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

Revenue Cycle Management

Revenue Cycle Management Integration Boosts the Bottom Line

August 9, 2018 - 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 vendors and products for each component of the cycle. Nearly 69 percent of healthcare organizations use more than one vendor solution for revenue...


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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...

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...

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...

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...

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...

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...

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,...

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...

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...

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...

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