Revenue Cycle Management

Over 30% of Health Systems Have Manual Patient Access Processes

by Samantha McGrail

Patient access is still a largely manual process for most health systems, but more organizations are looking to automate, according to an Eliciting Insights survey.  The survey of patient access...

Empowering the Frontline to Improve Hospital Revenue Cycle

by Jacqueline LaPointe

There is always room for improvement in the hospital revenue cycle, according to Rodney Adams, a revenue cycle leader with over 15 years of experience and the current associate administrator of finance...

Medical Staff Credentialing Tech Worth the Investment, KLAS Finds

by Jacqueline LaPointe

Investing in medical staff credentialing technology strengthens onboarding, optimizes workflows, and is an overall worthwhile investment, according to medical staff professionals in a recent KLAS...

Cerner Makes Strides with Improving Revenue Cycle Management Product

by Jacqueline LaPointe

Provider organizations using Cerner’s revenue cycle management product are overwhelmingly reporting an improved relationship with the vendor despite a lack of financial outcome improvements,...

Healthcare CFO Role Evolving to Improve Enterprise Performance

by Jacqueline LaPointe

In an evolving healthcare landscape, the role of the healthcare chief financial officer (CFO) is undergoing significant transformation to keep up. CFOs of major healthcare organizations are no longer...

Third of Providers Regret Revenue Cycle Outsourcing Purchase

by Jacqueline LaPointe

Provider organizations are finding that full revenue cycle outsourcing is not meeting expectations, according to a new market report from KLAS. For the report “Outsourced Revenue Cycle Services...

Manual Healthcare Contract Management Costs Providers $157B A Year

by Jacqueline LaPointe

Healthcare contract management is still largely manual or non-existent for most providers, revealed a new Black Book survey. Ninety-six percent of the 1,275 CFO, financial management, and business...

C-Suite Focusing on Healthcare Revenue Growth Over Cost Control

by Jacqueline LaPointe

Healthcare revenue growth pushed past cost containment as the greatest priority for C-suite executives in 2019, according to the results of a new survey. In the Advisory Board’s Annual Health...

Using Artificial Intelligence to Advance Revenue Cycle Management

by Jacqueline LaPointe

Artificial intelligence (AI) is making big waves in healthcare from detecting lung cancer and gene mutations that lead to autism to addressing social determinants of health and chronic conditions. The...

Strategies for Effective Cost-of-Care Conversations with Patients

by Jacqueline LaPointe

Patients are paying more and more for their healthcare services, making effective cost-of-care conversations a skill that providers need to successfully treat patients. Health plans with deductibles...

Pre-Access Center Collects More Patient Financial Responsibility

by Jacqueline LaPointe

Since Jill Barton can remember Montefiore St. Luke’s Cornwall Hospital in New York has experienced financial challenges. But the non-profit hospital’s troubles were recently getting worse...

Academic Medical Centers Adapting with New Business Models

by Jacqueline LaPointe

Academic medical centers (AMCs) will have to implement new business models to remain profitable and competitive in the wake of healthcare consumerism, new industry entrants, provider consolidation, and...

Recovery Audit Contractor Reform Eases Provider Burden, CMS Says

by Jacqueline LaPointe

The Medicare fee-for-service Recovery Audit Contractor (RAC) program found approximately $89 million in overpayments and recovered $73 million in the fiscal year (FY) 2018, CMS Administrator Seema...

Financial Risk Sharing in Healthcare Improves Quality, Costs in CA

by Jacqueline LaPointe

Financial risk sharing in healthcare led to total costs of care being 3.5 percent lower in 2017, reveals the third edition of the California Regional Health Care Cost & Quality Atlas. Providers in...

Exploring Value-Based Payment Models Under Primary Care First

by Jacqueline LaPointe

On April 22, 2019, HHS unveiled the Primary Cares Initiative, a program that aims to reduce administrative burdens and enable primary care providers to focus more time on patients while decreasing...