshot of how chart prep has led to lower cost and... Download white paper

Patient Debt Varies by Specialty and Location

As high-deductible insurance policies proliferate, physicians are keeping a close eye on balances owed by patients. 2016 athenahealth network findings, based on 31,000 providers, show that both the percent of revenue from patients and the percent... Download white paper

Driving Forces in Today’s Payer Market

What’s Driving the Payer Market? Change Healthcare asked a few of their seasoned healthcare consultants to give some perspective on three of the main driving forces in the healthcare payer market today. Listen to what they have to say,... Download white paper

The Year of MIPS Performance Measurement is Here

Of the reporting track options, the MIPS Eligible Clinician category will apply to most practicing clinicians and providers. Very few clinicians are exempt and must report at least 90 consecutive days of MIPS performance data beginning this year.... Download white paper

Physician Advisor Programs: A Pillar of Thriving Provider Organizations

Today, hospitals face growing pressure from government and commercial payers to manage their utilization of services and provide justification for clinical decision-making in line with evidence-based practices.  Physician advisor programs... Download white paper

Reinventing Claims Payment for a Value-Based World

The healthcare industry’s claims-payment system is frustrating to providers, payers, and patients alike. Inefficiency and a systemwide tendency for error wastes resources, worsens miscommunication and mistrust among all stakeholders, and... Download white paper

Understanding MIPS: Advancing Care Information (ACI)

Advancing Care Information (ACI), which replaces the Meaningful Use program is one of four components CMS will use to make payment adjustments under MIPS. ACI looks at EHR use as it relates to patient engagement and healthcare quality and is... Download white paper

Maximizing Financial Performance: Learnings from 87,000 Providers Across the Country

With 87,000+ providers on the athenahealth network, athenahealth has collected unparalleled insights and best practices to help medical groups like yours drive financial performance. In this e-book, you'll learn: How do you get patients to... Download white paper

Case Study: Children’s Medical Group: Improving Interoperability Between Practices

Dr. Craig Summers, founder of Children’s Medical Group, maintains a close working relationship with Yale New Haven Hospital where many of his patients are born, operated on, and referred to for specialist treatment. For more than three... Download white paper

Thriving as an Independent Practice:  The 5 Keys to Success

This whitepaper identifies 5 capabilities as essential building blocks for thriving independent practices. With this strong foundation, practices can successfully chart their own course through industry change, and providers thinking of starting... Download white paper

Infographic: 10 Things to Know About MACRA

Finally figuring out PQRS, VM and MU? Don’t get too comfortable. The new MACRA ruling creates a whole new framework to drive providers to value-based care. Medical practices need to understand and prepare for this complex mandate or suffer... Download white paper

Infographic: Navigating Merit-Based Incentive Payment System (MIPS)

Changes are coming to the Merit-Based Incentive Payment System (MIPS). With more stringent rules in 2018, penalties will be a greater hit to physicians' bottom line. And they’ll be harder to ignore. With this infographic, you'll... Download white paper

Patient Pay: Discovering the Best Ways to Collect

Physicians are facing mounting financials pressure from all directions. Discover the best way to collect and guide to help target the areas that will be of most value. Download this ebook to learn four areas of focus to improve patient pay collections.... Download white paper

An Everything Guide to MACRA and Beyond

In 2019, Medicare Access & CHIP Reauthoriza­tion Act (MACRA) will determine how Medicare reimburses doctors. Start getting ready for MACRA immediately. Download this whitepaper to learn how to be proactive and successfully prepare with... Download white paper

Infographic: Quick Guide to Alternative Payment Models (APMs)

Alternative Payment Models (APMs) are the most advanced options under the Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program. APMs offer the highest incentives and could be the preferred model of the future.... Download white paper

Revenue Cycle Case Study: Watauga Orthopaedics Triples its Size

Watauga Orthopaedics used to dedicate three full-time employees to confirming patients’ insurance eligibility, and another employee was responsible for keeping track of changing payer rules. Learn how going live on athenahealth’s... Download white paper

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