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

Healthcare Revenue Cycle

Healthcare RCM Vendors ZirMed and Navicure Announce Merger

by Jacqueline LaPointe

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...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

by Jacqueline LaPointe

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...

Revenue Cycle Management, Upgrades Jump to Top Hospital Priority

by Jacqueline LaPointe

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...

Federally Qualified Health Centers Troubled By Rising Competition

by Jacqueline LaPointe

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...

Small Transactions Drive Healthcare Mergers and Acquisitions

by Jacqueline LaPointe

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...

Key Strategies for Health Systems to Achieve Economies of Scale

by Jacqueline LaPointe

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...

Exploring Key Components of the Healthcare Revenue Cycle

by Jacqueline LaPointe

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...

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

by Jacqueline LaPointe

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...

Small Health System Achieves ROI with Asthma Management Clinic

by Jacqueline LaPointe

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...

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

by Jacqueline LaPointe

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...

Medicare Reimbursement Add-On to Boost Palliative Care Revenue

by Jacqueline LaPointe

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...

Skilled Nursing Facilities See $370M Medicare Reimbursement Bump

by Jacqueline LaPointe

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...

Volume, Value of Healthcare Merger and Acquisition Deals Up

by Jacqueline LaPointe

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...

Healthcare Revenue Cycle Software Market to Grow at 4.5% CAGR

by Jacqueline LaPointe

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...

Free Health Clinics Face ROI, Clinical Efficiency Obstacles

by Jacqueline LaPointe

Free health clinics help uninsured and low-income individuals access affordable care, but two recent studies show that free clinics may face healthcare costs and clinical efficiency challenges. New research in the Journal of the American...

Geisinger Lowers Turnover for Healthcare Revenue Cycle Success

by Jacqueline LaPointe

A MAP Award for High Performance in Revenue Cycle from the Healthcare Financial Management Association (HFMA) indicates that a health system achieved outstanding healthcare revenue cycle performance on metrics such as net days in accounts...

Making a Business Case for the Patient-Centered Medical Home

by Jacqueline LaPointe

Transforming primary care practices to patient-centered medical homes (PCMHs) and maintaining National Committee for Quality Assurance (NCQA) recognition cost a large physician network about $2.5 million, or $43,000 per practice, revealed...

Greater Non-Physician Staffing Helps Healthcare Revenue Cycle

by Jacqueline LaPointe

Increasing the number of non-physician providers and support staff, such as physician assistants and nurse practitioners, is key to healthcare revenue cycle performance, a recent MGMA survey revealed. The survey of over 2,900 medical...

GAO Identifies VA Provider Productivity Measure Shortcomings

by Jacqueline LaPointe

The VA lacks appropriate provider productivity measures and clinical efficiency models to accurately capture medical center performance, the Government Accountability Office (GAO) recently reported. A review of the VA Central Office and...

Healthcare Costs Up 47.2% Despite Little Change in Utilization

by Jacqueline LaPointe

Healthcare costs increased 47.2 percent from $246 per individual per month in 1996 and 1997 to $362 per individual per month in 2011 and 2012 despite healthcare utilization and the number of individuals seeking care remaining relatively...

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