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

Revenue Cycle Management

KLAS: Epic Among Top Healthcare RCM, Finance Solutions in 2018

by Jacqueline LaPointe

Epic and MEDITECH were just a few of the vendors that earned top marks in the 2018 Best in KLAS Software and Services report for healthcare revenue cycle management (RCM) and finance solutions. Unlike other healthcare markets, like the...

Healthcare Merger, Acquisition Deal Value Increased 145% in 2017

by Jacqueline LaPointe

Despite the number of healthcare merger and acquisitions deals dipping slightly in 2017, deal value significantly increased by 145.8 percent, reaching a total of $175.2 billion, a new PricewaterhouseCoopers (PwC) report revealed. In 2017,...

Global Healthcare RCM Software Market to Reach $43.3B by 2022

by Jacqueline LaPointe

The global market for healthcare revenue cycle management software will grow at a compound annual growth (CAGR) rate of 6.9 percent from 2017 to 2022, researchers from Future Market Insights recently predicted. At that growth rate, they...

Prescription Drug Rates Continue to Challenge Cancer Centers

by Jacqueline LaPointe

Prescription drug rates and the costs of new treatment modalities continued to challenge cancer centers, according to the most recent Trending Now in Cancer Care survey from the Association of Community Cancer Centers (ACCC). For the...

6 Major Hospital Merger Deals Making Headlines in 2018

by Jacqueline LaPointe

In 2017, the healthcare industry saw a boom of hospital merger announcements. And many of those deals are set to close in 2018 pending federal and state regulatory review. Hospital merger and acquisition activity last year was well on its...

4 Key Ways to Improve Healthcare Revenue Cycle Management

by Jacqueline LaPointe

“There is always room for improvement” should be healthcare revenue cycle management’s mantra. Declining claims reimbursement rates, the shift to value-based purchasing, and evolving health policies keep revenue cycle...

Hospital Discharge Patterns Trouble Skilled Nursing Facilities

by Jacqueline LaPointe

Hospital discharge patterns under value-based reimbursement models are troubling the revenue cycles of skilled nursing facilities, causing operating margins and occupancy rates to significantly decline in 2016, consulting firm...

Top 10 ICU Diagnoses Driving Up Healthcare Costs, Care Variations

by Jacqueline LaPointe

Cardiac procedures and sepsis dominated the list of top ten intensive care unit (ICU) diagnoses that represented the greatest opportunity for hospitals to reduce healthcare costs and care variations for ICU length of stay, a recent Premier...

Top 4 Healthcare Revenue Cycle, Finance Trends to Watch in 2018

by Jacqueline LaPointe

As 2017 comes to an end, hospital and practice leaders are preparing their priority lists and agenda items for next year. The top four healthcare revenue cycle and finance trends that should appear on 2018 agendas include voluntary...

Advocate, Aurora and Dignity Health, CHI Sign Hospital Merger Deals

by Jacqueline LaPointe

The healthcare market in Chicago is bracing for some major changes starting with the recently announced hospital merger between Advocate Health Care and Wisconsin-based Aurora Health Care. The largest health system in Illinois revealed...

Private Payer A/R, Denials Performance Troubles Hospital Revenue

by Jacqueline LaPointe

Small differences in private payer performance on claims reimbursement and denials can challenge hospital revenue cycles, a new Crowe Horwath analysis of five major commercial managed care payers uncovered. “Many providers focus...

Nearly One-Third of Providers Dissatisfied with Healthcare Costs

by Jacqueline LaPointe

Almost one-third of providers are dissatisfied with the healthcare costs their patients pay for care, according to a recent survey from the University of Utah Health. The national survey of 5,031 patients and 687 physicians revealed that...

Automating Healthcare Contract Management Improves Business Ops

by Jacqueline LaPointe

Improving care access at hospitals is key to ensuring the health of pregnant women and their babies. But the business operations behind improving care access, such as employee and vendor contract management, must be as efficient as...

Type of Provider Data Presented Influences Patient Volume, Choice

by Jacqueline LaPointe

Healthcare consumers who initially prioritized appointment availability when choosing a physician were four times more likely to select a physician based on provider data on quality performance and clinical expertise when presented with...

How Did Providers Respond to Demand After the Affordable Care Act?

by Jacqueline LaPointe

Provider organizations employed additional staff, especially advanced practice clinicians, and expanded facilities and hours in response to increased care demands from more insured patients under the Affordable Care Act, a new Urban...

Tenet Cuts 1,300 Jobs as Part of $150M Cost Reduction Initiative

by Jacqueline LaPointe

Tenet Healthcare Corporation recently announced the elimination of approximately 1,300 jobs as part of the health system’s effort to reduce annual operating costs by $150 million by the end of 2018. The Dallas-based health system...

Healthcare Merger, Acquisition Activity to Rise Despite Slow Q3

by Jacqueline LaPointe

Healthcare mergers and acquisition activity in the third quarter of 2017 may be down by 11 percent compared to last year and 6 percent compared to last quarter. But deal volume still reached over 200 announced transactions for the twelfth...

Health Centers Use Business Tactics to Compete with Private Orgs

by Jacqueline LaPointe

Federally qualified health centers (FQHCs) are the backbone of the healthcare safety net. But rising competition from hospitals and other healthcare organizations may be the straw that breaks that back. FHQCs receive enhanced Medicare and...

Pay-for-Performance Models Hurt Safety-Net Hospital Finances

by Jacqueline LaPointe

Medicare pay-for-performance models may disproportionately penalize safety-net hospitals and other organizations that serve the most vulnerable patient populations, a new study in Medical Care found. Hospitals in one of the most...

Trevor Fetter Steps Down as Tenet Healthcare Corp CEO, Director

by Jacqueline LaPointe

Tenet Healthcare Corporation CEO Trevor Fetter stepped down earlier than expected as head of the health system. He also resigned as director of the company, Tenet recently announced. The health system stated in August 2017 that Fetter...

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