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

Healthcare Revenue Cycle

Hospital Mergers Take Two or More Years to Produce Cost Savings

October 17, 2017 - Hospital mergers and acquisitions resulted in immediate decreases in operating expenses per adjusted admission. However, acquired facilities also saw operating revenue decline at a higher rate, leading to falling operating margins for the first two years after the transaction, a recent Deloitte and Healthcare Financial Management Association (HFMA) report showed. Merger and acquisition activity...


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Tenet Starts Chicago Market Exit with Sale of MacNeal Hospital

by Jacqueline Belliveau

Tenet Healthcare Corporation recently announced that Loyola Medicine has signed a definitive agreement to purchase MacNeal Hospital, one of Tenet’s four hospitals in the Chicago area. Loyola Medicine, an affiliate of Trinity Health, will...

Low-Cost, Low-Value Resource Use Drives $586M in Wasteful Spending

by Jacqueline Belliveau

Inexpensive low-value resource use resulted in over $586 million, or $9.09 per beneficiary per month, in unnecessary healthcare spending in Virginia, a new Health Affairs study showed. The total amount spent on low-cost, low-value resource use...

Order History, Machine Ownership Leads to Low-Value Imaging

by Jacqueline Belliveau

Providers are more likely to order costly, low-value imaging services if they have a history of ordering the services, a high rate of imaging in another low-value clinical situation, and an ownership stake in the imaging equipment, uncovered...

Healthcare Workforce Demand Growing Faster than Provider Supply

by Jacqueline Belliveau

The demands of the healthcare workforce are significantly outpacing the supply of new doctors available, especially for primary care providers, a recent Merritt Hawkins survey uncovered. The survey of 935 physicians in their final year of residency...

Health Systems Responsible for 70% of Acute Care Hospitals

by Jacqueline Belliveau

New data from the Agency for Healthcare Research and Quality (AHRQ) showed that most hospitals were part of a health system in 2016. Almost 70 percent of non-federal generate acute care hospitals belonged to a health system, or network of at...

Healthcare RCM Vendors ZirMed and Navicure Announce Merger

by Jacqueline Belliveau

Healthcare revenue cycle management vendors Navicure and ZirMed recently announced that the organizations signed a definitive agreement to merge. Navicure will supposedly acquire ZirMed in a deal that values at about $750 million, sources told...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

by Jacqueline Belliveau

An overwhelming majority of healthcare executives (96 percent) stated that cost transformation is a significant need for their hospital or health system. Yet, over one-half of organizations either do not have a healthcare cost reduction goal...

Revenue Cycle Management, Upgrades Jump to Top Hospital Priority

by Jacqueline Belliveau

Hospitals leaders are pushing revenue cycle management to the top of their priority lists in the last quarter of 2017, a recent Black Book Market Research survey uncovered. Almost three-quarters of struggling hospitals are prioritizing revenue...

Federally Qualified Health Centers Troubled By Rising Competition

by Jacqueline Belliveau

About 61 percent of leaders at federally qualified health centers (FQHCs) anticipate competition to rise in the next year, threatening their revenue cycle and financial stability, a recent Sage Growth Partners (SGP) survey revealed. The survey...

Small Transactions Drive Healthcare Mergers and Acquisitions

by Jacqueline Belliveau

About one-half of the growth of medical groups that originally employed over 100 physicians between 2007 and 2013 involved healthcare mergers and acquisitions with groups of ten or fewer physicians, a recent Health Affairs study showed. Another...

Key Strategies for Health Systems to Achieve Economies of Scale

by Jacqueline Belliveau

Companies from across industries use economies of scale to realize cost savings. While hospitals and health systems are borrowing the economic concept to reduce spending, many healthcare organizations have encountered challenges with achieving...

Exploring Key Components of the Healthcare Revenue Cycle

by Jacqueline Belliveau

The healthcare revenue cycle encompasses “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue,” according to the Healthcare Financial Management Association...

Top 10 Enterprise Resource Planning (ERP) Vendors By Hospital Use

by Jacqueline Belliveau

Healthcare providers have become increasingly interested in implementing enterprise resource planning (ERP) systems as part of their business intelligence and revenue cycle management suites. ERP systems are business management tools that give...

Small Health System Achieves ROI with Asthma Management Clinic

by Jacqueline Belliveau

Asthma is one of the most expensive chronic diseases for providers, payers, and patients. But a recent study in the American Journal of Managed Care showed that a stationary pediatric asthma management clinic can achieve a return on investment...

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

by Jacqueline Belliveau

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 disparate...

Medicare Reimbursement Add-On to Boost Palliative Care Revenue

by Jacqueline Belliveau

A recent study in the Journal of Palliative Medicine showed that providers should be leveraging a supplemental Medicare reimbursement to enhance palliative care in the last seven days of life. CMS pays providers for furnishing routine home care...

Skilled Nursing Facilities See $370M Medicare Reimbursement Bump

by Jacqueline Belliveau

Skilled nursing facilities are slated to receive a 1 percent increase in Medicare reimbursement in 2018, representing $370 million more dollars in healthcare payments, CMS recently announced in a final rule. While CMS finalized Medicare reimbursement...

Volume, Value of Healthcare Merger and Acquisition Deals Up

by Jacqueline Belliveau

Healthcare merger and acquisition activities among hospitals were up 15 percent in the second quarter of 2017 compared to the same quarter the previous year, recent research from Kaufman, Hall & Associates, LLC showed. The number of transactions...

Healthcare Revenue Cycle Software Market to Grow at 4.5% CAGR

by Jacqueline Belliveau

The healthcare revenue cycle management software market is slated to grow at a modest compound growth rate (CAGR) of 4.5 percent between 2017 and 2021, stated a recent Research and Markets report. “The latest trend gaining momentum in the...

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