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

Revenue Cycle Management

21% of Rural Hospitals at High Financial Risk of Closing

February 20, 2019 - A new analysis from consulting firm Navigant revealed that one-in-five rural hospitals is at high risk of closing based on their current financial position. The analysis of publicly available data explored the financial viability and community essentiality of over 2,000 rural hospitals across the country. And researchers found troubling results, including the fact that 430 hospitals...


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Clinical Documentation and Coding Top Revenue Cycle Vulnerability

by Jacqueline LaPointe

Hospital leaders are concerned that their organization’s clinical documentation and coding processes are vulnerable to errors that could result in lost or decreased revenue, according to a recent survey. Consulting firm and...

Only 13% of Hospital CFOs Prepared for Value-Based Reimbursement

by Jacqueline LaPointe

Fewer hospital CFOs are prepared to manage the financial impact of evolving business conditions, such as value-based reimbursement and care delivery models, a new survey finds. Consulting firm Kaufman Hall recently surveyed CFOs and other...

KLAS Names Best Vendors for Financial, Revenue Cycle Management

by Jacqueline LaPointe

Epic Systems continued to take the lead across several categories in the 2019 Best in KLAS report, including a key revenue cycle management market. In addition to being named the top overall software suite for the ninth consecutive year,...

Mid-Revenue Cycle Management, CDI Market to Reach $4.5B by 2023

by Jacqueline LaPointe

The revenue cycle is traditionally broken into the front and back ends. But a new market report shows providers are still looking to bolster the middle of their revenue cycles. According to a recent Markets and Markets report, the...

Small Hospital Boosts Bottom Line Through Patient Access Automation

by Jacqueline LaPointe

“The patient access area is where everything starts, and that mindset is what led to our success.” That was the sentiment of Deonne Henry, the Vice President of Revenue Cycle at Magnolia Regional Health Center in Mississippi....

40% of Revenue Cycle Leaders Don’t Discuss Charge Capture Regularly

by Jacqueline LaPointe

Over three-quarters (78 percent) of revenue cycle leaders at acute care organizations agreed charge capture is essential to an organization’s success, yet most leadership teams only discuss charge capture once a month or less. Those...

Medical Billing, Patient Access Top Revenue Cycle Risks of 2019

by Jacqueline LaPointe

Patient access and medical billing and collections are among the top healthcare revenue cycle risk areas for hospitals, practices, and other provider organizations in 2019, according to a new report from the public accounting, consulting,...

DoJ Offers Insight into Anti-Steering, Antitrust Case with Atrium

by Jacqueline LaPointe

The Department of Justice (DoJ) is shedding more light on its recent settlement with North Carolina-based Atrium Health over allegations the health system used its market power to create anti-competitive contracts with private...

Hospital Revenue Unstable Despite Outpatient Volume Growth

by Jacqueline LaPointe

Hospitals recently saw increases in national inpatient and outpatient volumes. However, net hospital revenue continues to be unstable for non-profit organizations, according to a new analysis from the public accounting, consulting, and...

26% of Hospitals Without Effective Revenue Cycle Management System

by Jacqueline LaPointe

Approximately one-quarter of US hospitals (26 percent) do not have an effective healthcare revenue cycle management solution in place, according to a new Black Book survey. Black Book surveyed over 4,640 individuals from 522 hospitals and...

Accounting for the Patient in the Healthcare Revenue Cycle

by Jacqueline LaPointe

From value-based care to record-high levels of patient financial responsibility, the healthcare industry is undergoing a tremendous amount of evolution. And the healthcare revenue cycle is having to learn some new tricks to keep up. Top...

68% of Hospital Execs Plan for 2018 Revenue Cycle IT Budget Growth

by Jacqueline LaPointe

Fewer healthcare organizations are increasing their revenue cycle IT budgets compared to last year, a new survey shows. The annual Healthcare Financial Management Association (HFMA) and Navigant survey of 107 hospital and health system...

Hospital Operating Income Falls for Two-Thirds of Health Systems

by Jacqueline LaPointe

Health system operating income is deteriorating as hospital expenses continue to grow, according to a recent Navigant analysis. In the three-year analysis of the financial disclosures for 104 prominent health systems that operate...

Healthcare Disruption Spurs Hospitals to Alter Business Operations

by Jacqueline LaPointe

Eighty-five percent of hospital and health system executives believe the industry is at significant risk for healthcare disruption, and their organizations are preparing their business operations for potential changes to how healthcare...

Atrium Health Settles Anticompetitive Hospital Contracting Claims

by Jacqueline LaPointe

Atrium Health in North Carolina recently agreed to a settlement with the Department of Justice (DoJ) and the North Carolina Office of Attorney General that prohibits the health system from using anticompetitive hospital contracting terms...

Hospitals Want Practice Management Systems to Work with EHR, RCM

by Jacqueline LaPointe

Hospitals are seeking customizable practice management systems that integrate with their revenue cycle management and EHR systems, according to a new survey from Black Book Research. Thirty-six percent of hospital system executives said...

Hospital Bankruptcies Are On the Rise, Hitting Rural Areas Hard

by Jacqueline LaPointe

The healthcare industry experience more than 20 hospital bankruptcies since 2016, and about three-quarters of the distressed hospitals operated in rural areas, law firm Polsinelli recently reported. The Am Law 100 firm tracks Chapter 11...

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