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

Hospital Revenue Cycle

Quantifying Financial Distress to Stop Hospital Bankruptcy, Closure

July 30, 2018 - More healthcare organizations will face financial troubles, and possibly a hospital bankruptcy or closure, in the coming years as the healthcare industry undergoes major changes. Changes that will result in lower reimbursement rates, more competition from hospital giants, and lower patient volumes. While forward-thinking hospitals with market power and value-based care capabilities may...


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Hospital Employment, Medical Group Participation Increases in 2018

by Jacqueline LaPointe

Hospital employment is trending up, with 64 percent of medical professionals in a recent survey by the Medicus Firm reporting being employed by a hospital, medical group, or other healthcare facility in 2018. The percentage of employed...

A Provider-Sponsored Health Plan Is A Hospital’s Natural Next Step

by Jacqueline LaPointe

Many hospitals and health systems are bypassing the ultimate opportunity to gain greater control of the outcomes and costs of their patients. That opportunity is developing their own provider-sponsored health plan, according to Geisinger...

Hospitals to See More 340B Drug Pricing Program Oversight, Azar Says

by Jacqueline LaPointe

According to HHS Secretary Alex Azar, hospitals should expect greater transparency and oversight of the 340B Drug Pricing Program to track how the program’s benefits are used to improve care for low-income and vulnerable...

Hospital Revenue from Patient Financial Responsibility Up 88%

by Jacqueline LaPointe

Total hospital revenue attributable to patient financial responsibility after insurance increased 88 percent between 2012 and 2017, a new TransUnion Healthcare analysis uncovered. The growth in hospital revenue stemming from patient...

21% of Orgs Do Not Have a Hospital Bad Debt Recovery Process

by Jacqueline LaPointe

Even though two-thirds of organizations have up to $10 million in hospital bad debt, some still do not have strategies in place to recover the revenue owed to the organization, a new survey from Sage Growth Partners found. The...

Automated Physician Queries Improve Clinical Documentation at WMHS

by Jacqueline LaPointe

Accurate claims reimbursement hinges on complete clinical documentation, and therefore, quick responses to physician queries regarding medical record documentation and coding. This is especially true in Maryland’s unique hospital...

Would For-Profit Hospital Ownership Improve Quality, Costs in NY?

by Jacqueline LaPointe

New York maintains strict ownership laws that have essentially eliminated for-profit hospital ownership in the state. However, a new report shows that the non-profit hospital model in New York has not led to improved care quality or...

Medicare Fund for Hospital Care to Run Out Sooner Than Expected

by Jacqueline LaPointe

The Medicare fund used to reimburse hospitals under Part A is slated to become insolvent by 2026, three years earlier than last year’s projection, a new report by the Trustees of Medicare and Social Security revealed. The...

4 Strategies for Providers to Improve Hospital Price Transparency

by Jacqueline LaPointe

Federal and state governments are ramping up efforts to increase hospital price transparency as consumers become more responsible for their healthcare costs under high-deductible health plans. However, provider organizations are...

VUMC Sees Operating Income Decrease After EHR Implementation

by Jacqueline LaPointe

Tennessee-based Vanderbilt University Medical Center (VUMC) may have reported increased revenue in the first nine months of the 2018 fiscal year, but the medical center finished with lower operating income compared to last year because of...

EHRs Still Disrupt Nursing Workflows, But Nurses Warming to Tech

by Jacqueline LaPointe

The tides are starting to turn when it comes to EHR satisfaction among registered nurses. Only 69 percent of the providers now feel the EHR system is disruptive to the nursing workflow compared to 84 percent in the third quarter of 2016, a...

69% of Hospitals Use Multiple Vendors for Revenue Cycle Management

by Jacqueline LaPointe

Almost 69 percent of healthcare organizations use more than one vendor solution for revenue cycle management. However, these organizations tended to have more problems with claim denials management, a recent Dimensional Insight and HIMSS...

Location, Market Competition Influence Hospital Price Variation

by Jacqueline LaPointe

Hospital prices for the privately insured depend on where a facility is located and how consolidated its market is, a recent Health Care Pricing Project analysis revealed. Using insurance claims from three of the largest commercial...

80% of Hospitals Vetting Full Revenue Cycle Management Outsourcing

by Jacqueline LaPointe

Approximately 80 percent of hospitals leaders in a new Black Book survey said they were vetting or considering outsourcing full revenue cycle management by 2019. The demand for revenue cycle management outsourcing is also significantly...

Giving GA Hospitals Healthcare Cost Data to Lowering Spending

by Jacqueline LaPointe

With claims reimbursement rates falling and competition among healthcare organizations intensifying, hospitals are calling on their providers to increase efficiency and reduce healthcare costs for each admission. So, what do providers...

Palliative Care Reduces Hospital Costs by Over $3K Per Patient

by Jacqueline LaPointe

Hospitals costs fell by an average of $3,237 per patient when providers added prompt palliative care to routine treatments during the course of a hospital stay, reported researchers from the Icahn School of Medicine at Mount Sinai and...

Healthcare Prices Hit Highest Annual Growth Rate Since Jan 2012

by Jacqueline LaPointe

The growth rate for healthcare prices increased 2.2 percent in March 2018 compared to the previous year, representing the greatest annual growth rate since January 2012, revealed the most recent Health Care Price Index from...

Real-Time Insights into Nursing Workflow Maximizes Productivity

by Jacqueline LaPointe

An elderly patient presses the nurse call button to get assistance with standing up and using the toilet, while another patient in the next room presses the button to get help with changing the TV channel. Further down the hall, lights...

OR Efficiency, Machine Learning Boosts UCHealth’s Revenue by $10M

by Jacqueline LaPointe

Moving from traditional block scheduling for the operating room (OR) to more of a service-based system that used machine learning maximized OR efficiency and increased revenue by $10 million across UCHealth’s University of Colorado...

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