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

Hospital Revenue Cycle

AHA: Hospital Mergers Monopoly Test Neglects Healthcare Trends

by Jacqueline LaPointe

The American Hospital Association (AHA) recently urged the US Court of Appeals to reject the Federal Trade Commission’s (FTC) new approach to assessing whether or not hospital mergers will create a marketplace monopoly. In a...

Will Site-Neutral Payment Reform Rule Cause Hospital Closures?

by Jacqueline LaPointe

Many long-term acute care facilities are projected to close over the next few years as Medicare enacts a payment reform rule that will introduce site-neutral payments for certain long-term acute care services, according to a Standard &...

Hospitals Face Healthcare Employment Challenges, High Turnover

by Jacqueline LaPointe

Recent healthcare employment trends could spell trouble for hospital revenue cycles across the nation. As quality and volume pressures continue to create difficult operational circumstances, some hospitals are finding that increasing...

Hospital Profitability Rises by 35% in Oregon After ACA Passage

by Jacqueline LaPointe

Hospital profitability has increased for healthcare organizations across Oregon since the passage of the Affordable Care Act (ACA) in 2010, which enabled more individuals to become insured, the Oregon Health Authority has found. The report...

Uncompensated Care Drops by $6B after Medicaid Expansion

by Jacqueline LaPointe

Numerous individuals seek necessary medical services at hospitals regardless the ability to pay, but uncompensated care costs from charity cares and patient debt can strain hospital revenue cycles. However, as states develop Medicaid...

Value-Based Care Implementation Delayed for Most Hospitals

by Jacqueline LaPointe

While the federal government has announced explicit goals for implementing value-based care models in the next few years, some healthcare providers may not be ready to completely do away with traditional fee-for-service reimbursement...

Hospital M&A Driving Variation in Healthcare Costs by Site

by Jacqueline LaPointe

As patients are encouraged to shop around for the best price for medical services, many may be shocked to discover how healthcare costs can differ depending on where a patient receives care. These price differences can cause some consumers...

Hospital Profitability Down for 27 Percent of PA Facilities

by Catherine Sampson

More than a quarter of acute care hospitals in Pennsylvania failed to achieve profitability in 2015, according to a recent report by the Pennsylvania HealthCare Cost Containment Council (PHC4). Twenty nine percent of the 170 hospitals...

5 Ways to Increase Hospital Profitability, Aid Revenue Cycle

by Catherine Sampson

In this period of healthcare reform, numerous organizations continue to change their business practices so they can obtain more hospital profitability while also delivering quality care. Healthcare expenditures are expected to reach $4.4...

Wisconsin Hospital Questions Hospital Profitability Study

by Catherine Sampson

In a hospital profitability study, researchers from Health Affairs drew the conclusion that Gundersen Lutheran Medical Center earned a profit of $302.5 million, or $4,241 per patient, in 2013. However, Gundersen Lutheran Medical Center...

5 Ways to Cut Costs through Hospital Revenue Cycle Management

by Catherine Sampson

As healthcare costs continue to rise, hospital revenue cycle management has become an important focal point for providers. Healthcare expenditures in the US are projected to reach $4.4 trillion by 2018, according to an article in The...

Nonprofit Organizations Lead Way in Hospital Revenue Cycle

by Catherine Sampson

Profits in hospital revenue cycles for nonprofit health organizations were strong in 2013. That year, seven of the top 10 most profitable hospitals in the US were nonprofit facilities, according to a recent Health Affairs study. Each of...

High Patient Experience Scores Boost Hospital Net Margins by 50%

by Catherine Sampson

Hospitals in the US that provided a “superior” patient experience gained net margins that were 50 percent higher, on average, than those that deliver an “average” customer experience, researchers from Accenture...

71% of Healthcare Execs Anticipate Revenue Cycle Growth in 2016

by Catherine Sampson

Healthcare revenue cycle managers are likely to have their hands full through the rest of 2016 as the industry sees increases in revenue, patient volume, and opportunities for mergers and acquisitions, according to a new report from CIT...

Hospital Mergers, Acquisitions Bring Revenue Opportunities

by Catherine Sampson

Hospital mergers and acquisitions have been on the rise ever since the Affordable Care Act started to change the way the healthcare system generates its revenue. Throughout 2013, many major health systems consolidated to create...

5 Most Common Hospital Revenue Cycle Management Challenges

by Catherine Sampson

Since the Affordable Care Act, the task of hospital revenue cycle management has changed significantly. Between ICD-10, MACRA, and accountable care, it has become a hospital’s best interest to have an effective revenue cycle...

6 Steps for Safeguarding the Healthcare Revenue Stream

by Sean Lundy, CMPE, Hand & Wrist Center of Houston

With the ICD-10 conversion behind us, most billing and coding hiccups caused by the transition are slowly becoming a distant memory. However, rising patient out-of-pocket expenses – expected to reach $420 billion in 2015 – are...

Healthcare Supply Chain Management Fraud Still Runs High

by Catherine Sampson

Despite a growing reliance on monitoring technologies to prevent fraud, healthcare organizations are still struggling to combat theft and abuse when it comes to supply chain management. According to a new survey from Deloitte Financial...

Acquisitions, Scale Key to Pediatric Revenue Cycle Management

by Jennifer Bresnick

Stanford Children’s Health may be best known for delivering expert acute care to pediatric patients and expectant mothers at the flagship Lucile Packard Children’s Hospital, but inpatient services are only a part of how the...

4 Healthcare Supply Chain Management Tips for Revenue Success

by Jennifer Bresnick

In a healthcare organization, keeping tabs on the ebb and flow of medical supplies is an incredibly important yet often overlooked task.  From syringes and gauze to drugs, disinfectant, and paper gowns, understanding supply chain...

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