Medicare accountable care organizations (ACOs) are finally smoothing out regional hospitals' revenue cycle wrinkles. But successful ACOs still need to adopt tighter standards to remain...
The topics of revenue cycle management innovation and value-based care will be of key importance at HIMSS16, one of the largest healthcare information technology (IT) conferences of the year, held next...
Healthcare organizations are focused on strengthening revenue cycle management processes in a post-ICD-10 environment, according to Porter Research and Navicure’s national ICD-10-centered...
Hospitals are focusing on various outsourcing endeavors or different manual approaches to maintain a healthy revenue cycle. But is it working as planned? Perhaps only at a...
This year, the healthcare industry lived in denial. Claims denial, that is.
Claims denials management dialogues were extensive and recurring among healthcare providers across the industry...
Just as Ebenezer Scrooge from Dickens’ A Christmas Carol has money on his mind, so does the healthcare industry.
The importance of collecting money from a patient at or before point-of-service...
Money may be the root of all evil, but it is also the root of the healthcare industry.
Revenue cycle management, based upon the straightforward notion of continuously staying in the black, is about...
Over 13 million institutional and physician ICD-10 claims valued at over $25 billion were “successfully” processed last month across 2,400 hospitals and 630,000 healthcare providers,...
Healthcare spending for the privately insured has steadily increased over the last 5 years, confirms today’s fifth annual healthcare spending report from the Health Care Cost Institute...
Medicare Advantage members confirm greater levels of plan satisfaction than those enrolled in commercial programs, says a 2015 Medicare Advantage Member Satisfaction...
As the first three weeks since ICD-10 implementation kicked off on October 1 unfold, alleged signs of positivity are being reported. Over 13 million institutional and physician ICD-10 claims valued at...
“How do you excel in revenue cycle management?” RevCycleIntelligence.com continues to ask hospital executives and leaders this simple yet intricate question to...
Although reimbursement is a vital aspect within a claim’s life cycle, it is certainly not the only vital piece. It is important to recognize and distinguish each stage from the other within the total...
Providers continue to evaluate healthcare revenue cycle and volume in relation to the Affordable Care Act (ACA). ACA’s underlying elements — Medicaid expansion and reform — are under...
Catholic Charities West Michigan reached a settlement with the US Attorney’s Office for the Western District of Michigan over the non-profit organization submitting false Medicaid claims....
Pharmaceutical manufacturers’ current safeguards may not prevent all copayment coupons from being used for drugs paid for by Part D, according to a recent Office of Inspector General (OIG)...
The Texas Workforce Commission did not comply with federal requirements for the use of approximately $15 million in the Child Care and Development Fund (CCDF) targeted funds for fiscal year 2010,...
