Revenue Cycle Management

Group Purchasing Saves Hospitals Up to 18% of Supply Chain Costs

by Jacqueline LaPointe

Group purchasing organizations (GPOs) are saving hospitals and other healthcare facilities between 10 to 18 percent, a new report revealed. The Healthcare Supply Chain Association’s (HSCA)...

HHS to Clear Medicare Appeals Backlog by 2022, Court Docs Show

by Jacqueline LaPointe

HHS is making significant progress with eliminating the growing Medicare appeals backlog, according to recent court documents. The federal department projects Medicare to clear the backlog by the 2022...

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...

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,...

How Hospitals Bring in Revenue Through the Healthcare Supply Chain

by Jacqueline LaPointe

The healthcare supply chain is a cost center for provider organizations of all sizes. Through the supply chain, healthcare organizations spend money on the items and supplies they need to deliver the...

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...

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...

Healthcare Revenue Higher for Practices Employing More NPs, PAs

by Jacqueline LaPointe

Primary care practices that employ more physician assistants, nurse practitioners, and other non-physician providers have greater healthcare revenue and productivity, the Medical Group Management...

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...

Industry Orgs Fight Anthem’s Emergency Department Payment Policy

by Jacqueline LaPointe

The American College of Emergency Physicians (ACEP) and the Medical Association of Georgia (MAG) are suing Anthem’s Blue Cross Blue Shield (BCBS) of Georgia over a new policy that allows the...

Healthcare Cost Control Rises to Top Hospital Exec Priority

by Jacqueline LaPointe

Healthcare cost control rose to the top of hospital leader priority lists, bypassing revenue growth for the first time, according to the Advisory Board’s most recent Annual Health Care CEO...

A Provider-Sponsored Health Plan Is A Hospital’s Natural Next Step

by Jacqueline LaPointe

Many hospitals and health systems are bypassing the ultimate opportunity to gain greater control of the outcomes and costs of their patients. That opportunity is developing their own provider-sponsored...

Key Terms, Components of Payer Contracts Providers Should Know

by Jacqueline LaPointe

Providers are in the business of keeping their patients healthy. But confusing payer contracts riddled with “legalese” and other complicated provisions can get in the way of improving...

Giving Providers Hospital Cost Accounting Data Will Lower Costs

by Jacqueline LaPointe

Engaging physicians with hospital cost accounting data will be key to lowering costs under accountable care organizations (ACOs) and other population-based reimbursement models, Stanford researchers...

Hospital Revenue from Patient Financial Responsibility Up 88%

by Jacqueline LaPointe

Total hospital revenue attributable to patient financial responsibility after insurance increased 88 percent between 2012 and 2017, a new TransUnion Healthcare analysis uncovered. The growth in...

21% of Orgs Do Not Have a Hospital Bad Debt Recovery Process

by Jacqueline LaPointe

Even though two-thirds of organizations have up to $10 million in hospital bad debt, some still do not have strategies in place to recover the revenue owed to the organization, a new survey from Sage...

Key Issues Impacting Two-Sided Risk Accountable Care Organizations

by Jacqueline LaPointe

Medicare accountable care organizations (ACOs) operating under two-sided financial risk arrangements save the federal healthcare program more than one-sided risk organizations. But policymakers must...

Would For-Profit Hospital Ownership Improve Quality, Costs in NY?

by Jacqueline LaPointe

New York maintains strict ownership laws that have essentially eliminated for-profit hospital ownership in the state. However, a new report shows that the non-profit hospital model in New York has not...

Provider Data Standardization Critical to Improving Inaccuracies

by Jacqueline LaPointe

A multi-disciplinary workgroup is calling for provider data standardization to ensure accurate provider information is available for connecting patients with providers, licensing providers, and paying...