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

Healthcare Definitions

Understanding the Top 10 Terms of Value-Based Purchasing

July 18, 2017 - Whether providers favor it or not, the healthcare industry is inevitability moving to value-based purchasing. CMS reported in 2016 that Medicare already linked 30 percent of traditional fee-for-service payments to value-based purchasing models and the federal healthcare program anticipates upping the percentage to 90 percent by the end of 2018. Private payers are not fair behind...


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Exploring the Role of Supply Chain Management in Healthcare

by Jacqueline LaPointe

Cutting healthcare costs has become a mantra for many hospitals and physician practices, especially as payers start to tie claims reimbursement amounts to quality and cost performance. Many organizations have looked to the billing and...

Examining the Role of Financial Risk in Value-Based Care

by Jacqueline LaPointe

As the healthcare industry ramps up its efforts to advance value-based care, providers are expected to take on more financial risk. One of the goals of value-based care is to transition financial risk away from taxpayers and healthcare...

Understanding the Basics of Bundled Payments in Healthcare

by Jacqueline LaPointe

The shift to value-based care has driven public and private payers to redesign reimbursement models that stress accountability for care quality and healthcare costs. As the fee-for-service environment fades away, alternative payment models...

Examining the Value-Based Alternative Payment Model Basics

by Jacqueline DiChiara

Alternative payment models like the accountable care organization (ACO) and the bundled payment model have been gaining popularity under the Affordable Care Act’s (ACA) mandates. Figuring out how alternative payment models will...

Examining Differences Between Medicare, Medicaid Reimbursement

by Ryan Mcaskill

While Medicare and Medicaid are similar programs, there offer different challenges when it comes to reimbursement. Medicaid and Medicare services are often lumped together because they are both government-sponsored healthcare programs. It...

Examining the Basics of the Healthcare Revenue Cycle

by Ryan Mcaskill

There are a number of different tasks that go into running a successful healthcare organization. However, regardless of whether you are a multi-location hospital network spread across the country or a private practice consisting of one...

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