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

Healthcare Spending

Healthcare Spending to Rise Despite Lack of Patient Input

by Sara Heath

Healthcare spending is expected to climb to enormous heights by 2024, according to a recent news release by the Citizen’s Council for Health Freedom (CCHF). According to Twila Brase, R.N and Co-Founder and President of CCHF, these rising...

NOTICE Act Helps Beneficiaries Understand Healthcare Costs

by Sara Heath

In a unanimous vote, the Senate passed the Notice of Observation Treatment and Implication for Care Eligibility Act (the NOTICE Act) on July 27, according to the American Hospital Association (AHA). On July 29, the bill was presented to...

Is Sustainability the Future of Healthcare Spending Growth?

by Jacqueline DiChiara

Healthcare spending growth is expected to increase throughout the next decade, according to newly released data from Health Affairs via the Centers for Medicare & Medicaid Services (CMS) Office of the Actuary (OACT). Are future surmised numbers...

As Medicare Turns 50, Does It Still Make Financial Sense?

by Sara Heath

As Medicare’s 50th birthday approaches, critics begin to question whether the program should be rescued and updated for today’s health economy, or if it should be phased out and eventually dissolved, according to a news...

Will Insurance Mergers Drive Up Health Insurance Premiums?

by Jacqueline DiChiara

A series of pending healthcare mergers may lessen competition and leave beneficiaries with less choice. Aetna recently agreed to acquire Humana for $37 billion in cash and stock. The unification of two of the largest health insurers is expected...

$2 Billion Spent on Preventable Healthcare Costs, Says MHD Study

by Sara Heath

Preventable healthcare spending is on the rise, according to a Minnesota Health Department (MHD) analysis of state emergency department visits, hospital admissions, and hospital readmissions. The study showed that approximately 1.3 million of...

CMS Trustees Report Historic Low in Medicare Cost Growth

by Sara Heath

Growth in Medicare costs remains low, according to the Trustees report released on July 21 by the Centers for Medicare & Medicaid Services (CMS). The Trustees report indicates that the Medicare trust fund will remain solvent until 2030, which...

New Growth in Home and Community-Based Services Spending

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has released its “milestone” 2013 Medicaid Expenditures for Long-Term Services and Supports Report. According to the Center for Medicaid and CHIP Services (CMCS), 2013 was the...

AHA Opposes HPID on HIPAA Transactions

by Sara Heath

On July 20, Ashley Thompson, Vice President and Deputy Director of the American Hospital Association (AHA), sent a letter on behalf of the AHA expressing opposition to the final rule on the Health Plan Identifier (HPID) and the Other Entity Identifier...

Price Transparency Laws Exclude Adequate Price Information

by Jacqueline DiChiara

Pricing Transparency laws paint a “bleak picture" with “much work to be done,” according to the third annual Catalyst for Payment Reform (CPR) – Health Care Incentives Improvement Institute (HCI) Report Card...

Analyzing the Highs and Lows of Children’s Healthcare Spending

by Jacqueline DiChiara

Healthcare spending for children is apparently on the up and up. It has increased more quickly than that of the total employer-sponsored insurance (ESI) population, according to a report from the Health Care Cost Institute (HCCI) which analyzes...

Increased Deductibles Create More Revenue Cycle Challenges

by Jacqueline DiChiara

The ability to collect payment from patients has changed dramatically with the recent proliferation of high deductible health plans (HDHPs). Increased deductibles mean more revenue cycle challenges. There has been a significant increase within...

How does the ACA Impact Providers’ Trust of Payers?

by Jacqueline DiChiara

How are those healthcare payers participating in Affordable Care Act (ACA) implementation performing? Perhaps pretty well, according to a tenth annual PayerView report card and ninth annual Payer Trust Index released consecutively by athenahealth...

June 19: Week That Was in Healthcare Fraud and Malpractice

by Jacqueline DiChiara

Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported below result in multiple millions of dollars...

ICD-10 Implementation is a Reimbursement Risk for Physicians

by Jacqueline DiChiara

ICD-10 delay and implementation news is on the tip of many a healthcare executive’s tongue. With the possibility of an upcoming ICD-10 implementation freeze, swirling industry-wide confusion, anticipated revenue cycle disturbance, and a...

CMS’s Internal Controls Neglect Payment Accuracy under ACA

by Jacqueline DiChiara

The internal controls that calculate and authorize financial assistance payments on behalf of the Centers for Medicare & Medicaid Services (CMS) are failing, says a report from the Office of the Inspector General (OIG)....

Will Inefficient Financial Healthcare Reform Kill the ACA?

by Jacqueline DiChiara

Is the Affordable Care Act (ACA) hurling the healthcare industry further into the red? The answer is a definite yes, according to a recent article about key findings from a pair of Harvard Medical...

Senate Finance Committee, NKF Address Medicare Spending

by Jacqueline DiChiara

The vast majority of Medicare dollars – 93 percent – accounts for chronic illness. As reported by, a recent legislative proposal from the Senate Finance Committee aims to dramatically improve care for rurally-based...

Improved ACO Participation Saves $240M, Says CMS Final Rule

by Jacqueline DiChiara

Established payment algorithms of Accountable Care Organizations (ACOs) are up for review. Following a hearty cache of recently proposed physician fee schedules and payment policies, the Centers for Medicare & Medicaid Services...

Coalition for ICD-10: ‘It is Time to Move Forward with ICD-10’

by Jacqueline DiChiara

With $22 billion spent by the healthcare industry over the past two decades to plan, train, convert systems, test, and transition for ICD-10 implementation, and a delay costing over $6 billion, will the healthcare industry ever be ICD-10 implementation...


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