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

Revenue Cycle Management

Healthcare Disruption Spurs Hospitals to Alter Business Operations

by Jacqueline LaPointe

Eighty-five percent of hospital and health system executives believe the industry is at significant risk for healthcare disruption, and their organizations are preparing their business operations for potential changes to how healthcare...

Atrium Health Settles Anticompetitive Hospital Contracting Claims

by Jacqueline LaPointe

Atrium Health in North Carolina recently agreed to a settlement with the Department of Justice (DoJ) and the North Carolina Office of Attorney General that prohibits the health system from using anticompetitive hospital contracting terms...

Hospitals Want Practice Management Systems to Work with EHR, RCM

by Jacqueline LaPointe

Hospitals are seeking customizable practice management systems that integrate with their revenue cycle management and EHR systems, according to a new survey from Black Book Research. Thirty-six percent of hospital system executives said...

Hospital Bankruptcies Are On the Rise, Hitting Rural Areas Hard

by Jacqueline LaPointe

The healthcare industry experience more than 20 hospital bankruptcies since 2016, and about three-quarters of the distressed hospitals operated in rural areas, law firm Polsinelli recently reported. The Am Law 100 firm tracks Chapter 11...

Patient Leakage Costs Most Healthcare Facilities 10% of Revenue

by Jacqueline LaPointe

Healthcare organizations are losing revenue because they are failing to properly mange referrals and patient leakage, a new survey shows. Forty-three percent of over 100 executives recently surveyed by Sage Growth Partners for Fibroblast...

Aligning the Healthcare Revenue Cycle with Patient Experience

by Jacqueline LaPointe

Improving a patient’s financial experience is key to healthcare revenue cycle management success, according to the Senior Regional Director of Revenue Cycle at Ascension Healthcare. “Moving into the future, we need to focus...

Optum360, WayStar Named Top Revenue Cycle Management Vendors

by Jacqueline LaPointe

The eighth annual revenue cycle management technology and outsourcing solutions survey from Black Book recently uncovered the top client-rated healthcare revenue cycle management vendors for health systems, hospitals, and physician...

End-to-End Revenue Cycle Management Key to Success at Ascension

by Jacqueline LaPointe

The healthcare revenue cycle contains many moving parts. Hospitals and health systems typically rely on a patchwork of technologies and best practices to ensure everything from patient access and registration to medical billing and...

Hospital Financial Performance Lags with Revenue Cycle Outsourcing

by Jacqueline LaPointe

Revenue cycle outsourcing may not be the financial answer hospitals are looking for, according to a recent analysis from the public accounting, consulting, and technology firm Crowe. The analysis of data from more than 1,000 hospitals...

Docs Could Avoid 34% of Out-of-Network Patient Referrals with Data

by Jacqueline LaPointe

Providers recognize the importance of making in-network referrals for care coordination and patient retention. However, 79 percent of physicians still refer patients to other providers outside their health system’s network, a new...

Shift Admin, QGenda Top Physician Scheduling Vendors, KLAS Reports

by Jacqueline LaPointe

Shift Admin and QGenda are the physician scheduling vendors giving provider organizations their money’s worth for the time saved using the solution, KLAS recently reported. In a series of interviews with over 200 healthcare...

CFOs Expect Higher Hospital Labor Costs As Staffing Shortages Loom

by Jacqueline LaPointe

About 78 percent of healthcare finance leaders expect hospital labor costs to grow in the next 12 months as the industry faces a worsening shortage of healthcare professionals, a new survey shows. The survey of over 100 CFOs and...

KLAS: Business Intelligence Use Varies, Epic Systems Leads Adoption

by Jacqueline LaPointe

Health IT giant Epic Systems has the deepest adoption of healthcare business intelligence solutions, but healthcare organizations are also increasingly seeking the advanced data analytics tools offered by Jvion, HBI Solutions, and other...

Revenue Cycle Management Integration Boosts the Bottom Line

by Jacqueline LaPointe

When you ask a provider which EHR system he uses, you expect to hear a single vendor, such as Epic, Cerner, or MEDITECH. But when you inquire about a provider’s revenue cycle management system, you are likely to get a laundry list of...

Quantifying Financial Distress to Stop Hospital Bankruptcy, Closure

by Jacqueline LaPointe

More healthcare organizations will face financial troubles, and possibly a hospital bankruptcy or closure, in the coming years as the healthcare industry undergoes major changes. Changes that will result in lower reimbursement rates, more...

Revenue Cycle Management Outsourcing Market to Grow at 11.9% CAGR

by Jacqueline LaPointe

The global healthcare revenue cycle management outsourcing market is slated to significantly increase, with its valuation rising from just $11.7 billion in 2017 to $23 billion by the end of 2023, a new market report shows. The authors of...

Finding a Revenue Cycle Management System for Post-Acute Care

by Jacqueline LaPointe

Post-acute care has become a major focus as providers, payers, and policymakers attempt to cut healthcare costs and improve long-term patient outcomes. However, the revenue cycle management space is dragging its feet when it comes to...

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