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

Revenue Cycle Management

End-to-End Revenue Cycle Management Key to Success at Ascension

September 25, 2018 - The healthcare revenue cycle contains many moving parts. Hospitals and health systems typically rely on a patchwork of technologies and best practices to ensure everything from patient access and registration to medical billing and collections is running smoothly. Nearly 69 percent of hospitals and health systems use more than one vendor solution for revenue cycle management, according...


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Hospital Financial Performance Lags with Revenue Cycle Outsourcing

by Jacqueline LaPointe

Revenue cycle outsourcing may not be the financial answer hospitals are looking for, according to a recent analysis from the public accounting, consulting, and technology firm Crowe. The analysis of data from more than 1,000 hospitals...

Docs Could Avoid 34% of Out-of-Network Patient Referrals with Data

by Jacqueline LaPointe

Providers recognize the importance of making in-network referrals for care coordination and patient retention. However, 79 percent of physicians still refer patients to other providers outside their health system’s network, a new...

Shift Admin, QGenda Top Physician Scheduling Vendors, KLAS Reports

by Jacqueline LaPointe

Shift Admin and QGenda are the physician scheduling vendors giving provider organizations their money’s worth for the time saved using the solution, KLAS recently reported. In a series of interviews with over 200 healthcare...

CFOs Expect Higher Hospital Labor Costs As Staffing Shortages Loom

by Jacqueline LaPointe

About 78 percent of healthcare finance leaders expect hospital labor costs to grow in the next 12 months as the industry faces a worsening shortage of healthcare professionals, a new survey shows. The survey of over 100 CFOs and...

KLAS: Business Intelligence Use Varies, Epic Systems Leads Adoption

by Jacqueline LaPointe

Health IT giant Epic Systems has the deepest adoption of healthcare business intelligence solutions, but healthcare organizations are also increasingly seeking the advanced data analytics tools offered by Jvion, HBI Solutions, and other...

Revenue Cycle Management Integration Boosts the Bottom Line

by Jacqueline LaPointe

When you ask a provider which EHR system he uses, you expect to hear a single vendor, such as Epic, Cerner, or MEDITECH. But when you inquire about a provider’s revenue cycle management system, you are likely to get a laundry list of...

Quantifying Financial Distress to Stop Hospital Bankruptcy, Closure

by Jacqueline LaPointe

More healthcare organizations will face financial troubles, and possibly a hospital bankruptcy or closure, in the coming years as the healthcare industry undergoes major changes. Changes that will result in lower reimbursement rates, more...

Revenue Cycle Management Outsourcing Market to Grow at 11.9% CAGR

by Jacqueline LaPointe

The global healthcare revenue cycle management outsourcing market is slated to significantly increase, with its valuation rising from just $11.7 billion in 2017 to $23 billion by the end of 2023, a new market report shows. The authors of...

Finding a Revenue Cycle Management System for Post-Acute Care

by Jacqueline LaPointe

Post-acute care has become a major focus as providers, payers, and policymakers attempt to cut healthcare costs and improve long-term patient outcomes. However, the revenue cycle management space is dragging its feet when it comes to...

Healthcare Cost Control Rises to Top Hospital Exec Priority

by Jacqueline LaPointe

Healthcare cost control rose to the top of hospital leader priority lists, bypassing revenue growth for the first time, according to the Advisory Board’s most recent Annual Health Care CEO Survey. The survey of 146 C-suite...

21% of Orgs Do Not Have a Hospital Bad Debt Recovery Process

by Jacqueline LaPointe

Even though two-thirds of organizations have up to $10 million in hospital bad debt, some still do not have strategies in place to recover the revenue owed to the organization, a new survey from Sage Growth Partners found. The...

Would For-Profit Hospital Ownership Improve Quality, Costs in NY?

by Jacqueline LaPointe

New York maintains strict ownership laws that have essentially eliminated for-profit hospital ownership in the state. However, a new report shows that the non-profit hospital model in New York has not led to improved care quality or...

VUMC Sees Operating Income Decrease After EHR Implementation

by Jacqueline LaPointe

Tennessee-based Vanderbilt University Medical Center (VUMC) may have reported increased revenue in the first nine months of the 2018 fiscal year, but the medical center finished with lower operating income compared to last year because of...

69% of Hospitals Use Multiple Vendors for Revenue Cycle Management

by Jacqueline LaPointe

Almost 69 percent of healthcare organizations use more than one vendor solution for revenue cycle management. However, these organizations tended to have more problems with claim denials management, a recent Dimensional Insight and HIMSS...

Location, Market Competition Influence Hospital Price Variation

by Jacqueline LaPointe

Hospital prices for the privately insured depend on where a facility is located and how consolidated its market is, a recent Health Care Pricing Project analysis revealed. Using insurance claims from three of the largest commercial...

80% of Hospitals Vetting Full Revenue Cycle Management Outsourcing

by Jacqueline LaPointe

Approximately 80 percent of hospitals leaders in a new Black Book survey said they were vetting or considering outsourcing full revenue cycle management by 2019. The demand for revenue cycle management outsourcing is also significantly...

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