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

Revenue Cycle for Small Practices

Implementing a Patient-Focused Culture Good Business for Practices

October 5, 2018 - Fostering a patient-focused culture was a top business strategy top-performing medical groups and practices implemented in 2018, the Medical Group Management Association (MGMA) recently reported. As part of its 2018 MGMA DataDive Better Performers report, the industry group explored the similarities between 3,085 medical groups identified as top-performing practices in at least one of...


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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...

Doctors to HHS: Level the Playing Field for Independent Practices

by Jacqueline LaPointe

In the face of increased hospital consolidation, HHS should better support independent practices and develop policies that allow solo providers to compete with hospitals and health systems, the Physicians Advocacy Institute (PAI) recently...

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...

Cancer Care Costs 60% Higher at Hospitals Vs Independent Orgs

by Jacqueline LaPointe

Hospital-based cancer care for patients undergoing chemotherapy was 60 percent more expensive compared to the same treatment at community-based oncology practices, according to a recent study by Xcenda and Lucio Gordan, MD, Medical...

3 Pain Points Affecting Small Practice Healthcare Revenue Cycle

by Jacqueline LaPointe

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...

Creating Alternative Payment Models to Support Health Centers

by Jacqueline LaPointe

Healthcare stakeholders and lawmakers should encourage community health centers to engage in alternative payment models to financially incentivize providers to improve safety-net care, a recent Journal of the American Medical Association...

MIPS Requirements for Clinicians in Small, Rural Hospitals

by Jacqueline LaPointe

In light of the unique challenges eligible clinicians in small and rural hospitals face, CMS developed special Merit-Based Incentive Payment System (MIPS) eligibility and reporting requirements for the clinician group. Through MIPS, CMS...

Credit Card On File Program Key To Patient Collections Success

by Jacqueline LaPointe

Implementing a credit card on file program boosted patient collections and reduced accounts receivable by 28 percent in six months at Orthopaedics & Rheumatology of the North Shore, a four-physician specialty practice in...

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 University’s Heinz College white...

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 organization received $20 million to...

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 Journal of Medical Quality study...

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 recent Datawatch report in Health...

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 increase administrative burdens, according...

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 practices. Providers in small practices...

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 intelligently cut cost corners, automation...

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