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

Practice Management News

68% of Consumers Did Not Pay Patient Financial Responsibility

June 27, 2017 - About 68 percent of patients with medical bills of $500 or less did not fully pay their patient financial responsibility to hospitals in 2016, according to a recent TransUnion Health study. The proportion of individuals failing to pay off full medical bill balances increased from 53 percent in 2015 and 49 percent in 2014. “There are many reasons why more patients are struggling to make...


Articles

Implementing Value-Based Healthcare Revenue Cycle Management

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To align healthcare revenue cycle with value-based reimbursement, healthcare organizations should start by breaking down clinical and financial siloes established by fee-for-service payment models, agreed presenters at Xtelligent Media’s...

Hospital Execs Look to Operations to Control Healthcare Costs

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With 78 percent of hospital leaders stating that rising healthcare costs are their primary concern in 2017, the leaders agreed that reviewing and optimizing existing operational and clinical processes was the hospital’s top strategy for...

Care Standardization Key to Healthcare Revenue Cycle Excellence

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To be named a top health system by Truven Health Analytics and IBM Watson Health, it takes a range of clinical quality improvements and healthcare revenue cycle efficiencies. But for St. Luke’s Health System, one of 15 top health systems...

ACOs Restructure Healthcare Staffing for High-Risk Patients

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To successfully lower healthcare costs while improving care quality, accountable care organizations (ACOs) have restructured their healthcare staffing models to provide additional support to high-risk patients, a recent American Journal of Accountable...

96% of Healthcare Execs Report Rise in Inpatient Drug Spending

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Approximately 64 percent of healthcare executives reported that inpatient drug spending at their organization significantly increased over the past five years, a recent Premier Inc survey revealed. Another 32 percent said that it somewhat...

Optimizing RCM During Value-Based Reimbursement Transition

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Value-based reimbursement revolutionized how providers get paid for care delivery. However, the slow push away from fee-for-service payments has challenged providers looking to optimize healthcare revenue cycle management. To advance healthcare...

Provider Collaboratives Combat Healthcare Merger Pressures

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Value-based reimbursement continues to drive healthcare merger and acquisitions activities. But hospitals and health systems can remain independent and achieve healthcare cost reduction and value-based reimbursement goals by joining a provider...

Healthcare Prices, Spending, Employment Decline in Early 2017

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Recent research from the Altarum Institute showed that healthcare prices, spending, and employment are all trending downward after a three-year period of healthcare spending acceleration. Healthcare employment growth declined by 10,000 per month...

Seeing PCP As Main Provider Lowered Medicare Spending by 9%

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Using a primary care provider versus a specialist as the predominant provider of care and care coordination resulted in similar clinical outcomes for Medicare beneficiaries. But Medicare spending was $1,781 lower per beneficiary, a recent Journal...

Top 4 Patient Financial Responsibility Collection Methods

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The top priority for providers is to deliver high-quality healthcare services to their patients. But the recent rise in patient financial responsibility and healthcare consumerism has forced some providers to bump patient collections to the top...

52% of Provider Compensation Bonuses Tied to RVUs, Not Quality

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Approximately 52 percent of provider compensation offers with a production bonus in 2017 based the additional pay on relative value units (RVUs), while just 39 percent used quality metrics, a recent Merritt Hawkins survey found. The study of...

Healthcare Employment Shifting to Hospital-Employed Providers

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Physician practice owners no longer make up the majority of patient care providers, a recent American Medical Association (AMA) healthcare employment study revealed. Approximately 47 percent of patient care providers had a full or part ownership...

Payment Plans Tackle Hospital Patient Collection Challenges

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The growing popularity of high-deductible health plans has wedged many healthcare organizations between a rock and a hard place. Healthcare organizations are struggling to implement patient collection strategies that acquire all of a patient’s...

Only 40% of ED Providers Identified Accurate Healthcare Costs

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Emergency department providers have little understanding of the healthcare costs associated with common visits, a recent Journal of the American Osteopathic Association study revealed. The survey of over 400 healthcare professionals working in...

Surviving Solo with Independent Practice Association Support

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Healthcare reform and market forces are driving more independent practice leaders to consolidate with larger hospitals or health systems. But an independent practice association, like Vermont’s HealthFirst, can help solo providers leverage...

How Clinicians Add Value to Healthcare Supply Chain Management

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Engaging clinical staff is key to adding value to healthcare supply chain management, according to three supply chain leaders at MaineHealth, a recent ECRI Institute Healthcare Supply Chain Achievement award recipient. The healthcare network...

Healthcare Framework Aims to Drop Low-Value Resource Use, Costs

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Healthcare organizations looking to reduce low-value resource use and healthcare costs should implement a framework that addresses the patient and clinician interaction, according to a recent Journal of Hospital Medicine report. Four physicians...

Physician Alignment Drives Healthcare Revenue Cycle Progress

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Hospital and health system leaders frequently rank decreasing healthcare costs and increasing efficiency as their top concerns year-after-year. But many healthcare organizations have struggled to implement and sustain healthcare cost reduction...

Cloud-Based Healthcare Supply Chain Management Drives Market

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The healthcare supply chain management market should be worth up to $2.22 billion by 2021 as healthcare organizations face increasing pressure to advance operational efficiency and profitability, according to a recent Markets and Markets report....

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