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

Practice Management News

Physician Shortage Drives Boost in Nursing, Physician Assistant Pay

June 21, 2018 - As the physician shortage worsens, provider organizations are increasingly relying on non-physician providers to fill the gap. And they are paying nursing staff, physician assistants, and other employees more to make up for it. The healthcare industry is facing a significant physician shortage, the Association of American Medical Colleges (AAMC) recently reported. The organization estimated...


Quality Improvement Projects Save Children’s Hospitals Millions


Care quality improvements require hospitals to invest their money, time, and staff. The investment may be large, but for two children’s hospitals it paid off, saving the organizations millions and reducing costly accidents and unnecessary...

21% of Orgs Do Not Have a Hospital Bad Debt Recovery Process


Even though two-thirds of organizations have up to $10 million in hospital bad debt, some still do not have strategies in place to recover the revenue owed to the organization, a new survey from Sage Growth Partners found. The Baltimore-based...

Tariffs to Raise Healthcare Supply Chain Costs, Premier Says


The Trump Administration’s recent move to impose tariffs on goods imported from China could have a serious impact on healthcare supply chains, healthcare improvement company Premier Inc. said in a statement. “Premier is extremely...

Healthcare Mergers, Increased Access to Boost Medical Costs 6%


PwC’s Health Research Institute (HRI) predicts medical costs for employers to grow 6 percent in 2019 as healthcare mergers and more convenient care access options drive up healthcare costs and utilization. The medical cost trend is consistent...

Medical Specialist Demand Rises as Primary Care Searches Dip


Demand for primary care physicians remains strong as provider organizations transition to population health management. But organizations are increasingly seeking medical specialists for healthcare employment, a new analysis showed. Merritt Hawkins’...

Automated Physician Queries Improve Clinical Documentation at WMHS


Accurate claims reimbursement hinges on complete clinical documentation, and therefore, quick responses to physician queries regarding medical record documentation and coding. This is especially true in Maryland’s unique hospital reimbursement...

Would For-Profit Hospital Ownership Improve Quality, Costs in NY?


New York maintains strict ownership laws that have essentially eliminated for-profit hospital ownership in the state. However, a new report shows that the non-profit hospital model in New York has not led to improved care quality or decreased...

Provider Data Standardization Critical to Improving Inaccuracies


A multi-disciplinary workgroup is calling for provider data standardization to ensure accurate provider information is available for connecting patients with providers, licensing providers, and paying for services. The Provider Data Action Alliance,...

4 Strategies for Providers to Improve Hospital Price Transparency


Federal and state governments are ramping up efforts to increase hospital price transparency as consumers become more responsible for their healthcare costs under high-deductible health plans. However, provider organizations are struggling to...

VUMC Sees Operating Income Decrease After EHR Implementation


Tennessee-based Vanderbilt University Medical Center (VUMC) may have reported increased revenue in the first nine months of the 2018 fiscal year, but the medical center finished with lower operating income compared to last year because of its...

Implants Driving Healthcare Cost Variation for Joint Replacements


Hospitals have improved patient outcomes for total joint replacements, but the facilities still have a way to go with reducing healthcare cost variation for both hip and knee implants, a new Premier analysis revealed. The study of almost 350...

EHRs Still Disrupt Nursing Workflows, But Nurses Warming to Tech


The tides are starting to turn when it comes to EHR satisfaction among registered nurses. Only 69 percent of the providers now feel the EHR system is disruptive to the nursing workflow compared to 84 percent in the third quarter of 2016, a new...

Shifting Vaccinations to the Pharmacy Lowers Healthcare Costs


Pharmacies can administer a wide range of vaccines to patients at significantly lower healthcare costs than physician practices and other medical settings, a new report from the Pacific Research Institute found. The literature review showed that...

69% of Hospitals Use Multiple Vendors for Revenue Cycle Management


Almost 69 percent of healthcare organizations use more than one vendor solution for revenue cycle management. However, these organizations tended to have more problems with claim denials management, a recent Dimensional Insight and HIMSS Analytics...

Location, Market Competition Influence Hospital Price Variation


Hospital prices for the privately insured depend on where a facility is located and how consolidated its market is, a recent Health Care Pricing Project analysis revealed. Using insurance claims from three of the largest commercial insurers (Aetna,...

80% of Hospitals Vetting Full Revenue Cycle Management Outsourcing


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...

Giving GA Hospitals Healthcare Cost Data to Lowering Spending


With claims reimbursement rates falling and competition among healthcare organizations intensifying, hospitals are calling on their providers to increase efficiency and reduce healthcare costs for each admission. So, what do providers need to...

Palliative Care Reduces Hospital Costs by Over $3K Per Patient


Hospitals costs fell by an average of $3,237 per patient when providers added prompt palliative care to routine treatments during the course of a hospital stay, reported researchers from the Icahn School of Medicine at Mount Sinai and Trinity...

Healthcare Orgs Still Rely on Paper-Based Medical Billing


A new survey from Waystar and HIMSS Analytics shows that patients and providers are not seeing eye to eye when it comes to medical billing and collecting patient financial responsibility. The survey of almost 900 financial executives from hospitals,...

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