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

Hospital Revenue Cycle

Reps Eye Delay for Medicaid Disproportionate Share Hospital Cuts

September 21, 2017 - Three House Representatives recently called on their Congressional peers to postpone implementing a rule that would reduce Medicaid Disproportionate Share Hospital (DSH) payments starting on Oct. 1, 2017. The bipartisan letter from Representatives Eliot Engel (D-NY), John Culberson (R-TX) and Steven Palazzo (R-MS) explained that the scheduled supplemental payment cuts would create a $2 billion...


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Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

by Jacqueline Belliveau

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 goal...

Revenue Cycle Management, Upgrades Jump to Top Hospital Priority

by Jacqueline Belliveau

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 revenue...

Tenet Sells Remaining Philly Hospitals, Announces Divestitures

by Jacqueline Belliveau

Tenet Healthcare Corporation will no longer own hospitals in Philadelphia after the Dallas-based company recently sold Hahnemann University Hospital and St. Christopher’s Hospital for Children for $170 million. The national healthcare organization...

Key Strategies for Health Systems to Achieve Economies of Scale

by Jacqueline Belliveau

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 achieving...

In IRS First, Non-Profit Hospital Loses Status Under ACA Rules

by Jacqueline Belliveau

The IRS recently revoked a rural hospital’s non-profit status for failure to meet new community health needs assessment requirements under the Affordable Care Act. According to an IRS letter dated Feb. 14, 2017, the unnamed hospital lost...

Exploring Key Components of the Healthcare Revenue Cycle

by Jacqueline Belliveau

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 Association...

Post-Acute Care Payment Reform Threatens Rural Hospitals

by Jacqueline Belliveau

A proposed unified Medicare reimbursement for post-acute care services and value-based care payment models, such as accountable care organizations (ACOs) and bundled payments, may propel rural hospital closures as the reforms lower their post-acute...

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

by Jacqueline Belliveau

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 disparate...

Top 4 Rural Hospital Challenges with Revenue Cycle Management

by Jacqueline Belliveau

Rural hospitals may be the only healthcare option for individuals living in sparsely populated areas, but revenue cycle management challenges have forced many of these facilities to permanently close their doors. The healthcare industry has seen...

Volume, Value of Healthcare Merger and Acquisition Deals Up

by Jacqueline Belliveau

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 transactions...

Breaking Down the Top 5 Healthcare Revenue Cycle KPIs

by Jacqueline Belliveau

With value-based reimbursement and healthcare consumerism taking hold of the industry, provider organizations are under pressure to ensure their healthcare revenue cycle is operating at maximum efficiency. To effectively track healthcare revenue...

Is a Chief Primary Care Officer Key to Value-Based Purchasing?

by Jacqueline Belliveau

Developing a Chief Primary Care Medical Officer role should help health systems achieve value-based purchasing success by focusing on establishing care coordination systems and improving key quality measures, argued industry experts in a recent...

Beth Israel, Lahey Health Ink Final Healthcare Merger Agreement

by Jacqueline Belliveau

Boston-based Beth Israel Deaconess health system and Lahey Health recently finalized a healthcare merger agreement after about seven months of negotiations. Despite several failed attempts at a healthcare merger in the past, the two health systems...

Small Hospitals, Systems Grapple with Value-Based Reimbursement

by Jacqueline Belliveau

Approximately 67 percent of small hospitals and health systems do not plan on undertaking value-based reimbursement initiatives in 2017, a recent Ernst & Young LLP Advisory Health survey revealed. The survey of 700 healthcare professionals...

41% of Rural Hospitals Operating with Negative Margins

by Jacqueline Belliveau

Approximately 41 percent of rural hospitals faced negative operating margins in 2016, a recent Chartis Group and iVantage Health Analytics study of over 2,100 rural hospitals revealed. Researchers added that rural hospitals located in states...

GAO: Hospital Value-Based Purchasing Model Rewards Low Quality

by Jacqueline Belliveau

A new Government Accountability Office (GAO) report found that CMS gave financial bonuses to hospitals participating in the Hospital Value-Based Purchasing Program despite the facilities earning composite quality scores below the median. Using...

Targeting Healthcare Cost Cuts Slows Revenue Cycle Performance

by Jacqueline Belliveau

Health system and hospital revenue cycle fell behind in key performance areas, such as claim denials management and bad debt, because the organizations prioritized healthcare cost reductions over revenue cycle performance, a recent Advisory Board...

Revenue Integrity Top Hospital, Health System Exec Priority

by Jacqueline Belliveau

Hospital and health system leaders plan to prioritize revenue integrity in the next year to improve their healthcare revenue cycle management strategies, according to a recent Healthcare Financial Management Association (HFMA) and Navigant survey....

68% of Consumers Did Not Pay Patient Financial Responsibility

by Jacqueline Belliveau

About 68 percent of patients with medical bills of $500 or less did not fully pay their patient financial responsibility to hospitals in 2016, according to a recent TransUnion Health study. The proportion of individuals failing to pay off full...

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