Revenue Cycle Management

Aspirion Acquires Revenue Cycle Management Company FIRM

by Jacqueline LaPointe

Aspirion recently acquired FIRM Revenue Cycle Management Services, Inc. (FIRM RCM), a company that works with hospitals to recover denied, unpaid, and underpaid claims. The technology-enabled...

Razor Thin Margins Leave Hospitals Vulnerable to a Recession

by Jacqueline LaPointe

Hospital operating margins are stabilizing after a turbulent couple of years. However, margins remain below pre-pandemic levels, which makes hospitals and health systems vulnerable to a possible...

Revenue Cycle Leaders Spend the Most Time on Denials Management

by Victoria Bailey

Denials management and prior authorization are the most time-consuming revenue cycle management tasks for healthcare financial leaders, a survey commissioned by the healthcare operations company AKASA...

61% of Providers Plan to Outsource Revenue Cycle Management Tasks

by Victoria Bailey

As staffing shortages and financial challenges persist, healthcare providers are increasingly considering outsourcing revenue cycle management processes, according to a study from CWH Advisors and...

Hospital Margins Still Negative, But Finances See Some Stability

by Jacqueline LaPointe

Hospital finances are seeing signs of stability after years of unpredictable ups and downs during the COVID-19 pandemic, according to Kaufman Hall’s latest “National Hospital Flash...

Hospital Execs Expect Greater Shift to Outpatient Care

by Jacqueline LaPointe

Hospital and health system executives are expecting large increases in outpatient volume this year, according to a recent analysis from the Guidehouse Center for Health Insights. The Center for Health...

Hospital Financial Performance Still Lags Behind 2020

by Jacqueline LaPointe

Hospital financial performance continues to feel the effect of the COVID-19 pandemic, according to the latest “National Hospital Flash Report” from Kaufman Hall. The report shows that the...

AMGA Calls on Congress to Advance Value-Based Care, Support Providers

by Victoria Bailey

Congress should focus on advancing value-based care by investing in proper infrastructure, incentivizing patient engagement, and supporting continuous telehealth coverage, according to the American...

Workforce Challenges Remain a Top Concern for Healthcare Executives

by Victoria Bailey

Workforce challenges were a main concern for healthcare executives in 2022 and will likely remain an issue in 2023, according to surveys from the American College of Healthcare Executives (ACHE) and...

How Healthcare Organizations Can Help Improve Social Risk Interventions

by Victoria Bailey

Financing healthcare organizations’ involvement in social risk interventions would require multiple funding approaches and is not guaranteed to improve the delivery of social services, according...

Medicaid Expansion Helped Improve Provider Financial Performance

by Victoria Bailey

Medicaid expansion has positively impacted healthcare providers by boosting financial performance and resulting in payer mix improvements, data from the Kaiser Family Foundation (KFF) found. All but...

Healthcare Bankruptcies Grew by 84% in 2022, Returning to 2020 Levels

by Victoria Bailey

The number of healthcare bankruptcies increased by 84 percent from 2021 to 2022, driven by rising costs, workforce shortages, and high interest rates, according to a report from Gibbins Advisors. The...

How a Better Prior Authorization Process is Rising from FHIR

by Jacqueline LaPointe

Given the opportunity, most providers would like to set prior authorizations on fire. One accountable care organization based in the Pacific Northwest is doing just that, in a sense, by leveraging a relatively new health data standard to...

How EHR-RCM Integration Can Improve Revenue Cycle Efficiency

by Victoria Bailey

Leveraging automation for revenue cycle management (RCM) processes can streamline tasks and improve efficiencies. Specifically, partnering with an EHR vendor helped Advocare, an independent physician-owned group practice, achieve $1...

Patient Payment Solutions Not Living Up to Provider Expectations

by Jacqueline LaPointe

Most providers have seen an implementation of a patient payment solution over the past five years. However, 30 percent felt the implementations were not successful and only 58 percent reported high...

Connecting Payers, Providers, and Tech for a Better Patient Financial Experience

by Victoria Bailey

The patient financial journey can be lengthy and confusing for consumers following a healthcare encounter, making it a critical area of improvement for providers and their revenue cycle management teams. Streamlining the patient financial...

Providers Vary When Measuring Return on Investment of RCM Automation

by Victoria Bailey

Healthcare providers vary widely in how, when, and what they measure for return on investment (ROI) of revenue cycle management (RCM) automation, according to a survey from the Healthcare Financial...

Rapid Recovery Unlikely as Hospitals Face Worst Financial Year Yet

by Jacqueline LaPointe

Hospitals will need to take drastic cost-cutting measures to stabilize balance sheets after one of the worst financial years in decades, according to economists from Johns Hopkins. Those measures may...

KLAS Rates Provider Credentialing Solution Efficiency

by Jacqueline LaPointe

Healthcare organizations have tapped vendors for provider credentialing solutions to increase efficiency, but not all companies are created equal, a new KLAS report suggests. “Credentialing...

Revenue Cycle Management Software Investments On The Rise

by Jacqueline LaPointe

Healthcare providers are doubling down on software investments and they are putting their money on revenue cycle management solutions to address key challenges, according to a new report from KLAS and...