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

Revenue Cycle Management

Hospital Revenue Unstable Despite Outpatient Volume Growth

December 11, 2018 - 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 technology firm Crowe. “As many health systems expand their portfolio of services (more outpatient facilities, entrees into insurance products,...


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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...

Patient Leakage Costs Most Healthcare Facilities 10% of Revenue

by Jacqueline LaPointe

Healthcare organizations are losing revenue because they are failing to properly mange referrals and patient leakage, a new survey shows. Forty-three percent of over 100 executives recently surveyed by Sage Growth Partners for Fibroblast...

Aligning the Healthcare Revenue Cycle with Patient Experience

by Jacqueline LaPointe

Improving a patient’s financial experience is key to healthcare revenue cycle management success, according to the Senior Regional Director of Revenue Cycle at Ascension Healthcare. “Moving into the future, we need to focus...

Optum360, WayStar Named Top Revenue Cycle Management Vendors

by Jacqueline LaPointe

The eighth annual revenue cycle management technology and outsourcing solutions survey from Black Book recently uncovered the top client-rated healthcare revenue cycle management vendors for health systems, hospitals, and physician...

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

by Jacqueline LaPointe

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...

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...

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