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

Revenue Cycle Management

Healthcare Framework Aims to Drop Low-Value Resource Use, Costs

by Jacqueline LaPointe

Healthcare organizations looking to reduce low-value resource use and healthcare costs should implement a framework that addresses the patient and clinician interaction, according to a recent Journal of Hospital Medicine report. Four...

Physician Alignment Drives Healthcare Revenue Cycle Progress

by Jacqueline LaPointe

Hospital and health system leaders frequently rank decreasing healthcare costs and increasing efficiency as their top concerns year-after-year. But many healthcare organizations have struggled to implement and sustain healthcare cost...

Healthcare Price Variation a Challenge for State, Local Leaders

by Jacqueline LaPointe

Local leaders may be better positioned to solve healthcare cost challenges than the federal government since healthcare price variation was more significant by state and local markets, a new Health Care Cost Institute (HCCI) and Robert...

Key Ways to Start A Hospital Revenue Cycle Turnaround Process

by Jacqueline LaPointe

Healthcare executives often point to market factors for lackluster hospital revenue cycle performance. But lagging accounts receivable days and shrinking hospital margins usually indicate that it is time for an internal hospital revenue...

Patient Financial Responsibility Not Owed Top Medical Debt Issue

by Jacqueline LaPointe

A recent report from the think tank Frontier Group and the US Public Interest Research Group (PIRG) Education Fund may spell trouble for providers attempting to collect overdue patient financial responsibility either internally or through...

Credit Card On File Program Key To Patient Collections Success

by Jacqueline LaPointe

Implementing a credit card on file program boosted patient collections and reduced accounts receivable by 28 percent in six months at Orthopaedics & Rheumatology of the North Shore, a four-physician specialty practice in...

Boost Healthcare Competition to Drive Down Prices, Up Quality

by Jacqueline LaPointe

The lack of healthcare competition stemming from recent healthcare merger and acquisition trends resulted in higher prices and lower care quality, industry experts recently argued in a Carnegie Mellon University’s Heinz College white...

Healthcare Supply Chain Issues Cause VA Center Director Change

by Jacqueline LaPointe

The VA recently removed its medical center director from his position and temporarily reassigned him to administrative duties after the Office of Inspector General (OIG) reported several patient safety concerns stemming from healthcare...

TN Law Aims to Make Payer Contract Management More Predictable

by Jacqueline LaPointe

Earlier this week, Tennessee Governor Bill Haslam signed the Provider Stability Act into law, which intends to increase transparency and accountability for payer contract management. Effective Jan. 1, 2019, the law will require payers in...

Medicaid Expansion Linked to $5M Annual Hospital Revenue Boost

by Jacqueline LaPointe

Hospital revenue in Medicaid expansion states increased by $5 million annually per facility after states chose to extend Medicaid coverage to more individuals, a recent Robert Wood Johnson Foundation and Urban Institute report showed. The...

Healthcare Mergers May Face New Federal Rules Under SMARTER Act

by Jacqueline LaPointe

In a 16 to 20 vote earlier this week, the House Judiciary Committee passed the Standard Merger and Acquisition Reviews Through Equal Rules Act (SMARTER Act), which could affect how federal antitrust agencies evaluate healthcare mergers and...

Healthcare Consumerism Challenges Primary Care Business Models

by Jacqueline LaPointe

Primary care providers are facing significant and oftentimes conflicting challenges in response to two major healthcare trends: value-based purchasing implementation and the rise of healthcare consumerism, a recent Journal of Internal...

Physician Compensation for Specialists 45.6% More than for PCPs

by Jacqueline LaPointe

According to a recent Medscape survey, physician compensation for specialists was 45.6 percent more than what primary care providers earned in the past year. The survey of over 19,200 physicians in 27 specialists uncovered that the...

Healthcare Costs Rise With Regional Post-Acute Care Variations

by Jacqueline LaPointe

Despite receiving similar post-acute care services overall, rural hospital patients tend to undergo more skilled nursing facility treatment than home health care versus urban hospital patients, contributing to higher healthcare costs,...

Lean Primary Care Improves Physician Productivity, Costs

by Jacqueline LaPointe

A recent American Journal of Managed Care study showed that implementing a Lean primary care model resulted in operational cost reductions, physician productivity improvements, and higher patient satisfaction scores. “Our findings...

Is Radiation Overuse Contributing to Higher Healthcare Costs?

by Jacqueline LaPointe

Oncologists could have saved over $164 million in healthcare costs if they had adhered to clinical guidelines and prescribed shorter radiation treatment for some breast cancer patients, a recent Journal of Oncology Practice study...

IL Supreme Court Maintains Non-Profit Hospital Tax Exemption

by Jacqueline LaPointe

The Illinois Supreme Court recently legally voided an appellate court’s decision that non-profit hospital tax exemption was unconstitutional. In Illinois, non-profit hospitals qualify for property tax exemption if the value of all...

Physician Shortage Projected to Grow to 104K Providers by 2030

by Jacqueline LaPointe

The physician shortage is projected to grow to up to 104,900 providers by 2030, new research from the Association of American Medical Colleges (AAMC) revealed. The projected physician shortage increased from an estimated shortfall of up...

Hospitals Seek Independent Docs for Referrals, Healthcare Revenue

by Jacqueline LaPointe

A recent SCI Solutions survey found that 58 percent of independent providers do not have one or more preferred referral hospital partners, suggesting a major healthcare revenue opportunity for health systems and hospitals. Out of the 549...

52% of Practices Use Various Reminders to Stop Patient No-Shows

by Jacqueline LaPointe

To prevent patient no-shows, a recent Medical Group Management Association (MGMA) poll showed that providers are using a variety of communication methods to protect their healthcare revenue from missed appointments. The recent survey of...

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