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

Revenue Cycle Management

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

June 20, 2018 - 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 Baltimore-based healthcare research, strategy, and marketing firm surveyed 100 hospital C-suite executives and finance leaders earlier this year on behalf of Dorado...


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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 decreased...

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 its...

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 Analytics...

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 insurers (Aetna,...

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 up, revealed...

Epic EHR, Cerner Dominate Patient Accounting System Conversions

by Jacqueline LaPointe

Healthcare organizations are starting to implement new patient accounting systems to achieve clinical integration, and most are going to Cerner or Epic EHR for the revenue cycle management technology, according to the Patient Accounting 2018...

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 Weill...

Addressing Regulatory Burden, Patient Payments Top HIMSS18 Trends

by Jacqueline LaPointe

Healthcare finance professionals can bet on discussing compliance, innovative health IT systems, and patient financial responsibility at the 2018 HIMSS Annual Conference and Exhibition (HIMSS18) in Las Vegas. Over 45,000 healthcare stakeholders...

Financial Challenges Continue to Trouble Community Hospital CEOs

by Jacqueline LaPointe

Financial challenges continued to keep community hospital CEOs up at night in 2017, according to a recent American College of Healthcare Executives (ACHE) survey. Once again, hospital leaders identified financial obstacles as the top issue their...

KLAS: Epic Among Top Healthcare RCM, Finance Solutions in 2018

by Jacqueline LaPointe

Epic and MEDITECH were just a few of the vendors that earned top marks in the 2018 Best in KLAS Software and Services report for healthcare revenue cycle management (RCM) and finance solutions. Unlike other healthcare markets, like the EHR space,...

Healthcare Merger, Acquisition Deal Value Increased 145% in 2017

by Jacqueline LaPointe

Despite the number of healthcare merger and acquisitions deals dipping slightly in 2017, deal value significantly increased by 145.8 percent, reaching a total of $175.2 billion, a new PricewaterhouseCoopers (PwC) report revealed. In 2017, the...

Global Healthcare RCM Software Market to Reach $43.3B by 2022

by Jacqueline LaPointe

The global market for healthcare revenue cycle management software will grow at a compound annual growth (CAGR) rate of 6.9 percent from 2017 to 2022, researchers from Future Market Insights recently predicted. At that growth rate, they estimate...

Prescription Drug Rates Continue to Challenge Cancer Centers

by Jacqueline LaPointe

Prescription drug rates and the costs of new treatment modalities continued to challenge cancer centers, according to the most recent Trending Now in Cancer Care survey from the Association of Community Cancer Centers (ACCC). For the second year...

6 Major Hospital Merger Deals Making Headlines in 2018

by Jacqueline LaPointe

In 2017, the healthcare industry saw a boom of hospital merger announcements. And many of those deals are set to close in 2018 pending federal and state regulatory review. Hospital merger and acquisition activity last year was well on its way...

4 Key Ways to Improve Healthcare Revenue Cycle Management

by Jacqueline LaPointe

“There is always room for improvement” should be healthcare revenue cycle management’s mantra. Declining claims reimbursement rates, the shift to value-based purchasing, and evolving health policies keep revenue cycle leaders...

Hospital Discharge Patterns Trouble Skilled Nursing Facilities

by Jacqueline LaPointe

Hospital discharge patterns under value-based reimbursement models are troubling the revenue cycles of skilled nursing facilities, causing operating margins and occupancy rates to significantly decline in 2016, consulting firm CliftonLarsonAllen...

Top 10 ICU Diagnoses Driving Up Healthcare Costs, Care Variations

by Jacqueline LaPointe

Cardiac procedures and sepsis dominated the list of top ten intensive care unit (ICU) diagnoses that represented the greatest opportunity for hospitals to reduce healthcare costs and care variations for ICU length of stay, a recent Premier Inc....

Top 4 Healthcare Revenue Cycle, Finance Trends to Watch in 2018

by Jacqueline LaPointe

As 2017 comes to an end, hospital and practice leaders are preparing their priority lists and agenda items for next year. The top four healthcare revenue cycle and finance trends that should appear on 2018 agendas include voluntary Medicare alternative...

Advocate, Aurora and Dignity Health, CHI Sign Hospital Merger Deals

by Jacqueline LaPointe

The healthcare market in Chicago is bracing for some major changes starting with the recently announced hospital merger between Advocate Health Care and Wisconsin-based Aurora Health Care. The largest health system in Illinois revealed its intentions...

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