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

Revenue Cycle Management Resources

The Role of HCCs in a Value-Based Payment System

Hierarchical condition categories are such an important factor in the value-based care world. Effectively managing them makes a huge difference in reimbursement and helps providers successfully achieve high-quality care. Over and under reporting... Download white paper

eGuide: Should physicians assign their own codes? The practical guide to striking a coding balance

Intended for ambulatory and outpatient facilities, we leveraged 3M coding experts and multiple medical industry publications to answer the questions: who should be selecting evaluation and management (E/M), Current Procedural Terminology (CPT)... Download white paper

Infographic: Navigating the Coder Shortage

A breakdown of the current state of the medical coder shortage, and visual roadmap to help ambulatory facilities overcome avoidable backlog, denials and compliance risks. Using a combination of medical coding industry publications and 3M data,... Download white paper

Data Shows HPV Vaccination Rates on the Rise

First licensed for use in 2006, the vaccine for HPV has met more resistance from parents of pediatric patients than any other recommended vaccine except the MMR vaccine, report providers from the network. A 2010 survey of parents of more than... Download white paper

Two Paths Ahead for MACRA and QPP

More providers than ever before are getting a full pass on pay-for-performance in 2018, and even those that are required to participate have a path that is only marginally more difficult than this year. Is all that too good to be true? Learn... Download white paper

Defining, Targeting, and Decreasing Low-Value Care

Targeting and curbing low-value care services represents a significant savings opportunity for payers. Low-value services make up a substantial portion of U.S. care costs—to the tune of ~$465 billion in 2017—and they’re driving... View webcast

2018 Predictions and Action Items for Healthcare Revenue Cycle Management

From health policy debates and new payment models to high deductible health plans and patient billing, healthcare organizations faced an abundance of revenue cycle management changes and challenges in 2017. Value-based reimbursement continued... View webcast

Infographic: Your Claims Management Solution Shouldn’t be the Topic of your Morning Coffee

Don't settle for claims management that is just fine. Read this infographic to see how you can revive your claim workflow and caffeinate your margins. Download white paper

Infographic: Achieving a Better ROI from Claim Status Checking

Monitoring the status of active claims is important in keeping small issues from turning into costly denials. But an even bigger problem is the amount of time wasted by staff members manually checking on claims that are proceeding to payment... Download white paper

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

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

X

Join 30,000 of your peers and get free access to all webcasts and exclusive content

Sign up for our free newsletter:

Our privacy policy

no, thanks

Continue to site...