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

Revenue Cycle Management

5 Ways to Cut Costs through Hospital Revenue Cycle Management

by Catherine Sampson

As healthcare costs continue to rise, hospital revenue cycle management has become an important focal point for providers. Healthcare expenditures in the US are projected to reach $4.4 trillion by 2018, according to an article in The...

5 Most Common Hospital Revenue Cycle Management Challenges

by Catherine Sampson

Since the Affordable Care Act, the task of hospital revenue cycle management has changed significantly. Between ICD-10, MACRA, and accountable care, it has become a hospital’s best interest to have an effective revenue cycle...

Top 5 Ways to Optimize Healthcare Revenue Cycle Management

by Vera Gruessner

Revenue cycle management remains relatively elusive in the new healthcare landscape, as new regulations and reforms have led the industry to evolve and left many hospitals scrambling to keep their revenue strong in a value-based care...

41% of Providers, Payers Adopt Value-Based Care Reimbursement

by Vera Gruessner

With the push from private and commercial health payers along with federal agencies to adopt value-based care reimbursement strategies, many more healthcare providers seem to have begun contracting through pay-for-performance arrangements....

Defining the Top 10 Terms of Healthcare Revenue Cycle Management

by Catherine Sampson

In some cases, definitions for terms and acronyms related to healthcare revenue cycle management can come across as fairly straightforward. Other times, they can sound more like a foreign language. A healthcare professional may find it...

How Automation Technology Could Cut $8 Billion in Healthcare

by Vera Gruessner

One method for better managing the revenue of a hospital and reducing wasteful spending is to reduce manual administrative processes and incorporate automation technology. The 2015 CAQH Index shows that the healthcare industry is...

3 Change Management Strategies for Revenue Cycle Results

by Kyle Murphy, T2C Consulting

Healthcare consumers receive the highest quality of service when operational inefficiencies are reduced and business processes are aligned to the goal of that service. That’s true for consumers, but also for providers, third-party...

Revenue Cycle Management Must Change for Community Hospitals

by Jacqueline LaPointe

Community hospitals in Massachusetts will continue to close if they do not make appropriate changes to their revenue cycle management strategies, a study reveals. The study, released by the Health Policy Commission (HCP) in Massachusetts,...

Why Concierge Medicine Programs Boost Patient Satisfaction

by Vera Gruessner

Due to the many complications of healthcare reform and the many quality care initiatives being established by federal agencies and payers, both new and well-established alternative healthcare delivery models are cropping up. Concierge...

Epic Systems Tops List of Hospital RCM Technology Users

by Kyle Murphy, PhD

The healthcare industry finds itself at a turning point in regard to reimbursement. Fee-for-service reimbursement is giving way to alternative payment models that emphasize value over volume, but it remains a financially significant...

4 Healthcare Revenue Cycle Outcomes Make Headway at HIMSS16

by Vera Gruessner

With the HIMSS16 conference in Las Vegas, Nevada coming to an end, it is useful to look back and see which avenues are making an impact on the healthcare revenue cycle among providers. Both health IT solutions and new reports coming out of...

How to Slash Common Healthcare Supply Chain Management Costs

by Jacqueline DiChiara

Healthcare supply chain management strategies are generally tied to keeping costs low. But with an apparently broken system still in place, this is not a simple task. Whereas other industries seem to have made supply chain progress,...

5 Ways Smaller Providers Maximize Revenue Cycle Management

by Jacqueline DiChiara

Revenue cycle management is about breaking through the cash flow ceiling and generating the greatest amount of net revenue possible. But issues of claims denials, coding compliance, where to intelligently cut cost corners, automation...

How to Boost Ambulatory Revenue Cycle Management Performance

by Jacqueline DiChiara

Ambulatory revenue cycle management is driven by a variety of factors, such as the market growth of Electronic Health Records (EHRs), the meaningful use program, and technological trends. Operating as outpatient healthcare facilities,...

Why Hospital Revenue Cycle Demands More Patient Engagement

by Jacqueline DiChiara

A lack of technological alignment may cause hospital revenue cycle to dip substantially, according to research from Accenture. Stronger patient engagement efforts and revision of digital health strategies may help hospitals protect their...

Education Investment Strengthens Revenue Cycle Management

by Jacqueline DiChiara

The secret to revenue cycle management success may lie in education. Healthcare executives are beginning to understand the monetary value of education and its effect on revenue cycle. But staff preparation levels are still a top concern...

How the Affordable Care Act Refines Revenue Cycle Management

by Jacqueline DiChiara

The Affordable Care Act (ACA) provides many greater opportunity for healthcare providers to strengthen their revenue cycle operations. As a consumer-driven revenue cycle management is becoming the new norm, the ACA plays an active role in...

What Are the Greatest Revenue Cycle Management Challenges?

by Jacqueline DiChiara

RevCycleIntelligence.com recently polled over 60 readers to assess revenue cycle management challenges and opportunities, from the front-end, to the back-end, and everything in between. Readers said collecting payment from a patient in a...

4 HIMSS16 Revenue Cycle Management, Value-Based Care Focuses

by Jacqueline DiChiara

The topics of revenue cycle management innovation and value-based care will be of key importance at HIMSS16, one of the largest healthcare information technology (IT) conferences of the year, held next month in Las Vegas. Promoting...

Affordable Care Act Creates Tax-Funded Expenditure Majority

by Jacqueline DiChiara

Over 64 percent of healthcare spending is tied to tax-funded expenditures, according to new data from the American Journal of Public Health. This reported number apparently contradicts commonplace perceptions about the cost of...

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