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

Revenue Cycle Analytics

Tracking Key Hospital Revenue Cycle Metrics to Up Profitability

March 17, 2017 - As the value-based reimbursement transition rolls on, many hospitals have adopted “If you can measure it, you can manage it” as their new motto. But how can providers and executives measure hospital revenue cycle management? Hospital revenue cycle management processes track the organization’s financial health and efficiency from medical billing to clinical workflows. Since...

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Provider Profitability Tops Healthcare Revenue Cycle Concerns

by Jacqueline Belliveau

One of the top healthcare revenue cycle concerns with 40 percent of providers is maintaining profitability while remaining independent, a recent RemitDATA survey revealed. The survey of healthcare providers, billing companies, and vendors showed...

CMS Brings Integrated, Multi-Payer Claims Data Access to CPC+

by Jacqueline Belliveau

In an official blog post, CMS recently touted its success with improving primary care provider productivity by giving practices in the Comprehensive Primary Care (CPC) program more multi-payer claims data access. The Medicare primary care program...

Flexibility Key to Revenue Cycle Management Vendor Selection

by Jacqueline Belliveau

With thousands of healthcare revenue cycle management and business intelligence analytics vendors in the market, how does a provider organization decide on just one? According to Robert Creaven, CMPE, MPA, Executive Vice President of Operations...

Monitoring Care Delivery Key to Reducing Healthcare Costs

by Jacqueline Belliveau

Lowering actual healthcare costs that providers incur while delivering care to patients is the key to making healthcare more affordable, according to a new Chilmark Research study. While payers are reforming claims reimbursement models to reduce...

88% Improve Claims Submissions Using Revenue Cycle Analytics

by Jacqueline Belliveau

According to a Navicure survey, medical organizations that used a revenue cycle analytics or business intelligence solution were able to boost performance on key healthcare revenue cycle metrics. About 88 percent of participants reported that...

Managing the Revenue Cycle while Acquiring Physician Practices

by Jim Denny, Founder and CEO of Navicure

Since 2010, hospital and health systems have been adapting their care delivery models to meet health reform requirements. At the forefront of this effort is physician practice acquisition. An analysis of healthcare provider acquisitions in the...

Using Big Data in the Hunt for Healthcare Fraud, Waste, and Abuse

by Rodger Smith

When the novel The Hunt for Red October was first published, it did more than elevate Tom Clancy from obscure real estate agent to international best-selling author. It also introduced readers to the exciting, elusive world of submarine warfare,...


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