Physician Revenue Cycle

Boost Healthcare Competition to Drive Down Prices, Up Quality

by Jacqueline LaPointe

The lack of healthcare competition stemming from recent healthcare merger and acquisition trends resulted in higher prices and lower care quality, industry experts recently argued in a Carnegie Mellon...

Senators Push Bill to Address Physician Shortage in Rural Areas

by Jacqueline LaPointe

Three senators recently introduced a rural healthcare bill that would extend the Conrad State 30 Program until 2021 to help alleviate the physician shortage in designated Health Professions Shortage...

Physician Compensation for Specialists 45.6% More than for PCPs

by Jacqueline LaPointe

According to a recent Medscape survey, physician compensation for specialists was 45.6 percent more than what primary care providers earned in the past year. The survey of over 19,200 physicians in 27...

FFS Compensation Linked to More Stroke Prevention Surgeries

by Jacqueline LaPointe

A new study in JAMA Surgery found that providers with fee-for-service compensation performed more carotid stenosis interventions on symptomatic and asymptomatic patients compared to providers...

CMS Awards $100M for Small, Rural Clinician MACRA Help

by Jacqueline LaPointe

ORLANDO - CMS recently selected 11 healthcare organizations to receive a total of $100 million in funding to help small and rural eligible clinicians participate in the newly-launched MACRA. Each...

URAC Calls for Virtual Group Rules in Quality Payment Program

by Jacqueline LaPointe

URAC, a non-profit healthcare accreditation company, recently called on CMS to implement virtual group standards under the Quality Payment Program in 2018 that promote economies of scale for more...

Does Hospital Size Impact Value-Based Penalties in CMS Program?

by Jacqueline LaPointe

Value-based penalties in the Medicare Hospital-Acquired Condition Reduction Program are disproportionately affected by a participating hospital’s bed size and number of cases, a recent American...

86% Say Provider Compensation Tied to Fee-for-Service, Salary

by Jacqueline LaPointe

About 86 percent of primary care physicians and specialists reported that their provider compensation was still primarily under fee-for-service or salary arrangements, representing a modest increase from...

How Value-Based Reimbursement Affects Physician Productivity

by Jacqueline LaPointe

As payers push for more value-based reimbursement adoption, many healthcare organizations are wondering how to restructure physician productivity strategies to meet the unique requirements of...

Cerner Earns Top Revenue Cycle Management Outsourcing Vendor

by Jacqueline LaPointe

Black Book Market researchers ranked Cerner Business Office Services as the top rated end-to-end physician revenue cycle management outsourcing vendor. Cerner earned high marks on eighteen key...

Demand for Physician Assistants Led to Increased Pay in 2015

by Jacqueline LaPointe

Physician assistants saw a 3.4 percent increase in median provider compensation between 2014 and 2015, according to a report from the American Academy of PAs (AAPA). Comprising feedback from...

Value-Based Care Spurs Higher Physician Consolidation Rates

by Jacqueline LaPointe

More healthcare providers are moving to larger group practices in order to gain access to more resources to effectively implement value-based care and risk-based reimbursement models, according to a...

Industry Groups Call on CMS to Modify MACRA Patient Codes

by Jacqueline LaPointe

Proposed patient relationship codes that will be used under MACRA to measure appropriate resource use and determine value-based reimbursement adjustments may cause more confusion for providers and...

Is MACRA a Trojan Horse for Small Practices, Value-Based Care?

by Jacqueline LaPointe

While a final rule on MACRA implementation has yet to be issued, some providers are growing concerned that the value-based care models in the legislation could significantly burden small physician...

How to Retool Patient Collection Procedures to Boost Revenue

by Kathie Phillips and Jeff Wood

Days in A/R and cost to collect have always been challenging metrics for healthcare organizations to manage; however, today’s payment environment brings additional difficulties. The average annual...

VA Creates Call Center to Reduce Claims Reimbursement Delays

by Jacqueline LaPointe

The Department of Veterans Affairs (VA) has established a community care call center to assist veterans and healthcare providers who are experiencing issues with debt collection because of incorrect or...

Examining the Value-Based Alternative Payment Model Basics

by Jacqueline DiChiara

Alternative payment models like the accountable care organization (ACO) and the bundled payment model have been gaining popularity under the Affordable Care Act’s (ACA) mandates. Figuring...

What Are the Front-End Steps of Revenue Cycle Management?

by Jacqueline DiChiara

Revenue cycle management is the progression of events between when a patient makes a doctor’s appointment and when a patient’s money is received and reimbursed for following care...

5 Ways Smaller Providers Maximize Revenue Cycle Management

by Jacqueline DiChiara

Revenue cycle management is about breaking through the cash flow ceiling and generating the greatest amount of net revenue possible. But issues of claims denials, coding compliance, where to...

How to Boost Ambulatory Revenue Cycle Management Performance

by Jacqueline DiChiara

Ambulatory revenue cycle management is driven by a variety of factors, such as the market growth of Electronic Health Records (EHRs), the meaningful use program, and technological trends. Operating as...