Prescription drug costs seem to be higher than ever before. Merrill Matthews, Resident Scholar at the Institute for Policy Innovation, wrote about some of the reasons behind these high prices and the...
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...
As the healthcare insurance industry moves toward pay-for-performance and value-based care reimbursement, many physicians and patients are seeking differing ways to work toward improved care and...
Due to the many complications of healthcare reform and the many quality care initiatives being established by federal agencies and payers, both new and well-established alternative healthcare delivery...
Several years after the implementation of the Patient Protection and Affordable Care Act, the results seem to be showing that fewer Americans are struggling with paying medical bills and more than ever...
Most hospitals experienced a noteworthy revenue cycle management performance disruption following recent conversion of their patient accounting systems (PAS), according to a new Crowe...
Revenue cycle management is the progression of events between when a patient makes a doctor’s appointment and when a patient’s money is received and reimbursed for following care...
Value-based care outcomes are shaped by a variety of factors – but especially the ever influential high-deductible health plan (HDHP).
The recent significant increase of HDHPs across the...
Organized claims processing and accurate payment help maintain strong revenue cycle management.
But keeping track of claims reimbursement processes and operations involves a great deal of...
Reducing claims reimbursement waste demands a closer look at the inner workings of the medical billing environment and how to improve provider interactions. A lack of communication may be a leading cause...
Medical billing problems, such as unpaid medical bills, the acquisition of medical debt, and a detrimental impact on care access, are negatively affecting the healthcare industry. Twenty percent of...
The secret to revenue cycle management success may lie in education. Healthcare executives are beginning to understand the monetary value of education and its effect on revenue cycle.
But staff...
This year, the healthcare industry lived in denial. Claims denial, that is.
Claims denials management dialogues were extensive and recurring among healthcare providers across the industry...
Just as Ebenezer Scrooge from Dickens’ A Christmas Carol has money on his mind, so does the healthcare industry.
The importance of collecting money from a patient at or before point-of-service...
Does a holistic or more selective approach to revenue cycle management make or break a healthcare organization?
Lynn Giddens-Branscum, Revenue Cycle Director at Wise Health System, chatted with...
Physician leaders are actively advocating to more tightly weave value into the fabric of the healthcare industry via a simple yet intricate concept: keep care quality high and cost...
Is your healthcare marketplace “healthy?” A recent economic metrics analysis tool developed by the Health Care Cost Institute (HCCI) seeks to answer that question. The Healthy Marketplace...
As per the Affordable Care Act (ACA), the Centers for Medicare & Medicaid Services (CMS) will begin applying a value-based payment program under the physician fee schedule within the year in...
Under the Affordable Care Act (ACA), community health centers have seen tremendous growth, receiving funding to expand their services and healthcare sites to provide help to more individuals who may...
Charge capture is one of many moving parts within the greater healthcare reform machine. It is a vital piece that encompasses a string of financial challenges. As RevCycleIntelligence.com wrote, as...
