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

Revenue Cycle Management

Is It Too Soon to Gauge ICD-10’s Long-Term Coding Future?

by Jacqueline DiChiara

Regarding the future of revenue cycle management and ICD-10 implementation, is it merely too soon to tell what the long-term future of coding, laterality challenges, and documentation snafus holds? If so, what exactly comes next other...

CMS Announces Two-Midnight Payment Cut Commentary Period

by Jacqueline DiChiara

A notice and accompanying commentary period released yesterday from The Centers for Medicare & Medicaid Services (CMS) examines the core issue behind slashing hospital inpatient payments by 0.2 percent. This financial cut is tied to a...

CMS Reports $2.4B in Healthcare Consumer ACA Premium Rebates

by Jacqueline DiChiara

Consumers are apparently receiving major bang for their buck, although not in relation to this week’s hard-to-miss Black Friday and Cyber Monday holiday sales brouhaha. Healthcare consumers have received over $2.4 billion premium...

Why Revenue Cycle Management Needs Greater Patient Advocacy

by Jacqueline DiChiara

Does a holistic or more selective approach to revenue cycle management make or break a healthcare organization? Lynn Giddens-Branscum, Revenue Cycle Director at Wise Health System, chatted with RevCycleIntelligence.com to offer her...

Top 4 Strategies to Achieve Affordable Value-Based Care

by Jacqueline DiChiara

Value over volume is the name of the revenue cycle game, with the reimbursement concept of “less is more” taking precedence. With the transition to value-based care underway, here are some top collected strategies for...

Nov. 20: Week That Was in Healthcare Fraud and Malpractice

by Jacqueline DiChiara

Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported below result in multiple millions of...

Senate Committee Approves Rural Health Care Connectivity Act

by Jacqueline DiChiara

Those living in rural areas of the country without a hospital delivering affordable care nearby may soon be at ease due to passage of a new bipartisan bill. United States Senator John Thune (R-SD), Chairman of the Senate Committee on...

KLAS Research Assesses Providers’ Value-Based Care Focus

by Jacqueline DiChiara

Healthcare providers must balance needs versus capabilities in the midst of stark competition, according to a newly released KLAS performance report. KLAS’s research assesses the overall effect of both value-based care...

Pew Urges CMS to Consider Physician-Focused Payment Models

by Jacqueline DiChiara

Lack of financial reimbursement may be preventing physicians from initiating imperative end-of-life discussions about a patient’s definitive health desires and wishes. The Pew Charitable Trusts (Pew) is concerned with the...

Why ICD-10 Coding Demands a Focused Compliance Perspective

by Jacqueline DiChiara

Now that mid-November is here, healthcare entities should be prepared to respond to aggressive audits and clinical documentation enforcement efforts regarding ICD-10 code selections, or will face fraudulent billing claims. Such stated...

Low Reimbursement, High Costs Threaten Physician RCM Success

by Jacqueline DiChiara

The three leading concerns among physicians' predictions regarding profitability drops are declining reimbursements, increasing personnel expenses, and issues regarding supplies, says CareCloud’s recently released third...

GAO to CMS: State Medicaid Payment Flaws Hurt Transparency

by Jacqueline DiChiara

The reliability regarding tens of billions of dollars in states’ supplemental payments is being called into question this month by the United States Government Accountability Office (GAO). Because complete reliable data is...

How a Cadillac Tax Repeal Affects Revenue Cycle Management

by Jacqueline DiChiara

Repeal of the Cadillac Tax – a tax on high-cost healthcare insurance plans some private companies offer to employees – is up for debate once more, especially among recent presidential debate conversation and...

Healthcare Consumers Demand More Coverage Comparison Options

by Jacqueline DiChiara

A new pilot initiative involving a “Doctor Lookup” feature is now available for some healthcare consumers’ online perusal. Such a beta feature lets healthcare consumers compare coverage options in association with their...

Senators Push Tax Deductions for Healthy Lifestyle Choices

by Jacqueline DiChiara

Would being paid to purchase a new gym membership promote you to take up a new workout routine? Such a concept may soon become a reality, even without a government mandated initiative. Last week, four United States Senators – John...

Cigna-HealthSpring, UPHS Confirm Network Expansion Agreement

by Jacqueline DiChiara

Cigna-HealthSpring and The University of Pennsylvania Health System (UPHS) have announced new collaboration efforts to expand a 2016 network relationship agreement and provide supplementary resources and a series of well-coordinated...

Is U.S. Healthcare Really a Big Spender in Global Contrast?

by Jacqueline DiChiara

Healthcare spending nationwide is more expensive in comparison with our international neighbors due to greater medical technology implementation and higher healthcare prices, confirms a Commonwealth Fund issue brief. But is the U.S. really...

How Does Meaningful Use Impact Revenue Cycle Management?

by Jacqueline DiChiara

Several questions are imperative to consider in terms of recent news related to the long-awaited final use for meaningful use modifications and Stage 3 Meaningful Use requirements: How meaningful is meaningful use when it comes to...

PA Receives $886K Award in CCBHC Behavioral Disorder Funding

by Jacqueline DiChiara

It is perhaps becoming increasingly difficult to peruse the news without stumbling across a story on behavioral health. Whether bombs are falling in Boston or bullets are flying across a college campus, both political debates and Monday...

CMS Requests Merit-Based Incentive Payment System Discussion

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) will publish a proposed rule tomorrow (CMS-3321-NC2) requesting information about the implementation of the Merit-Based Incentive Payment System (MIPS) and allowing for a comment...

X

Join 30,000 of your peers and get free access to all webcasts and exclusive content

Sign up for our free newsletter:

Our privacy policy


no, thanks

Continue to site...