Revenue Cycle Management

Driven By Prices, Private Healthcare Spending Reaches New High

by Jacqueline LaPointe

Average annual healthcare spending for individuals with employer-sponsored insurance grew 4.2 percent from 2016 to 2017, the latest data from the Health Care Cost Institute (HCCI) revealed. The growth...

Clinical Documentation and Coding Top Revenue Cycle Vulnerability

by Jacqueline LaPointe

Hospital leaders are concerned that their organization’s clinical documentation and coding processes are vulnerable to errors that could result in lost or decreased revenue, according to a recent...

Only 13% of Hospital CFOs Prepared for Value-Based Reimbursement

by Jacqueline LaPointe

Fewer hospital CFOs are prepared to manage the financial impact of evolving business conditions, such as value-based reimbursement and care delivery models, a new survey finds. Consulting firm Kaufman...

KLAS Names Best Vendors for Financial, Revenue Cycle Management

by Jacqueline LaPointe

Epic Systems continued to take the lead across several categories in the 2019 Best in KLAS report, including a key revenue cycle management market. In addition to being named the top overall software...

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...

More Groups Want to Extend Medicare Shared Savings Program Deadline

by Jacqueline LaPointe

Eleven healthcare industry groups are supporting the National Association of ACOs’ (NAACOS) call for CMS to extend the Feb. 19 application deadline for the Medicare Shared Savings Program...

Hospitals, Blue Cross NC Share Risk with New Value-Based Contract

by Jacqueline LaPointe

Five major health systems recently entered a value-based contract with Blue Cross and Blue Shield of North Carolina (Blue Cross NC) that will hold them financially accountable for total costs of care...

Small Hospital Boosts Bottom Line Through Patient Access Automation

by Jacqueline LaPointe

“The patient access area is where everything starts, and that mindset is what led to our success.” That was the sentiment of Deonne Henry, the Vice President of Revenue Cycle at Magnolia...

Addressing Healthcare Consumerism a Top Priority for Docs in 2019

by Jacqueline LaPointe

2019 will be the year of healthcare consumerism, according to industry experts. As patient financial responsibility increases, revenue cycle and finance leaders are finding it high time to align their...

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...

Hospitals Weigh in on Medicare DSH Payment Supreme Court Case

by Jacqueline LaPointe

Major hospitals and medical colleges recently urged the Supreme Court to affirm a DC Circuit Court decision that HHS violated the Medicare Act when the department altered the reimbursement adjustment...

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...

17% of Families Make at Least One Large Healthcare Payment a Year

by Jacqueline LaPointe

One in six families make at least one extraordinary healthcare payment of at least $400 and one percent of annual income in any given year, researchers from the JPMorgan Chase Institute recently...

DoJ Offers Insight into Anti-Steering, Antitrust Case with Atrium

by Jacqueline LaPointe

The Department of Justice (DoJ) is shedding more light on its recent settlement with North Carolina-based Atrium Health over allegations the health system used its market power to create...

Hospital Revenue Unstable Despite Outpatient Volume Growth

by Jacqueline LaPointe

Hospitals recently saw increases in national inpatient and outpatient volumes. However, net hospital revenue continues to be unstable for non-profit organizations, according to a new analysis from the...

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...

26% of Hospitals Without Effective Revenue Cycle Management System

by Jacqueline LaPointe

Approximately one-quarter of US hospitals (26 percent) do not have an effective healthcare revenue cycle management solution in place, according to a new Black Book survey. Black Book surveyed over...

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...