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

Value Based Care

7 Reasons to Merge Revenue Cycle and Supply Chain Management

by Jacqueline DiChiara

Hospitals demand increased revenue to strengthen their bottom lines within an era of evolving healthcare reform. Comprehending the total cost of care and maximizing revenue capture projections and opportunities can be complex and cumbersome....

Twelve Things to Know Now About Value-Based Reimbursement

by Jacqueline DiChiara

The healthcare industry continues to move away from fee-for-service and advance further into the realm of value-based care. But at what pace? Perhaps rather quickly. Some healthcare experts and leaders confirm an alleged hastening pace means...

How Paradise Valley Succeeds in Revenue Cycle Management

by Jacqueline DiChiara

RevCycleIntelligence.com has recently spoken with several leading healthcare experts from three Truven Top 100 hospitals – St. Luke’s, Beverly Hospital, and Florida Hospital – to garner deeper insight into a behind-the-scenes...

How St. Luke’s CFO Succeeds at Revenue Cycle Management

by Jacqueline DiChiara

A successful hospital recognizes input reflects output when it comes to revenue cycle management. Highly effective performance initiatives regarding hospital care and management are often difficult to tangibly quantify but easy to recognize....

Integrated Community Oncology Practices Need Cost Efficiency

by Jacqueline DiChiara

Integrated community oncology practices represent a core foundation of cancer care by promoting a rewarding patient experience and helping cancer patients successfully battle complex social and health issues. Unfortunately, financial obstacles...

Will Hospital Ratings Promote Transparency or Blind Eyes?

by Jacqueline DiChiara

Choosing a hospital based on quality of care in relation to financial factors can be an arduous task. The Centers for Medicare & Medicaid Services (CMS) is simplifying this process through its new introduction of hospital star ratings announced...

Quality Care: Fee-for-Service or Data-Driven Reimbursement?

by Jacqueline DiChiara

Financial reform efforts require alignment to reward quality over volume within the realm of health information technology (HIT), confirms a recent report published by Aziz Sheikh, MD, Harpreet S. Sood, MD, and David W. Bates, MD (Sheikh, et...

Hospitals’ Value-Based Revenue Increasing Significantly

by Jacqueline DiChiara

As the healthcare pendulum swings in the direction of value-based care, recent data suggests it may be swinging more quickly than anticipated away from fee-for-service initiatives, according to a pair of hospital surveys from Kaufman,...

CMS QIO Progress Report Promotes Quality in Medicare Program

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services’ (CMS) Quality Improvement Organization (QIO) Program published the 2014 QIO Progress Report. The QIO Program is a leading federal program committed to ensuring Medicare beneficiaries consistently...

Declining Accountable Care Organizations Represent Expansion

by Jacqueline DiChiara

The dawn of 2015 for the healthcare industry began with the Centers for Medicare & Medicaid Services (CMS) announcing an additional 89 provider organizations enrolling in the Medicare Shared Savings Program (MSSP) as accountable care organizations...

Bipartisan House Repeals Medicare SGR Before Senate Vote

by Jacqueline DiChiara

There are possible new improvements to the Medicare Sustainable Growth Rate (SGR) payment system today as the bipartisan House of Representatives overwhelmingly passed the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2). This legislation...

Can Next Generation ACO Drive Patient Engagement?

by Jacqueline DiChiara

The Centers for Medicare and Medicaid Services (CMS) Innovation Center recently revealed plans for a new payment initiative – the Next Generation Accountable Care Organization (ACO) Model – which focuses on a unique accountable care...

Physicians Struggling with Consistency in ICD-10 Transition

by Jacqueline DiChiara

ICD-10 implementation involves a complicated code conversion that physicians struggle to comprehend, and the mandated code change raises substantial financial concerns. RevCycleIntelligence.com spoke with Andrew Boyd, Assistant Professor of Biomedical...

What Considerations Do Alternative Payment Models Require?

by Jacqueline DiChiara

As the direction of various payment models evolve, payers are focusing on a variety of focuses and objectives. Effective physician engagement may require a stronger focus on specialist engagement, especially in preparation for 2018’s transition...

Value-Based Care Transition Begins with Physician Engagement

by Jacqueline DiChiara

Physician engagement is the key to improving how the American healthcare system performs in 2015 in regards to a smooth value-based care transition, according to The Advisory Board Company’s Annual Health Care CEO Survey. Physician engagement...

ProMedica Details Successes in Supply Chain Management

by Jacqueline DiChiara

As the healthcare industry continues to advance and thrive, the most prominent organizations perpetually pursue effective supply chain management through the execution of three innovative methods: waste hindrance, money management, and enhancing...

Why Recent Attempts at Healthcare Reform Regulation Matter

by Jacqueline DiChiara

One notable trending topic — value-based care — is buzzing among healthcare organizations in recent weeks, especially with more federal healthcare reform going into effect. And recent developments at The Department of Health and Human...

Adoption of Value-Based Reimbursements Trends

by Stephanie Reardon

Organizations adopt value-based reimbursements to reduce readmission rates and meet quality of care goals. Quality and value-based reimbursements payment model adoption is increasing as the country aims to improve the quality of patient care...

BCBS Value-Based Care Program Grows in Michigan

by Ryan Mcaskill

More healthcare facilities are opting for value-based care programs issued through health insurance providers. The use of value-based payments in healthcare is a growing trend that shows no signs of slowing down. The Centers for Medicare and...

Use of Value-Based Payments Continues to Increase Slowly

by Ryan Mcaskill

A new study found 39 percent of respondents use quality metrics in their payment platforms. Earlier last month, compensation consulting firm Sullivan, Cotter and Associates released its 2014 Physician Compensation and Productivity Survey. This...

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