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

Revenue Cycle Management

Moving Past the “Model Hospital” with Revenue Cycle Management

by Scott Pillittere

Many healthcare organizations have recently implemented a new electronic health record (EHR), resulting in a new revenue cycle system.  Through this transition, most of the major EHR vendors insist that you need to implement their...

Value-Based Care Models Still Pose Opportunities, Challenges

by Jacqueline DiChiara

The value-based care model is allegedly winning the claims reimbursement race, leaving its fee-for-service competitor in the dust. How valid is the widespread claim that value-based reimbursement models are tied to higher care quality...

Revenue Cycle Management a Post-ICD-10 Implementation Focus

by Jacqueline DiChiara

Healthcare organizations are focused on strengthening revenue cycle management processes in a post-ICD-10 environment, according to Porter Research and Navicure’s national ICD-10-centered survey. As the concluding chapter...

Do Accountable Care Organizations Save Claims Reimbursement?

by Jacqueline DiChiara

Accountable care organizations (ACOs) are reportedly being penalized for high revenue cycle management performance. Healthcare providers looking to manage their claims reimbursement strategies remain focused on value-based care initiatives...

High Patient Experience Ratings Up Revenue Cycle Management

by Jacqueline DiChiara

Positive patient experience ratings generate a healthy and happy revenue cycle management, according to Press Ganey’s new white paper. But healthcare payment reform challenges may be keeping providers from seeing more...

55 Hospitals File Two-Midnight Rule Lawsuit Against HHS

by Jacqueline DiChiara

The healthcare industry is burning the two-midnight oil. Fifty-five hospitals filed a lawsuit last Friday against the Department of Health and Human Services (HHS) regarding the two-midnight rule’s 0.2 percent inpatient...

HHS, CMS Speak Out on CMS’s Innovation Center Pilot Project

by Jacqueline DiChiara

Medicare reimbursements are preparing to emerge from a fee-for-service caterpillar’s cocoon to a value-based butterfly. The newly announced Accountable Health Communities [AHC] model – a CMS Innovation Center...

Can Automation Investment Keep Insurance Claim Costs Down?

by Jacqueline DiChiara

Hospitals are focusing on various outsourcing endeavors or different manual approaches to maintain a healthy revenue cycle. But is it working as planned? Perhaps only at a steep price. Expenditures for late payment...

The Revenue Cycle Focused Accountable Care Organization

by Jacqueline DiChiara

Are you a healthcare provider considering making the accountable care switch as a New Year’s resolution? Staying in the black for 2016 means anticipating and preparing for possible financial disaster. But where should your...

CMS, HHS Get Social with $157M in Medicare, Medicaid Funding

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) has revealed a new 5-year $157 million funding opportunity this week to help advance the overall quality and affordability of Medicare and Medicaid. The health-related social needs of...

A Very Happy New Year from RevCycleIntelligence.com!

by Jacqueline DiChiara

2015 was The Year of ICD-10. News of grace period delays, deadline extensions, claims management woes, and discussions about a proposed freeze topped our most popular articles of the year. “The long-awaited U.S. transition...

How a Palliative Care Focus Eases Healthcare’s Cost Burdens

by Jacqueline DiChiara

As physicians across the country mull over their New Year’s resolutions this week, the overarching desire for a healthy revenue cycle will likely be a common theme. Physicians often struggled with how to keep money flowing as easily...

Considering Healthcare Providers’ Value-Based Risk Burdens

by Jacqueline DiChiara

Value-based reimbursement may not be good for revenue cycle management. Increasing levels of financial risk may be setting healthcare providers back, but to what extent and at what cost? As the payment model landscape changes,...

5 Supply Chain Management Questions and Answers

by Jacqueline DiChiara

A chain is no stronger than its weakest link. But strengthening the most fragile links when many moving parts collectively bump into each other along the way is no easy task when it comes to supply chain management. Here are 5 supply...

CMS’s Quality Measurement Development Plan Supports MIPS, APM

by Jacqueline DiChiara

2016 may be an especially good year for healthcare providers when it comes to matters of revenue cycle management. The Centers for Medicare & Medicaid Services (CMS) recently posted a 63-page Measure Development Plan, a strategic...

3 Hard Reimbursement Questions Physicians Are Afraid to Ask

by Jacqueline DiChiara

Physicians sought answers to many pressing reimbursement questions this year. 2015 saw heightened anticipation of reimbursement delay and claims denials once ICD-10 kicked into gear, ongoing discussion among physicians nationwide about...

10 Standout Revenue Cycle Management Quotes of 2015

by Jacqueline DiChiara

Actions speak louder than words. But sometimes, the pen is indeed mightier than the sword.  Here are 10 selected quotes (presented in no particular order), exclusive to RevCycleIntelligence.com from the last year that may make...

CMS Releases Fee-for-Service Data for Home Health Agencies

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) is striving once again to make the healthcare industry more  transparent, affordable, and accountable with the dissemination of free-flowing...

How Business Intelligence, CDI Focus Sharpens Revenue Cycle

by Jacqueline DiChiara

Celebrating success is generally much more fun than learning from failure. But the latter is sometimes more necessary. Eighty percent of nearly 300 healthcare providers surveyed last month said ICD-10 implementation was an overall...

ICD-10 Grace Period News Leads 2015’s Top 5 Stories

by Jacqueline DiChiara

With December already halfway over and talk of holiday celebrations and New Year’s resolutions well underway, here is RevCycleIntelligence.com’s year-end top stories list. The International Classification of Diseases, 10th...

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