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

Revenue Cycle Management

Service Sharing Helps Independent Physician Practices Stay Open

February 22, 2018 - 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 Cornell Medical College and United Hospital Fund recently argued. “Service sharing arrangements offer a mechanism through which small practices...


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Addressing Regulatory Burden, Patient Payments Top HIMSS18 Trends

by Jacqueline Belliveau

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 Belliveau

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 Belliveau

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 Belliveau

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 Belliveau

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 Belliveau

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 Belliveau

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 Belliveau

“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 Belliveau

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 Belliveau

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 Belliveau

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 Belliveau

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...

Private Payer A/R, Denials Performance Troubles Hospital Revenue

by Jacqueline Belliveau

Small differences in private payer performance on claims reimbursement and denials can challenge hospital revenue cycles, a new Crowe Horwath analysis of five major commercial managed care payers uncovered. “Many providers focus their attention...

Nearly One-Third of Providers Dissatisfied with Healthcare Costs

by Jacqueline Belliveau

Almost one-third of providers are dissatisfied with the healthcare costs their patients pay for care, according to a recent survey from the University of Utah Health. The national survey of 5,031 patients and 687 physicians revealed that providers...

Automating Healthcare Contract Management Improves Business Ops

by Jacqueline Belliveau

Improving care access at hospitals is key to ensuring the health of pregnant women and their babies. But the business operations behind improving care access, such as employee and vendor contract management, must be as efficient as possible to...

Type of Provider Data Presented Influences Patient Volume, Choice

by Jacqueline Belliveau

Healthcare consumers who initially prioritized appointment availability when choosing a physician were four times more likely to select a physician based on provider data on quality performance and clinical expertise when presented with more...

How Did Providers Respond to Demand After the Affordable Care Act?

by Jacqueline Belliveau

Provider organizations employed additional staff, especially advanced practice clinicians, and expanded facilities and hours in response to increased care demands from more insured patients under the Affordable Care Act, a new Urban Institute...

Tenet Cuts 1,300 Jobs as Part of $150M Cost Reduction Initiative

by Jacqueline Belliveau

Tenet Healthcare Corporation recently announced the elimination of approximately 1,300 jobs as part of the health system’s effort to reduce annual operating costs by $150 million by the end of 2018. The Dallas-based health system will implement...

Healthcare Merger, Acquisition Activity to Rise Despite Slow Q3

by Jacqueline Belliveau

Healthcare mergers and acquisition activity in the third quarter of 2017 may be down by 11 percent compared to last year and 6 percent compared to last quarter. But deal volume still reached over 200 announced transactions for the twelfth quarter...

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