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

Revenue Cycle Optimization

80% of Hospitals Vetting Full Revenue Cycle Management Outsourcing

May 14, 2018 - Approximately 80 percent of hospitals leaders in a new Black Book survey said they were vetting or considering outsourcing full revenue cycle management by 2019. The demand for revenue cycle management outsourcing is also significantly up, revealed the survey of 709 C-suite executives, board members, and senior managers at hospitals and other inpatient organizations. Just 18 percent of hospitals...


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Epic EHR, Cerner Dominate Patient Accounting System Conversions

by Jacqueline LaPointe

Healthcare organizations are starting to implement new patient accounting systems to achieve clinical integration, and most are going to Cerner or Epic EHR for the revenue cycle management technology, according to the Patient Accounting 2018...

Real-Time Insights into Nursing Workflow Maximizes Productivity

by Jacqueline LaPointe

An elderly patient presses the nurse call button to get assistance with standing up and using the toilet, while another patient in the next room presses the button to get help with changing the TV channel. Further down the hall, lights turn on...

OR Efficiency, Machine Learning Boosts UCHealth’s Revenue by $10M

by Jacqueline LaPointe

Moving from traditional block scheduling for the operating room (OR) to more of a service-based system that used machine learning maximized OR efficiency and increased revenue by $10 million across UCHealth’s University of Colorado Hospital...

Transforming the Hospital Laboratory into a Profit Center

by Jacqueline LaPointe

Hospital and health system executives are missing an opportunity to maximize revenue cycle and operational success by viewing the hospital laboratory as a cost, rather than profit, center, explained Charles Wilson, MHA, Vice President of Operations...

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 leaders...

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 Institute...

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 survey...

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 achieving...

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 Association...

NYC Health’s ERP System to Bring Business Ops to Digital Age

by Jacqueline LaPointe

From payroll and workload management to orders and purchasing, health systems manage a myriad of back-end business operations, using a combination of automated systems as well as manual processes associated with each function. The web of disparate...

GAO Identifies VA Provider Productivity Measure Shortcomings

by Jacqueline LaPointe

The VA lacks appropriate provider productivity measures and clinical efficiency models to accurately capture medical center performance, the Government Accountability Office (GAO) recently reported. A review of the VA Central Office and six VA...

Proactive Healthcare Charge Integrity Captures Missed Revenue

by Jacqueline LaPointe

The key to a successful healthcare charge integrity initiative is the ability to trend chargemaster and coding data, stated Harriett Johnson, the Assistant Director of Revenue Integrity at Novant Health. The trending capability allows health...

Revenue Integrity Top Hospital, Health System Exec Priority

by Jacqueline LaPointe

Hospital and health system leaders plan to prioritize revenue integrity in the next year to improve their healthcare revenue cycle management strategies, according to a recent Healthcare Financial Management Association (HFMA) and Navigant survey....

Hospital Execs Look to Operations to Control Healthcare Costs

by Jacqueline LaPointe

With 78 percent of hospital leaders stating that rising healthcare costs are their primary concern in 2017, the leaders agreed that reviewing and optimizing existing operational and clinical processes was the hospital’s top strategy for...

Payment Plans Tackle Hospital Patient Collection Challenges

by Jacqueline LaPointe

The growing popularity of high-deductible health plans has wedged many healthcare organizations between a rock and a hard place. Healthcare organizations are struggling to implement patient collection strategies that acquire all of a patient’s...

Physician Alignment Drives Healthcare Revenue Cycle Progress

by Jacqueline LaPointe

Hospital and health system leaders frequently rank decreasing healthcare costs and increasing efficiency as their top concerns year-after-year. But many healthcare organizations have struggled to implement and sustain healthcare cost reduction...

Key Ways to Start A Hospital Revenue Cycle Turnaround Process

by Jacqueline LaPointe

Healthcare executives often point to market factors for lackluster hospital revenue cycle performance. But lagging accounts receivable days and shrinking hospital margins usually indicate that it is time for an internal hospital revenue cycle...

How Adding Physician Assistants Improves Hospital Revenue Cycle

by Jacqueline LaPointe

Physician assistants are key players on hospital care teams, but leveraging staffing levels and care delivery capabilities may improve hospital revenue cycle. Many hospital leaders and physicians face greater care delivery, administrative, and...

Healthcare Consumerism Challenges Primary Care Business Models

by Jacqueline LaPointe

Primary care providers are facing significant and oftentimes conflicting challenges in response to two major healthcare trends: value-based purchasing implementation and the rise of healthcare consumerism, a recent Journal of Internal Medicine...

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