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

Physician Revenue Cycle

Hospital Acquisitions of Physician Practices Rose 128% Since 2012

February 21, 2019 - Hospital acquisitions of physician practices continues to be a strong trend in the healthcare space, according to new data from Avalere Health and the Physicians Advocacy Institute (PAI). In an emailed press release, the organizations reported that hospitals acquired approximately 8,000 physician practices between July 2016 and July 2018. That number is on top of the 5,000 hospital...


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Vertical Integration in Healthcare Doesn’t Boost Care Quality

by Jacqueline LaPointe

A new study from Rice University’s Baker Institute for Public Policy shows vertical integration in healthcare has little to no impact on care quality. Performance on a range of measures, including hospital readmissions rates, was...

Hospital Prices Increased Faster Than Physician Prices, Study Finds

by Jacqueline LaPointe

EDITOR'S NOTE: This article has been updated with a statement from the American Hospital Association. Hospital prices increased much more quickly than physician prices for both inpatient and outpatient care from 2007 to 2014,...

Provider Directory Accuracy Issues Persist for Medicare Advantage

by Jacqueline LaPointe

Online Medicare Advantage provider directories are still not accurate, according to a recent CMS analysis of approximately one-third of Medicare Advantage Organizations (MAOs). In its third round of online provider directory reviews, CMS...

Clinicians Less Optimistic About Value-Based Care Than Execs

by Jacqueline LaPointe

Clinicians are more skeptical about the benefits or viability of value-based care and reimbursement compared to healthcare executives, a new survey shows. Only about one-third of clinicians (38 percent) in a recent NEJM Catalyst survey...

Physician Compensation Increased for Just 37% of Docs in 2017

by Jacqueline LaPointe

Average annual physician compensation for most specialties remained relatively flat from 2016 to 2017, leading to mediocre income satisfaction rates among physicians, the second annual PracticeMatch survey uncovered. Only 37 percent of...

Falling Productivity Stifles Physician Compensation Boost in 2017

by Jacqueline LaPointe

Physician compensation increased by just 0.89 percent in 2017, marking the first year that provider salaries have grown less than two percent in over a decade, AMGA recently reported. The 31st annual AMGA Medical Group Compensation and...

Antitrust Case Before Supreme Court May Limit Physician Referrals

by Jacqueline LaPointe

An antitrust case involving credit card companies could potentially impact healthcare by allowing payers and hospital systems to limit physician referrals. Ohio v. American Express Co. is a pending case before the Supreme Court that...

Provider Data Standardization Critical to Improving Inaccuracies

by Jacqueline LaPointe

A multi-disciplinary workgroup is calling for provider data standardization to ensure accurate provider information is available for connecting patients with providers, licensing providers, and paying for services. The Provider Data...

Value-Based Care Driving Independent Practices to Consultants

by Kyle Murphy, PhD

Independent physicians and practices are turning to consultants to make the transition to value-based care and stay competitive in a shifting market. The latest research from Black Book shows physician-led practices have turned the tide...

Primary Care Physician Shortage Driving Bump in Compensation

by Jacqueline LaPointe

Primary care physician compensation increased by more than 10 percent over the past five years. But the rise in pay indicates a worsening primary care physician shortage, according to the 2018 DataDive Provider Compensation report from the...

New Org Aims to Help Independent Practices with Value-Based Care

by Jacqueline LaPointe

The value-based care transition has been a thorn in the side of independent practices, but a group of leading provider organizations is aiming to better support solo practices in the current healthcare landscape through the formation of a...

Average Physician Compensation Sees Modest Growth in 2018

by Jacqueline LaPointe

Physician compensations increased slightly over the past year, with the average annual income increasing from $294,000 in 2017 to $299,000 in 2018, according to most recent Medscape Physician Compensation Report. The survey of 20,000...

New Docs Don’t Use Social Media for Healthcare Recruiting, Jobs

by Jacqueline LaPointe

While we seemingly cannot avoid Facebook, Twitter, LinkedIn, and other sites, healthcare organizations may want to reconsider using these social media sites for healthcare recruiting and employment opportunities. A recent CompHealth...

AAMC Projects Physician Shortage to Reach 120K Doctors by 2030

by Jacqueline LaPointe

Physician demand continues to outpace supply, resulting in a new physician shortage projection of up to 120,000 doctors by 2030, the Association of American Medical Colleges (AAMC) recently reported. The most recent analysis by the Life...

Hospitals Acquired 5K Independent Practices from 2015 to 2016

by Jacqueline LaPointe

Hospital acquisitions of independent practices continued, with another 5,000 physician practices acquired by hospitals from July 2015 to July 2016, a recent Physicians Advocacy Institute (PAI) and Avalere Health analysis showed. The...

Service Sharing Helps Independent Physician Practices Stay Open

by Jacqueline LaPointe

Small and independent physician practices can survive in the era of healthcare consolidation by entering service sharing arrangements that allow practices to pool and manage resources collectively within a network, industry experts from...

Medicare Wellness Visit Adoption Boosts Primary Care Revenue

by Jacqueline LaPointe

Practices that performed Medicare wellness visits on at least a quarter of their patients earned greater primary care revenue, experienced more patient assignment stability, and treated patients who were slightly healthier, a new Health...

4 Key Ways to Improve Healthcare Revenue Cycle Management

by Jacqueline LaPointe

“There is always room for improvement” should be healthcare revenue cycle management’s mantra. Declining claims reimbursement rates, the shift to value-based purchasing, and evolving health policies keep revenue cycle...

KLAS: athenahealth, Aprima Earn Top Marks for Ambulatory RCM

by Jacqueline LaPointe

Aprima, athenahealth, and NextGen Healthcare topped the list for overall performance and most consistently satisfactory ambulatory revenue cycle management (RCM) services among large and small practices in 2017, according to a new KLAS...

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