Medical Billing

Out-of-Network Billing for Hospital Care Boosts Spending by $40B

by Jacqueline LaPointe

Patients receiving care at in-network hospitals face a significant risk of out-of-network billing for services performed by hospital-based anesthesiologists, pathologists, radiologists, and assistant...

1 in 3 Americans Frustrated with Patient Billing, Collections

by Samantha McGrail

 Half of healthcare consumers are frustrated with their provider’s patient billing and collections processes, especially those that are not yet digital, a recent survey of over 1,000...

Hospital Upcoding Behind Increase in Inpatient Spending in MA

by Jacqueline LaPointe

Higher prices and hospital upcoding drove the nearly 11 percent increase in commercial inpatient spending in Massachusetts, according to a new preliminary report from the Health Policy Commission...

94% of Users Would Buy Computer-Assisted Coding Solution Again

by Jacqueline LaPointe

Computer-assisted coding solutions did not live up to user expectations when first released, but a new KLAS research report showed that hospitals and health systems are just now starting to see a...

Exploring Hospital Chargemaster Management Best Practices

by Jacqueline LaPointe

Recent healthcare price transparency rules have pulled back the veil on the hospital chargemaster, calling into question hospital chargemaster management best practices. Once considered a trade secret...

MedPAC Suggests Elimination of Incident To Billing for APRNs, PAs

by Jacqueline LaPointe

CMS should do away with “incident to” billing for advanced practice registered nurses (APRNs) and physician assistants (PAs) and pursue a stay-based payment design when implementing a...

Healthcare RCM, Medicare Reimbursement Dominate 2017 Stories

by Jacqueline LaPointe

From the Quality Payment Program’s launch to the Affordable Care Act debate, the healthcare finance world saw an abundance of change and uncertainty in 2017. In the face of payment reform and...

4 Key Ways to Boost Point-of-Service Patient Collections

by Jacqueline LaPointe

In a time of healthcare consumerism and high-deductible health plans, the patient has become a major revenue source for healthcare organizations. But without strong point-of-service patient collection...

4 Medical Billing Issues Affecting Healthcare Revenue Cycle

by Jacqueline LaPointe

Medical billing is the backbone of healthcare revenue cycle management, but many providers experience significant challenges with efficiently and accurately billing patients and payers for services they...