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

Primers

Exploring Key Components of the Healthcare Revenue Cycle

August 21, 2017 - The healthcare revenue cycle encompasses “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue,” according to the Healthcare Financial Management Association (HFMA). But the cycle traditionally contains distinct areas that oftentimes function separately from each other. A traditional healthcare revenue cycle...


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Top 4 Rural Hospital Challenges with Revenue Cycle Management

by Jacqueline Belliveau

Rural hospitals may be the only healthcare option for individuals living in sparsely populated areas, but revenue cycle management challenges have forced many of these facilities to permanently close their doors. The healthcare industry has seen...

3 Challenges Providers Face with Healthcare Bundled Payments

by Jacqueline Belliveau

Healthcare bundled payments are becoming one of the most popular alternative payment models available to providers. Providers are drawn to the episode-based structure’s ability to decrease healthcare costs while maintaining or improving...

3 Pain Points Affecting Small Practice Healthcare Revenue Cycle

by Jacqueline Belliveau

While working in a small practice allows providers to really understand their patients and their community’s healthcare needs, it can also create unique healthcare revenue cycle management challenges. Small practices come with several advantages....

Top 4 Patient Financial Responsibility Collection Methods

by Jacqueline Belliveau

The top priority for providers is to deliver high-quality healthcare services to their patients. But the recent rise in patient financial responsibility and healthcare consumerism has forced some providers to bump patient collections to the top...

CMS Extends Deadline for Bundled Payment Models Participation

by Vera Gruessner

The federal government especially the Centers for Medicare & Medicaid Services (CMS) have long focused on reducing healthcare spending and implementing alternative payment models such as pay-for-performance initiatives. Bundled payment models,...

Defining the Top 10 Terms of Healthcare Revenue Cycle Management

by Catherine Sampson

In some cases, definitions for terms and acronyms related to healthcare revenue cycle management can come across as fairly straightforward. Other times, they can sound more like a foreign language. A healthcare professional may find it difficult...

ICD-10 System Codes Will See New Updates by October 1

by Vera Gruessner

The ICD-10 implementation deadline and postponements brought a variety of challenges to the healthcare field. One of those obstacles has been the constant ICD-10 system code freezes. However, on October 1, 2016, the healthcare industry will move...

CMS May Save $343 Million through Surgical Bundled Payments

by Vera Gruessner

The Centers for Medicare & Medicaid Services (CMS) launched the Comprehensive Care for Joint Replacement Model a little more than a week ago. This program is meant to issue bundled payments for a particular episode of care - in this case,...

Does Medicaid Expansion Improve Revenue of Hospitals?

by Vera Gruessner

The Affordable Care Act and Medicaid expansion has had a significant impact on hospitals around the country since full coverage for millions of Americans would lead to greater utilization of healthcare services and possibly strain the resources...

CMS, CDC Add More than 5,000 Codes to ICD-10 Coding System

by Vera Gruessner

Last week, the Centers for Disease Control and Prevention along with the Centers for Medicare & Medicaid Services (CMS) announced some major news for the ICD-10 coding system. The two organizations have added more than 5,000 new ICD-10 diagnosis...

CMS Awards Equipment Contracts to Reduce Medicare Spending

by Jacqueline Belliveau

CMS continues to reduce Medicare spending by awarding contracts to successful bidders for Medicare’s Round 2 and national mail-order recompetes and releasing new single payment amounts for the Durable Medical Equipment, Prosthetics, Orthotics,...

CMS Proposes New Healthcare Payment Models for Medicare Part B

by Vera Gruessner

New healthcare payment models are being advised by the Centers for Medicare & Medicaid Services (CMS). From alternative payment models to the Medicare Shared Savings Program and the Comprehensive Care for Joint Replacement program, the federal...

HHS Backs Behavioral Health with $23M Grant Funding Efforts

by Jacqueline DiChiara

The Substance Abuse and Mental Health Services Administration (SAMHSA) – in partnership with both the Centers for Medicare & Medicaid Services (CMS) and the Assistant Secretary of Planning and Evaluation (ASPE) – will award up...

HHS Proposes Rule Endorsing Nondiscriminatory Gender Equity

by Jacqueline DiChiara

The Affordable Care Act’s (ACA’s) handling of civil rights matters is under fresh review. The Department of Health and Human Services (HHS), seeking to advance health equity under the ACA, issued a proposed rule last week –...

HHS Launches Health Care Payment Learning and Action Network

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell met with President Obama to launch the Health Care Payment Learning and Action Network. An estimated 2800 payers, providers, employers, patients, states, consumer groups,...

HHS: Medicare Part B Premiums, Deductibles Staying the Same

by Elizabeth Snell

Healthcare costs are often a top concern for providers and patients. However, one expense is remaining the same for the second year in a row. Next year’s Medicare Part B premiums and deductibles will remain the same as the last two...

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