As medical costs increase due to high deductibles and rising out-of-pocket costs, healthcare consumers are emptying out their wallets in a struggle to keep up. The act of paying a medical bill is...
RevCycleIntelligence.com has recently spoken with several leading healthcare experts from three Truven Top 100 hospitals – St. Luke’s, Beverly Hospital, and Florida...
Slow and steady appears to be the financial mantra echoing forth within the healthcare industry.
There has been a distinct deceleration in premium growth within the past three years following...
A hospital or medical practice’s ability to swiftly and economically process claims and quantify denial rates is critical to ensure smooth revenue cycle management and medical reimbursement. The...
A crystal ball showing the future of revenue cycle management depicts a spotlight brightly shining down upon an individual wearing three different hats – those of the healthcare consumer, patient,...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice. The crimes reported below result in multiple millions of...
The Office of the Inspector General (OIG) recently posted written testimonial on 340B savings and Medicare fraud, as submitted to the House of Representatives from Ann Maxwell, Assistant Inspector...
Provider organizations and physicians continue to prepare for the ICD-10’s unknown revenue impact as the October 1, 2015 looms nearer and providers seek to actively protect revenue...
As healthcare continues to shift more of its focus on to the customer, a holistic approach to revenue cycle management requires addressing changing consumer behaviors.
Providers experiencing an...
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 –...
As physician practices continue to utilize new healthcare payment models to increase quality and decrease costs, they are actively struggling. The way physicians and health professionals are paid by the...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice. The crimes reported below result in multiple millions of...
Effective means for managing revenue cycle activity and optimization continue to evolve amidst the upcoming effects of ICD-10 implementation, the urgent push for mainstream mobile data processing, and a...
As the healthcare industry continuously eliminates paper-based administrative processes and pushes for mainstream electronic transactions, the possible result is essentially tens of billions in savings...
Leading hospitals and healthcare organizations set cost-effective benchmarks regarding consistent quality of patient care, exceptional satisfaction, and community value.
Gary Marlow, Vice President of...
When medical practices cannot maximize revenue and scrub claims because they miss best practice benchmarks, they also miss valuable opportunities to optimize revenue cycle management (RCM).
This is one...
Here is a general roundup of the past week’s developments in healthcare fraud and malpractice, as reported by the Department of Justice and the Office of Inspector General. The crimes reported...
A recent letter from the American Medical Association (AMA) and 99 other physician groups to the Centers for Medicare & Medicaid Services (CMS) expressed collective concern that effective...
Swing-bed services provided at 90 percent of critical access hospitals (CAHs) could have been avoided by use of neighboring alternative facilities during 2010, reports the Office of Inspector General...
Although reimbursement is a vital aspect within a claim’s life cycle, it is certainly not the only vital piece. It is important to recognize and distinguish each stage from the other within the total...
