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

Revenue Cycle Solutions

NY Hospital Settles with Cerner Over $38M Medical Billing Problem

March 20, 2019 - EDITOR'S NOTE: This article has been updated with a statement from Cerner. Cerner recently reached a settlement with a New York hospital after an audit revealed the EHR system’s medical billing component resulted in $38 million in financial losses in 2017, a local news source reports. Dianne Shugrue, President and CEO of Glens Falls Hospital announced the settlement with...

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26% of Hospitals Without Effective Revenue Cycle Management System

by Jacqueline LaPointe

Approximately one-quarter of US hospitals (26 percent) do not have an effective healthcare revenue cycle management solution in place, according to a new Black Book survey. Black Book surveyed over 4,640 individuals from 522 hospitals and...

Hospital ERP Adoption Up to 38.4% and Will Continue to Climb

by Jacqueline LaPointe

Enterprise resource planning (ERP) adoption remains slow and steady, HIMSS Analytics recently reported. Hospital ERP adoption increased from 18.8 percent of hospitals in 2008 to 38.4 percent of hospitals a decade later, the analysis of...

68% of Hospital Execs Plan for 2018 Revenue Cycle IT Budget Growth

by Jacqueline LaPointe

Fewer healthcare organizations are increasing their revenue cycle IT budgets compared to last year, a new survey shows. The annual Healthcare Financial Management Association (HFMA) and Navigant survey of 107 hospital and health system...

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...

5 Ways to Cut Costs through Hospital Revenue Cycle Management

by Catherine Sampson

As healthcare costs continue to rise, hospital revenue cycle management has become an important focal point for providers. Healthcare expenditures in the US are projected to reach $4.4 trillion by 2018, according to an article in The...

5 Most Common Hospital Revenue Cycle Management Challenges

by Catherine Sampson

Since the Affordable Care Act, the task of hospital revenue cycle management has changed significantly. Between ICD-10, MACRA, and accountable care, it has become a hospital’s best interest to have an effective revenue cycle...

How Automation Technology Could Cut $8 Billion in Healthcare

by Vera Gruessner

One method for better managing the revenue of a hospital and reducing wasteful spending is to reduce manual administrative processes and incorporate automation technology. The 2015 CAQH Index shows that the healthcare industry is...

Epic Systems Tops List of Hospital RCM Technology Users

by Kyle Murphy, PhD

The healthcare industry finds itself at a turning point in regard to reimbursement. Fee-for-service reimbursement is giving way to alternative payment models that emphasize value over volume, but it remains a financially significant...

Moving Past the “Model Hospital” with Revenue Cycle Management

by Scott Pillittere

Many healthcare organizations have recently implemented a new electronic health record (EHR), resulting in a new revenue cycle system.  Through this transition, most of the major EHR vendors insist that you need to implement their...

Examining Current Challenges of Revenue Cycle Management

by Ryan Mcaskill

In an interview, revenue cycle management expert Brian Sanderson discusses the current challenges in the industry. This is Part 2 of an exclusive interview. For Part 1, click here. In an interview with, Brian...

Hospital Revenue Cycle Management Marketplace to Reach $9.9B by 2016

by Ryan Mcaskill

A new study found in-trouble hospitals are leaning on end-to-end RCM solutions to improve operations. Earlier this week, featured an interview with San Francisco Sport and Spine Therapy CEO Sturdy McKee, in which...

Healthcare Revenue Cycle to Experience Significant Innovation

by Ryan Mcaskill

In an interview, Adventist Health CIO Alan Soderblom spoke about HIT and revenue cycle innovation. Earlier this year, Adventist Health – an integrated healthcare delivery system – was named one of the nation’s most wired...


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