In its simplest form, revenue cycle management is the process healthcare providers use to ask for, track, and collect revenue for services rendered to patients. But as medical billing gets more...
Healthcare providers and payers send millions of business transactions a day. These transactions ensure providers get paid for delivering care to patients, but they also create a treasure trove of data...
Getting shots into arms has been a top priority for healthcare providers since the federal government gave the green light to several COVID-19 vaccines. But while speed was key for immunizers, medical...
A prohibition on surprise billing is coming at the start of next year and federal agencies have started to release what surprise billing compliance will look like. These new compliance requirements...
Healthcare mergers and acquisitions have promised to bring lower costs, higher quality, and better access to care. But a new executive order is challenging the rapid pace of consolidation in...
Clinical documentation has come a long way since the days of paper medical records. Widespread adoption of EHR systems and now EHR optimizations have modernized the act of clinical documentation, and...
Intuitive navigation and a system-wide effort are key to improving the patient financial experience and patient collections in a consumer-driven, post-pandemic world, according to Kathy LeBrew, chief...
The billing team at Tucson Gastroenterology was meeting a bar of excellence, according to Julie Wester, contract administrator at the Arizona-based specialty practice. But that bar was threatened when...
The Triple Aim. The Quadruple Aim. Right care at the right place at the right time. Whether one works in a hospital or small independent practice, healthcare providers are leaning on these concepts to deliver valuable care to their...
The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient...
Patient financial clearance is meant to provide a seamless patient experience while ensuring a smooth revenue cycle for providers. But more often than not, the process can be drawn out, burdensome, and...
Healthcare has a patient financial responsibility problem. The burden of high deductibles, out-of-pocket costs, and other medical expenses has increased exponentially over the last decade, making it...
If there is a lesson to take from the COVID-19 pandemic, it is that the way healthcare operates needs to change. Sudden, dramatic declines in patient volumes left many hospitals and health systems...
Patient access is generally the first encounter a patient will have with a healthcare organization, making it central to the patient experience. But this aspect of healthcare is also a major first for...
Physician networks are key to the success of accountable care organizations. Leaders of these organizations, otherwise known as ACOs, lean on their networks of high-quality, cost-efficient providers to...
Carilion Clinic has had all of its pricing information on its public website since January 1, 2021, the day HHS implemented a new hospital price transparency rule.
Compliance with the new...
Days in accounts receivable (A/R) is one of the most important key performance indicators for growing practices.
In an increasingly complex healthcare environment—and one in which financial...
Millions of patients present at Yale New Haven Health each year because they are sick, want to manage their chronic conditions, or simply have a healthcare-related need. With such a large volume of...
Physicians want three things, according to Anthony Valdés, President of Collaborative Health Systems, and those are to deliver great clinical outcomes, get paid fairly for that...
In the Hudson Valley is Montefiore St. Luke’s Cornwall Hospital. The non-profit, safety-net hospital serves more than 270,000 patients residing in the area and hospital leaders have made...
