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

Healthcare Revenue Cycle

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Mid-Revenue Cycle Management, CDI Market to Reach $4.5B by 2023

by Jacqueline LaPointe

The revenue cycle is traditionally broken into the front and back ends. But a new market report shows providers are still looking to bolster the middle of their revenue cycles. According to a recent Markets and Markets report, the...

40% of Revenue Cycle Leaders Don’t Discuss Charge Capture Regularly

by Jacqueline LaPointe

Over three-quarters (78 percent) of revenue cycle leaders at acute care organizations agreed charge capture is essential to an organization’s success, yet most leadership teams only discuss charge capture once a month or less. Those...

Medical Billing, Patient Access Top Revenue Cycle Risks of 2019

by Jacqueline LaPointe

Patient access and medical billing and collections are among the top healthcare revenue cycle risk areas for hospitals, practices, and other provider organizations in 2019, according to a new report from the public accounting, consulting,...

Value-Based Care, Price Transparency Rule Top Stories of 2018

by Jacqueline LaPointe

2018 has kept healthcare revenue cycle management and finance leaders on their toes. The healthcare industry continued its slow, but steady transition to value-based care and purchasing all while navigating the new landscape of healthcare...

Accounting for the Patient in the Healthcare Revenue Cycle

by Jacqueline LaPointe

From value-based care to record-high levels of patient financial responsibility, the healthcare industry is undergoing a tremendous amount of evolution. And the healthcare revenue cycle is having to learn some new tricks to keep up. Top...

Hospital Operating Income Falls for Two-Thirds of Health Systems

by Jacqueline LaPointe

Health system operating income is deteriorating as hospital expenses continue to grow, according to a recent Navigant analysis. In the three-year analysis of the financial disclosures for 104 prominent health systems that operate...

Healthcare Disruption Spurs Hospitals to Alter Business Operations

by Jacqueline LaPointe

Eighty-five percent of hospital and health system executives believe the industry is at significant risk for healthcare disruption, and their organizations are preparing their business operations for potential changes to how healthcare...

Consumers Seek Care in New Settings for Lower Healthcare Costs

by Jacqueline LaPointe

Consumers are generally comfortable with seeking routine care in healthcare settings beyond the hospital or their doctor’s office if the healthcare costs are lower, data from PwC’s Health Research Institute (HRI) showed. For...

Price Not the Only Driver of High Healthcare Costs, Research Shows

by Jacqueline LaPointe

Healthcare costs in Colorado are significantly higher compared to other states in the country. A recent analysis by the Network for Regional Healthcare Improvement (NHRI) showed that total cost of care in Colorado was 19 percent higher...

Patient Leakage Costs Most Healthcare Facilities 10% of Revenue

by Jacqueline LaPointe

Healthcare organizations are losing revenue because they are failing to properly mange referrals and patient leakage, a new survey shows. Forty-three percent of over 100 executives recently surveyed by Sage Growth Partners for Fibroblast...

AHA: Consolidated Payer Market Influences Hospital Contracting

by Jacqueline LaPointe

“The overwhelming majority of hospitals and health systems are not the drivers in contract negotiations with commercial health insurers,” the American Hospital Association (AHA) recently said in response to a potential FTC...

Aligning the Healthcare Revenue Cycle with Patient Experience

by Jacqueline LaPointe

Improving a patient’s financial experience is key to healthcare revenue cycle management success, according to the Senior Regional Director of Revenue Cycle at Ascension Healthcare. “Moving into the future, we need to focus...

Optum360, WayStar Named Top Revenue Cycle Management Vendors

by Jacqueline LaPointe

The eighth annual revenue cycle management technology and outsourcing solutions survey from Black Book recently uncovered the top client-rated healthcare revenue cycle management vendors for health systems, hospitals, and physician...

Implementing a Patient-Focused Culture Good Business for Practices

by Jacqueline LaPointe

Fostering a patient-focused culture was a top business strategy top-performing medical groups and practices implemented in 2018, the Medical Group Management Association (MGMA) recently reported. As part of its 2018 MGMA DataDive Better...

Clinical Documentation Improvement Solutions Up Provider Revenue

by Jacqueline LaPointe

Provider organizations are seeing financial improvements after implementing clinical documentation improvement (CDI) solutions, a recent KLAS survey shows. Revenue improved for about 53 percent of healthcare executives, medical records...

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