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

Accountable Care Organizations

CMS, AMA Outline Evolving Healthcare Market Opportunities

by Jacqueline DiChiara

The Centers for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) discussed the evolving healthcare market yesterday at the J.P. Morgan Healthcare Conference in San Francisco, California. Their discussion was fittingly...

CMS Says 121 New Medicare ACO Participants Advance Quality

by Jacqueline DiChiara

The new future of the Accountable Care Organization is here. The Centers for Medicare & Medicaid Services (CMS) has announced 121 new Medicare Accountable Care Organization (ACO) participants. Yesterday’s press release from...

Do Accountable Care Organizations Improve Patient Experience?

by Jacqueline DiChiara

Accountable Care Organizations (ACOs) are designed to generate revenue by keeping patients happy. When ACOs were a tad newer, beneficiaries reportedly confirmed they were indeed satisfied with the level of care received from an ACO. But the push...

The Revenue Cycle Focused Accountable Care Organization

by Jacqueline DiChiara

Are you a healthcare provider considering making the accountable care switch as a New Year’s resolution? Staying in the black for 2016 means anticipating and preparing for possible financial disaster. But where should your revenue...

4 Fresh Accountable Care Organization Growth Predictions

by Jacqueline DiChiara

A new year calls for new accountable care organization (ACO) reflections. What is the new ACO future? Healthcare providers remain focused on collecting financial bonuses and achieving subsequent revenue cycle and ROI success. But numerous...

Top 6 Accountable Care Organization Questions Explained

by Jacqueline DiChiara

Sometimes questions are more important than answers. Accountable care organizations (ACOs) — groups of doctors, hospitals, and healthcare providers helping provide Medicare beneficiaries with top-notch coordinated fee-for-service care –...

Physicians Report 4 Factors of Value-Based Payment Success

by Jacqueline DiChiara

Are value-based payment models garnering favorable reviews or mere disdain from physicians? A new Value-Based Payment (VBP) Humana-funded study aims to answer this perhaps simultaneously simple yet heavy-handed question. Survey data...

CMS Reports ACOs Assume High Risk Yet Generate High Savings

by Jacqueline DiChiara

Accountable care organizations (ACOs) generated over $411 million in net program savings last year, according to financial and quality performance results from the Centers for Medicare & Medicaid Services (CMS). “The Affordable Care...

Do Medicare Shared Savings Program Final Waivers Boost ACOs?

by Jacqueline DiChiara

Laws that restrict financial arrangements between hospitals, physicians, beneficiaries, and the like are on the immediate horizon, according to newly published regulation from the Centers for Medicare & Medicaid Services (CMS), the Office...

Are Accountable Care Organizations Worth Investment Risk?

by Jacqueline DiChiara

Do Accountable Care Organizations (ACOs) have longevity in the healthcare industry or will they soon merely be gone with the wind? As RevCycleIntelligence.com reported, the Centers for Medicare & Medicaid Services (CMS) said within its 2014...

CMS: Medicare ACOs Boost Care Quality, Yield Shared Savings

by Jacqueline DiChiara

Medicare Accountable Care Organizations (ACOs) – collaborative groups of physicians, hospitals, and other healthcare providers who voluntarily unite to help provide better coordinated care – are collectively advancing Medicare beneficiaries’...

12 Value-Based Reimbursement Strategies to Cut Revenue Risk

by Jacqueline DiChiara

Value-based reimbursement is a hearty healthcare subject worth diving into as the shift from volume to value continues to evolve. Thirty percent of Medicare payments will be tied to alternative payment models, as per a recent announcement from...

Survey Highlights Changing Primary Care Practice Environment

by Jacqueline DiChiara

Primary care providers confirm mixed opinions regarding healthcare changes to healthcare delivery and payment within the primary care practice environment, states a new survey from the Commonwealth Fund and The Kaiser Family Foundation. Although...

Value-Based Payment Preparation Requires Cost Measurement

by Jacqueline DiChiara

Value-based payments present numerous challenges to healthcare providers. Healthcare finance departments may have a bit of catching up to do. Following an announcement from the Centers for Medicare & Medicaid Services regarding an actively...

ACOs Fighting Revenue Cycle Setbacks, Says Black Book Survey

by Jacqueline DiChiara

The fastidious partnership of financial incentive and risk is a delicate balancing act the healthcare industry is now increasingly pressured to perfect. As the healthcare system expediently swings away from fee-for-service and into the realm...

Will Enterprise-Wide System Data Bulletproof Revenue Cycle?

by Jacqueline DiChiara

The world of revenue cycle management possibly involves more variables than an introductory algebra course. The process of getting a professional claim paid often involves the execution of allegedly miraculous events. Bullet proofing a claim...

How to Manage ACO Risk with Value-Based Purchasing Programs

by Jacqueline DiChiara

The game of Risk is more than just a generally entertaining board game about world supremacy. It is also a critical game healthcare providers, payers, and hospital executives play daily regarding their own revenue cycle management objectives....

Improved ACO Participation Saves $240M, Says CMS Final Rule

by Jacqueline DiChiara

Established payment algorithms of Accountable Care Organizations (ACOs) are up for review. Following a hearty cache of recently proposed physician fee schedules and payment policies, the Centers for Medicare & Medicaid Services...

Revenue Cycle Management, EHR Vendor Loyalty Gaining Momentum

by Jacqueline DiChiara

Revenue cycle management and integrated Electronic Health Records (EHR) vendor loyalty for smaller physician practices continue to flourish and thrive within the healthcare industry, confirms an annual 2015 Black Book survey released in today’s...

Healthcare Experts’ Top 5 Accountable Care Organization Tips

by Jacqueline DiChiara

Accountable care organizations (ACOs) and accountable care models have existed on the forefront of the healthcare industry as an emerging and dynamic focus for healthcare providers, payers, and executives. As recent initiatives within the past...

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