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

Healthcare Providers

Surviving Solo with Independent Practice Association Support

May 23, 2017 - Healthcare reform and market forces are driving more independent practice leaders to consolidate with larger hospitals or health systems. But an independent practice association, like Vermont’s HealthFirst, can help solo providers leverage the financial benefits of joining a larger healthcare organization without taking away their autonomy. “Sometimes independent physicians are...

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How Clinicians Add Value to Healthcare Supply Chain Management

by Jacqueline Belliveau

Engaging clinical staff is key to adding value to healthcare supply chain management, according to three supply chain leaders at MaineHealth, a recent ECRI Institute Healthcare Supply Chain Achievement award recipient. The healthcare network...

Physician Alignment Drives Healthcare Revenue Cycle Progress

by Jacqueline Belliveau

Hospital and health system leaders frequently rank decreasing healthcare costs and increasing efficiency as their top concerns year-after-year. But many healthcare organizations have struggled to implement and sustain healthcare cost reduction...

House Reps Address Physician Shortage in Medicare Residency Bill

by Jacqueline Belliveau

House representatives Joseph Crowley (D-NY) and Ryan Costello (R-PA) recently introduced legislation that aims to resolve physician shortage challenges by adding more Medicare-funded residency positions. A summary of the Resident Physician Shortage...

Physician Compensation for Specialists 45.6% More than for PCPs

by Jacqueline Belliveau

According to a recent Medscape survey, physician compensation for specialists was 45.6 percent more than what primary care providers earned in the past year. The survey of over 19,200 physicians in 27 specialists uncovered that the average physician...

AMGA President, CEO Donald W. Fisher, PhD, Passes at 71

by Jacqueline Belliveau

AMGA President and CEO, Donald W. Fisher, PhD, CAE, passed earlier this week after battling cancer, the healthcare industry group reported. Fisher, who was 71 years old, had led the organization since 1980. “Don leaves a professional and...

GAO: Quality Measure Misalignment Impedes Provider Improvement

by Jacqueline Belliveau

Healthcare quality measures are integral to determining value-based reimbursement, but misalignment of quality measures across public and private payers has made it more difficult for providers to develop quality improvements for value-based...

Physician Shortages Drive Increases in Provider Compensation

by Jacqueline Belliveau

The nationwide physician shortage continues to put pressure on healthcare organizations to retain quality employees by boosting employee compensation and providing incentives to stay at the organization, according to Health eCareers annual salary...

Healthcare Employment Increases Challenge Provider Orgs

by Jacqueline Belliveau

Despite significant increases in healthcare employment rates this year, employers and providers are still facing many challenges when it comes to delivering high quality care, such as physician burnout and rising turnover rates. A recent report...

Hospitals Face Healthcare Employment Challenges, High Turnover

by Jacqueline Belliveau

Recent healthcare employment trends could spell trouble for hospital revenue cycles across the nation. As quality and volume pressures continue to create difficult operational circumstances, some hospitals are finding that increasing turnover...

Driven by Specialists, Physician Compensation Rates Rise 3.1%

by Jacqueline Belliveau

Physician compensation has increased by 3.1 percent in 2015, according to a recent survey from the American Medical Group Association (AMGA). The rate represents a 0.3 percent increase from last year. “Once again this year, we see that...

FTC: Hospital Mergers and Acquisitions May Create Monopolies

by Catherine Sampson

Antitrust laws that prevent the formation of healthcare monopolies due to large-scale hospital mergers and acquisitions must be enforced in order to prevent skyrocketing healthcare costs, said Federal Trade Commission Chair Edith Ramirez at a...

Providers Need Time, Resources for MACRA Implementation

by Catherine Sampson

Driven by the Affordable Care Act, the implementation of Medicare Access and CHIP Reauthorization Act (MACRA) is expected to significantly impact the nation's healthcare system. Already, many physicians and various types of healthcare...

Five Best Practices to Prepare for Value-Based Reimbursement

by Catherine Sampson

Accountable care organizations (ACO) hold the key to successfully implementing value-based care and receiving value-based reimbursement. However, delivering quality care while also preparing for value-based reimbursement is not a simple task....

Medicaid Expansion Decisions Cost Hospitals, States Billions

by Jacqueline DiChiara

Medicaid expansion rejection is costing various states across the nation a great deal of money. The voluntary decision to not implement Medicaid expansion is potentially harmful for revenue cycle management. Expansion states have been experiencing...

CMS Provider Data Combats Medicare, Medicaid, CHIP Fraud

by Jacqueline DiChiara

To help combat healthcare fraud, the Centers for Medicare & Medicaid Services (CMS) has released a new pair of public data sets to promote greater Medicare and Medicaid data transparency and cut down on Medicare and Medicaid fraud,...

2 Medicare Alternative Payment Models Demanding Future Focus

by Jacqueline DiChiara

Medicare alternative payment models have the ability to make affordable, high quality care a reality. But providers still demand greater levels of care coordination and cleaner streamlining of clinical data to achieve value-based reimbursement...

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 treatment...

Why Revenue Cycle Management Needs Electronic Data Exchange

by Jacqueline DiChiara

More focus on electronic data exchange can potentially save healthcare organizations, hospitals, and health systems $8 billion annually, according to a report from the American Hospital Association (AHA). Rising healthcare costs may...

CMS Rule Addresses Medicare Fraud, Overpayment Compliance

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) published a final rule this week focused on improving Medicare compliance, reporting, and self-identified overpayments to ultimately combat Medicare fraud. Under...


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