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

Revenue Cycle Management Resources

Navigating the Electronic Payment Process

Distributing and managing claim payments in the constantly evolving healthcare landscape is incredibly complex. Download our interactive guide to help you follow the payment process, and learn what you need to navigate the shifting payment landscape... Download white paper

Four Innovative Ways to Achieve Revenue Goals with Existing Technology

Optimizing revenue is a primary focus for healthcare organizations, as reimbursements are increasingly determined by clinical outcomes and patient satisfaction. By reimagining the uses of automated communications technology, many forward-thinking... 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

Case Study: BCBS Wellmark and Wheaton Franciscan Hospital - Exceed Quality and Financial Goals

Wellmark Blue Cross and Blue Shield of Iowa launched one of the first ACOs in the Midwest. Within one year of joining the shared savings payment mode, Wheaton-Franciscan Healthcare-Iowa  met and exceeded its quality goals, earning an incentive... Download white paper

Case Study: CMO Montefiore Care Management: Measuring ACO Success

The Montefiore ACO has consistently been one of the top-performing Pioneer ACOs in the country. Under CMS' Pioneer ACO Model program, they had to report on quality and prove their program lowered costs. To do this, they turned raw data from... Download white paper

A Strategy for Building a Value-Based Care Program: How Data Can Help You Shift from Fee-for-Service

Reimbursing care based on clinical or financial outcomes can seem like a daunting process--but it doesn't have be. This eBook breaks down the five key elements of a successul value-based care program and the important role of data. Download white paper

Population Health Management: A Bridge Between Fee for Service and Value Based Care

The move from fee-for-service to value-based payment isn't always seamless. Many organizations will have to balance multiple (and conflicting) revenue models at once. This eBook explains how a population health framework can help ease the... Download white paper

10 Questions Payers Must Ask When Choosing a Value Measure

Today's care models need a way to capture healthcare value--performance as it relates to cost. The proliferation of available measures makes it hard to cut through the clutter and decide which one is best for evaluating provider performance.... Download white paper

5 Tips to Optimize Narrow Network Performance

Are you feeling a sense of urgency as the year comes to an end? Our panel of experts walk through 5 tips to optimize narrow network performance. Close the year off strong and maximize the value of every dollar. You can optimize... View webcast