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

Hospital Revenue Cycle

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

June 20, 2018 - 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 Baltimore-based healthcare research, strategy, and marketing firm surveyed 100 hospital C-suite executives and finance leaders earlier this year on behalf of Dorado...


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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 reimbursement...

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 decreased...

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 sooner-than-expected...

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 struggling to...

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 its...

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 new...

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 Analytics...

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 insurers (Aetna,...

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 up, revealed...

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 need to...

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 Trinity...

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 Altarum. Hospital...

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 turn on...

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 Hospital...

69% of Providers Delayed Care Over Hospital Supply Chain Shortages

by Jacqueline LaPointe

A new Cardinal Health survey revealed hospital supply chain shortages are impacting patient care, particularly in the operating room (OR). The survey of over 300 frontline clinicians, operating room supply chain decision-makers, and hospital...

Hospital Care at Home Cuts Healthcare Costs in Half at MA Hospital

by Jacqueline LaPointe

Healthcare costs for an acute care episode were 52 percent lower when acutely ill patients received hospital care at home, rather than being placed in a hospital bed, according to a recent study in the Journal of General Internal Medicine. The...

Transforming the Hospital Laboratory into a Profit Center

by Jacqueline LaPointe

Hospital and health system executives are missing an opportunity to maximize revenue cycle and operational success by viewing the hospital laboratory as a cost, rather than profit, center, explained Charles Wilson, MHA, Vice President of Operations...

Advocate, Aurora Hospital Merger Deal Earns Regulatory Approval

by Jacqueline LaPointe

Federal and state authorities recently gave the proposed hospital merger between Illinois-based Advocate Health Care and Wisconsin-area Aurora Health Care the greenlight, the health systems announced in a joint press release. The health systems...

Medical Prices Grew 28% for Hospital E&M Services Since 2012

by Jacqueline LaPointe

Medical prices for hospital evaluation and management (E&M) services rose 28 percent and allowed amounts increased 26 percent between May 2012 and 2017, the most recent FH Medical Price Index from FAIR Health revealed. The analysis of over...

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