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

Health IT

When Claims Reimbursement Doesn’t Cover Healthcare Innovation

August 22, 2018 - Implementing healthcare innovations that improve care quality is key to boosting patient experience and care quality, but what happens when claims reimbursement doesn’t cover the use of the latest and greatest services? This is the case at Nemours Children’s Health System. Radiologists at the health system are using 3D printing technology to create models of patients, so...


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HHS Mulls Private Sector Dialogue to Foster Healthcare Innovation

by Jacqueline LaPointe

HHS is floating the idea of creating a workgroup of private healthcare companies to advise the federal department on healthcare innovation and investment, according to a new Request for Information (RFI) notice. The federal department is...

EHRs Still Disrupt Nursing Workflows, But Nurses Warming to Tech

by Jacqueline LaPointe

The tides are starting to turn when it comes to EHR satisfaction among registered nurses. Only 69 percent of the providers now feel the EHR system is disruptive to the nursing workflow compared to 84 percent in the third quarter of 2016, a...

AMA Invests $27.2M in Health IT Co to Advance Value-Based Care

by Jacqueline LaPointe

The American Medical Association (AMA) recently invested another $27.2 million in Health2047 Inc., a health IT start-up in Silicon Valley that aims to tackle value-based care, physician productivity, and several other of healthcare’s...

House Reps Create Caucus for Value-Based Reimbursement, Health IT

by Jacqueline LaPointe

Four House Representatives recently announced the creation of a new bipartisan group dedicated to supporting and promoting healthcare innovation through value-based reimbursement. Representatives Mike Kelly (R-PA), Ron Kind (D-WI),...

Hospitals, Vendors Pay Health IT Professionals an Average of $109K

by Jacqueline LaPointe

Compensation for health IT professionals in provider and vendor organizations slightly increased from last year, reaching an average salary of $109,610 in 2018, according to the most recent HIMSS US Compensation Survey. The survey of 885...

Post-Acute Care Orgs Lack IT, Data Analytics for Value-Based Care

by Jacqueline LaPointe

Value-based care hinges on data analytics and provider communication across the care continuum. However, post-acute care providers do not have the health IT infrastructure or communication workflows in place to support value-based...

NYC Health’s ERP System to Bring Business Ops to Digital Age

by Jacqueline LaPointe

From payroll and workload management to orders and purchasing, health systems manage a myriad of back-end business operations, using a combination of automated systems as well as manual processes associated with each function. The web of...

3 Pain Points Affecting Small Practice Healthcare Revenue Cycle

by Jacqueline LaPointe

While working in a small practice allows providers to really understand their patients and their community’s healthcare needs, it can also create unique healthcare revenue cycle management challenges. Small practices come with...

Providers Lack Tools, Payer Alignment for Value-Based Purchasing

by Jacqueline LaPointe

Healthcare providers still lack the necessary tools for value-based purchasing success with only 43 percent of providers reporting that they have access to the appropriate solutions, a recent Quest Diagnostics and Inovalon survey...

77% of Practices Seek MIPS Compliance Tech for MACRA Support

by Jacqueline LaPointe

Approximately 77 percent of practices of three or more clinicians are looking to purchase Merit-Based Incentive Payment System (MIPS) compliance technology by the last quarter of 2017 to overcome MACRA implementation challenges, a recent...

56% of Top Performing Med Groups Plan Value-Based Purchasing

by Jacqueline LaPointe

About 56 percent of medical groups that were financially high-performing have a plan for a value-based purchasing transition versus just 32 percent of medical groups falling behind with healthcare revenue cycle management, a recent...

Health IT, Care Navigators Most Effective at Lowering Costs

by Jacqueline LaPointe

While countless strategies are out there for making care delivery more efficient, a recent Health Affairs study revealed that interventions that use health IT and community health workers realized the greatest cost savings. Researchers...

OIG: Provider Support, Health IT Needed for MACRA Implementation

by Jacqueline LaPointe

MACRA implementation has been a major priority for CMS in the past year, but the Department of Health and Human Service’s Office of the Inspector General (OIG) recently found several challenges that could impede Quality Payment...

Benefits, Challenges of Value-Based Health IT Implementation

by Jacqueline LaPointe

From EHR systems to mHealth apps, health IT has the potential to help providers achieve value-based care goals. But with hundreds of new technologies seemingly emerging each day, many providers are struggling to select the most appropriate...

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