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

Revenue Cycle Management Interviews

Strong Compliance Programs Key to Avoiding Healthcare Fraud

by Jacqueline LaPointe

Preventing and catching healthcare fraud schemes has recently jumped to the forefront of many public and private payer programs that are designed to reduce unnecessary healthcare spending. The Department of Health and Human Services (HHS) a...

The Future of Accountable Care Organizations Involves Risk

by Jacqueline LaPointe

As many healthcare providers know, participating in a value-based care program, such as an accountable care organization, is about more than just tying payment to quality.  It involves shouldering financial risk as a way to motivate cl...

Top 5 Ways to Optimize Healthcare Revenue Cycle Management

by Vera Gruessner

Revenue cycle management remains relatively elusive in the new healthcare landscape, as new regulations and reforms have led the industry to evolve and left many hospitals scrambling to keep their revenue strong in a value-based care reimbu...

Acquisitions, Scale Key to Pediatric Revenue Cycle Management

by Jennifer Bresnick

Stanford Children’s Health may be best known for delivering expert acute care to pediatric patients and expectant mothers at the flagship Lucile Packard Children’s Hospital, but inpatient services are only a part of how the syst...

How to Scale Healthcare Bundled Payments throughout Hospitals

by Vera Gruessner

Healthcare bundled payments are a key strategy across the industry aimed at boosting patient health outcomes, improving the quality of care, and bringing reimbursement toward a value-based payment model. While the Centers for Medicare &...

4 Healthcare Supply Chain Management Tips for Revenue Success

by Jennifer Bresnick

In a healthcare organization, keeping tabs on the ebb and flow of medical supplies is an incredibly important yet often overlooked task.  From syringes and gauze to drugs, disinfectant, and paper gowns, understanding supply chain manag...

Provider Communication Key for Success in Bundled Payments

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) has established a number of different healthcare reimbursement strategies including pay-for-performance, alternative payment models, and bundled payments. For instance, the CMS Comprehe...

Why Concierge Medicine Programs Boost Patient Satisfaction

by Vera Gruessner

Due to the many complications of healthcare reform and the many quality care initiatives being established by federal agencies and payers, both new and well-established alternative healthcare delivery models are cropping up. Concierge medic...

How EHR Data Analytics Influences Value-Based Reimbursement

by Jacqueline DiChiara

As the transition away from traditional, fee-for-service payment models towards value-based reimbursement continues, the implementation of electronic health records (EHRs) is becoming the rule rather than the exception. The Centers for Medi...

Shared-Decision Making Advances Value-Based Care Outcomes

by Jacqueline DiChiara

Shared-decision making promotes strong dialogue between healthcare providers and healthcare consumers and builds stronger value-based care outcomes. At its core, shared-decision making gives beneficiaries more choice about their care and tr...

Revenue Cycle Management Success is About the Fundamentals

by Jacqueline DiChiara

Revenue cycle management success is the heart of any healthcare organization. Defined as the clinical and administrative management of claims management, payment, and revenue production, revenue cycle management is in essence one large...

Why Did Experienced Accountable Care Organizations Fail?

by Jacqueline DiChiara

The Medicare Pioneer Accountable Care Organization (ACO) has proven it is able to manage larger performance-based financial risk levels. But some Pioneer ACOs dropped out when quality benchmarks were too hard to reach. RevCycleIntelligence....


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