The revenue cycle management department at MainStreet Family Care in Alabama has a mission, and that is to give patients every opportunity to pay their financial responsibility.
“We give the patient every opportunity that we can and...
To a layperson, medical codes look like a different language, and in a way they are. Medical coding is a highly complex process in healthcare in which clinicians and revenue cycle staff work together to translate clinical encounters into...
Patient financial experience, denial prevention, and remote work are major challenges for healthcare organizations, according to healthcare leaders at this year’s Revenue Cycle Management Virtual Summit.
The Summit took place on...
Healthcare has a spending problem. For all the investments made in healthcare—$4.1 trillion to be exact—outcomes are not where they should be. In fact, the US has the lowest life expectancy compared to other high-income...
Accountable care organizations (ACOs) aim to improve healthcare quality for patients while reducing costs. Even as healthcare providers have operated in an unstable industry for the past few years, ACO programs have continued to achieve...
The COVID-19 public health emergency (PHE) declaration was accompanied by several waivers and flexibilities that made it easier for healthcare providers to care for patients amid a global pandemic.
Expanded telehealth coverage, Stark Law...
There are several Seattle Children’s Hospitals. No, you can’t physically go to these other “hospitals” for world-class pediatric care, but the organizations are helping to make Seattle Children’s more...
If you suggested moving healthcare data to the cloud a couple of years ago, healthcare leaders would have told you to get your head out of the clouds. Now, that is precisely where cloud-based health IT systems are being deployed: on the...
Revenue cycle technology is helping Hackensack Meridian Health become a high-performing healthcare organization, especially when it comes to patient collections and financial experience.
“We do not want manual processes in the...
The proposed changes in the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2023 may offer incentives for provider groups to consider alternative payment models. Still, the policies will likely require more apparent benefits...
EHRs revolutionized how healthcare providers deliver care. The technology has brought many providers into the digital age, enabling not only electronic medical records but also a host of other health IT applications. Now that most...
Patients always come first in healthcare. However, patient-first billing is still a relatively new concept for provider organizations.
“Self-pay A/R is really shifting with high-deductible health plans,” explains Adrienne...
Kenneth L. Davis, MD, believes that keeping patients healthy and ultimately out of the hospital is the key to making healthcare more affordable. That is why he is leading one of the nation’s top health systems down the path of...
Increasing the number of residency slots may be the key to preventing the substantial physician shortage Florida is projected to experience in the upcoming years.
A report prepared for the Safety Net Hospital Alliance of Florida revealed...
The COVID-19 pandemic changed how healthcare organizations approach care delivery, but the industry needs more efficient and transparent data sharing methods to accelerate provider transition to value-based care models.
Providers and...
Most healthcare payments made in 2020 were tied in some way to value or quality of care, according to the latest data from the Health Care Payment Learning & Action Network (LAN).
The LAN’s latest APM Measurement report showed...
Providence St. Joseph Health has been at the forefront of delivering high-quality, affordable care to patients. Value-based care is a vital pillar of the health system’s strategic plan for transforming care to improve outcomes and...
Healthcare finance leaders can help to fix a broken healthcare system—one in which costs are high and outcomes are poor—by changing the culture of medicine, according to Robert Pearl, MD,...
The past year has been tough for AFC Urgent Care Memphis, Tennessee. Like most practices, the small urgent care clinic saw patient volume dip dramatically at the start of the COVID-19 pandemic. And like their peers, this all happened...
Health IT powerhouse Cerner has been on working on revenue cycle management technology. The company perhaps best known for its EHR systems has been collecting client feedback and testing various...
