Hospital Revenue Cycle Management

Top Hospital Chargemaster Management Vendors by Hospital Use

by Jacqueline LaPointe

The hospital chargemaster is the heart of the revenue cycle, capturing the costs of every billable service or item delivered at the organization. To keep the heart pumping, providers are turning to...

UCSF, Dignity Health Call Off Plans to Expand Hospital Affiliation

by Jacqueline LaPointe

The University of California San Francisco (UCSF) Health is no longer pursuing a more integrated hospital affiliation with Dignity Health, one of the nation’s largest health systems that operates...

Political Uncertainty Top Factor Threatening Healthcare M&A

by Jacqueline LaPointe

Healthcare merger and acquisition (M&A) professionals cited political uncertainty as the factor most likely to sink deals in the coming year, but an upcoming presidential election is not slowing...

Non-Profit Hospitals Provided $95B in Community Benefits in 2016

by Jacqueline LaPointe

The value of community benefits provided by non-profit hospitals significantly outweighed the federal revenue foregone due to tax exemption, according to a new analysis released by the American...

Pre-Access Center Collects More Patient Financial Responsibility

by Jacqueline LaPointe

Since Jill Barton can remember Montefiore St. Luke’s Cornwall Hospital in New York has experienced financial challenges. But the non-profit hospital’s troubles were recently getting worse...

FTC Official Calls for More Aggressive Healthcare Merger Approach

by Jacqueline LaPointe

Antitrust enforcers should be as aggressive as possible when challenging healthcare mergers, especially deals that go beyond the traditional horizontal combination, said the Federal Trade Commissioner...

Hospital Leaders, Providers Stress Over Supply Chain Management

by Jacqueline LaPointe

Supply chain management tasks are taking clinicians more than twice the amount of time to do, creating stress for both supply chain managers and providers, the fourth annual Cardinal Health Hospital...

Machine Learning Improves Patient Collections at Allina Health

by Jacqueline LaPointe

Patient collections is a significant undertaking at Allina Health, a 12-hospital system with over 90 clinics, 52 rehabilitation facilities, and dozens of other care sites across Minnesota and western...

Revenue Cycle Outsourcing Issues Led to Astria Health Bankruptcy

by Jacqueline LaPointe

A three-hospital system in eastern Washington is filing for bankruptcy shortly after implementing a revenue cycle outsourcing strategy that put a company in charge of business office billing, claims...

Hospital M&A Activity Slows in First Quarter of 2019

by Jacqueline LaPointe

Hospital merger and acquisition (M&A) activity hit the lowest quarterly volume since the end of 2009, a new report from the healthcare financial advisory firm Ponder & Co reveals. Hospitals...

1 in 7 In-Network Admissions End with Surprise Medical Bill

by Jacqueline LaPointe

Approximately 14.5 percent of in-network hospital admissions resulted in a surprise medical bill for patients, researchers from the Health Care Cost Institute (HCCI) recently reported. However, the...

Seasons Have Material Impact on Hospital Revenue Cycle Performance

by Jacqueline LaPointe

Winter, spring, summer, and fall bring more than changes in weather, according to a recent analysis of over 1,000 hospitals. Seasonality also has a significant impact on hospital revenue cycle...

Hospital Profitability Up Despite Volume, Expense Challenges

by Jacqueline LaPointe

Hospital profitability and revenue experienced significant improvement from 2017 to 2018, with operating margins growing by about five percent, a new report from consulting firm Kaufman Hall...

NY Hospital Settles with Cerner Over $38M Medical Billing Problem

by Jacqueline LaPointe

EDITOR'S NOTE: This article has been updated with a statement from Cerner. Cerner recently reached a settlement with a New York hospital after an audit revealed the EHR system’s medical...

Efficient Hospitals Face Negative Medicare Margins, MedPAC Finds

by Jacqueline LaPointe

Medicare reimbursement rates rarely cover the actual costs of providing hospital care. But now negative Medicare margins are impacting the most efficient hospitals out there, according to a new report...

Top Hospitals Show Better Care Can Be Achieved at Lower Costs

by Jacqueline LaPointe

What does it take to be a top hospital? According to the most recent 100 Top Hospital study from IBM Watson Health, hospitals achieving operational and care quality excellence in 2019 had several...

Hospital Price Transparency a Marketing Opportunity, Verma Says

by Jacqueline LaPointe

Hospital price transparency and interoperability are opportunities for hospitals to gain a competitive edge over their peers, CMS administrator Seema Verma recently stated. “It is my hope you...

Beth Israel, Lahey Health Finalize Hospital Merger Deal

by Jacqueline LaPointe

Two major health systems in Boston recently finalized a hospital merger deal, creating a system of more than 4,000 physicians across Massachusetts. After years of planning, Beth Israel Deaconess...

Patient Costs, Payer Responsibility Not Linked to Hospital Prices

by Jacqueline LaPointe

A new analysis by the independent research organization Pioneer Institute reveals that not only do hospital prices significantly vary by organization, but how much consumers and insurers pay for care...

Senator Probes IRS About Non-Profit Hospital Compliance

by Jacqueline LaPointe

Senator Chuck Grassley is looking into non-profit hospital compliance with IRS rules for community health improvement and financial assistance to patients. In a Feb. 19 letter to IRS Commissioner...