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

Healthcare Spending

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 RevCycleIntelligence.com 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 RevCycleIntelligence.com, 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...

June 5: 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...

Is Consumer-Centric Revenue Cycle Management the Solution?

by Jacqueline DiChiara

Is revenue cycle management in need of a drastic overhaul? As the ever evolving landscape of the healthcare industry continuously adjusts its sails, revenue cycle management may be continuously falling backwards amidst antiquated winds. A...

Does a Half Billion HIE Investment Create ROI?

by Jacqueline DiChiara

Following a decade of healthcare’s investment in health information exchange (HIE) platforms, the healthcare industry enters a state of reflection and analysis regarding what the return on investment implications may be. The Office of the...

Healthcare Experts’ Top 5 Accountable Care Organization Tips

by Jacqueline DiChiara

Accountable care organizations (ACOs) and accountable care models have existed on the forefront of the healthcare industry as an emerging and dynamic focus for healthcare providers, payers, and executives. As recent initiatives within the past...

Healthcare Experts Speak Out on Rural Hospitals’ Medicare Cuts

by Jacqueline DiChiara

As RevCycleIntelligence.com recently reported, recent Congress testimony from 4 rural hospital leaders representing the Centers for Medicare & Medicaid Services (CMS) demanded urgently implemented change to alleviate rural hospitals’...

CMS’s Transparency Gaps Yield Invalid Medicare Payment Rates

by Jacqueline DiChiara

The overall accuracy of Medicare payment rates significantly impacts the collective healthcare system. Medicare payment rate haste makes waste. Improved data and transparency efforts will dramatically improve accuracy within the healthcare...

AMA Backs House Bill Aimed to Freeze ICD-10 Implementation

by Jacqueline DiChiara

Earlier this month, the House proposed a new bill, H.R. 2126, the Cutting Costly Codes Act of 2015, aimed at freezing ICD-10 CM/PCS implementation. The bill intends to prohibit Sylvia M. Burwell, Secretary of the Department of Health and Human...

$6.9B in Medicare Expenditures for Mental Health Care Costs

by Jacqueline DiChiara

Many individuals receiving care under the Medicaid umbrella lack insurance protection regarding mental health expenditures. A limitation of such coverage was lifted via the implementation of Mental Health Parity and Addiction...

Per Capita Diabetes Spending Soars to $10,000 per Person

by Jacqueline DiChiara

Diabetes is expensive. The disease is costing the healthcare industry billions of dollars. In 2012, an estimated $245 billion was spent on medical costs and productivity loss because of diabetes, confirms data collected between 2010 and...

$101M ACA Health Center Funding Increases Healthcare Access

by Jacqueline DiChiara

$101 million in Affordable Care Act funding will go toward the delivery of comprehensive primary health services at 164 new health center sites across 33 states. The objective of such funding – the New Access Point Grant Awards –...

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