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

Revenue Cycle Management

2017 Hospital Merger Activity Likely to Beat 102 Deals in 2016

by Jacqueline LaPointe

Healthcare organizations engaged in 87 hospital merger and partnership transaction so far in 2017, a recent Kaufman Hall analysis showed. The most recent data revealed that 29 hospital merger and partnership deals were announced in the...

Hospital Mergers Take Two or More Years to Produce Cost Savings

by Jacqueline LaPointe

Hospital mergers and acquisitions resulted in immediate decreases in operating expenses per adjusted admission. However, acquired facilities also saw operating revenue decline at a higher rate, leading to falling operating margins for the...

Tenet Starts Chicago Market Exit with Sale of MacNeal Hospital

by Jacqueline LaPointe

Tenet Healthcare Corporation recently announced that Loyola Medicine has signed a definitive agreement to purchase MacNeal Hospital, one of Tenet’s four hospitals in the Chicago area. Loyola Medicine, an affiliate of Trinity Health,...

$67.4B in Hospital Community Benefit Outweighs Tax Revenue Loss

by Jacqueline LaPointe

Non-profit hospitals and health systems delivered $67.4 billion in community benefit activities in 2013, representing a benefit 11 times greater than the value of the tax revenue forgone by the tax-exempt status of the healthcare...

Does Where Freestanding EDs Operate Change Hospital Payer Mix?

by Jacqueline LaPointe

Freestanding emergency departments (EDs) may be altering the payer mix at the equivalent hospital-based facility because the freestanding EDs tend to be located in areas with greater household incomes and insured rates, stated a recent...

Order History, Machine Ownership Leads to Low-Value Imaging

by Jacqueline LaPointe

Providers are more likely to order costly, low-value imaging services if they have a history of ordering the services, a high rate of imaging in another low-value clinical situation, and an ownership stake in the imaging equipment,...

Hospitals Turn to Bolt-On, Outsourced Revenue Cycle Management

by Jacqueline LaPointe

About 45 percent of large and community hospitals will use multiple core and bolt-on software solutions as part of their organization’s revenue cycle management strategy until 2019, according to a new Black Book survey. On the other...

Healthcare Workforce Demand Growing Faster than Provider Supply

by Jacqueline LaPointe

The demands of the healthcare workforce are significantly outpacing the supply of new doctors available, especially for primary care providers, a recent Merritt Hawkins survey uncovered. The survey of 935 physicians in their final year of...

Healthcare RCM Vendors ZirMed and Navicure Announce Merger

by Jacqueline LaPointe

Healthcare revenue cycle management vendors Navicure and ZirMed recently announced that the organizations signed a definitive agreement to merge. Navicure will supposedly acquire ZirMed in a deal that values at about $750 million, sources...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

by Jacqueline LaPointe

An overwhelming majority of healthcare executives (96 percent) stated that cost transformation is a significant need for their hospital or health system. Yet, over one-half of organizations either do not have a healthcare cost reduction...

Revenue Cycle Management, Upgrades Jump to Top Hospital Priority

by Jacqueline LaPointe

Hospitals leaders are pushing revenue cycle management to the top of their priority lists in the last quarter of 2017, a recent Black Book Market Research survey uncovered. Almost three-quarters of struggling hospitals are prioritizing...

Federally Qualified Health Centers Troubled By Rising Competition

by Jacqueline LaPointe

About 61 percent of leaders at federally qualified health centers (FQHCs) anticipate competition to rise in the next year, threatening their revenue cycle and financial stability, a recent Sage Growth Partners (SGP) survey revealed. The...

Tenet Sells Remaining Philly Hospitals, Announces Divestitures

by Jacqueline LaPointe

Tenet Healthcare Corporation will no longer own hospitals in Philadelphia after the Dallas-based company recently sold Hahnemann University Hospital and St. Christopher’s Hospital for Children for $170 million. The national...

Small Transactions Drive Healthcare Mergers and Acquisitions

by Jacqueline LaPointe

About one-half of the growth of medical groups that originally employed over 100 physicians between 2007 and 2013 involved healthcare mergers and acquisitions with groups of ten or fewer physicians, a recent Health Affairs study...

How Healthcare Reform, Value-Based Care Define High-Performance

by Jacqueline LaPointe

Whether through the Triple Aim or Institute of Medicine’s six aims, healthcare reform efforts and value-based care models intend to transform health systems and hospitals into high-performing entities. But what exactly does it mean...

Key Strategies for Health Systems to Achieve Economies of Scale

by Jacqueline LaPointe

Companies from across industries use economies of scale to realize cost savings. While hospitals and health systems are borrowing the economic concept to reduce spending, many healthcare organizations have encountered challenges with...

How Palomar Health Created a High-Value Post-Acute Care Network

by Jacqueline LaPointe

Ensuring patients receive high-value care delivery during their hospital stay or office visit is a top priority for healthcare providers. But value-based purchasing models are pressuring doctors to extend that same cost-efficient,...

In IRS First, Non-Profit Hospital Loses Status Under ACA Rules

by Jacqueline LaPointe

The IRS recently revoked a rural hospital’s non-profit status for failure to meet new community health needs assessment requirements under the Affordable Care Act. According to an IRS letter dated Feb. 14, 2017, the unnamed hospital...

Exploring Key Components of the Healthcare Revenue Cycle

by Jacqueline LaPointe

The healthcare revenue cycle encompasses “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue,” according to the Healthcare Financial Management...

Top 10 Enterprise Resource Planning (ERP) Vendors By Hospital Use

by Jacqueline LaPointe

Healthcare providers have become increasingly interested in implementing enterprise resource planning (ERP) systems as part of their business intelligence and revenue cycle management suites. ERP systems are business management tools that...

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