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

Practice Management News

2017 Hospital Merger Activity Likely to Beat 102 Deals in 2016

October 18, 2017 - Healthcare organizations engaged in 87 hospital merger and partnership transaction so far in 2017, a recent Kaufman Hall analysis showed. The most recent data revealed that 29 hospital merger and partnership deals were announced in the third quarter of 2017. The number of transactions is down from 31 deals announced in the second quarter. Despite a slight dip, researchers projected that the...


Articles

Hospital Mergers Take Two or More Years to Produce Cost Savings

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Hospital mergers and acquisitions resulted in immediate decreases in operating expenses per adjusted admission. However, acquired facilities also saw operating revenue decline at a higher rate, leading to falling operating margins for the first...

Tenet Starts Chicago Market Exit with Sale of MacNeal Hospital

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Tenet Healthcare Corporation recently announced that Loyola Medicine has signed a definitive agreement to purchase MacNeal Hospital, one of Tenet’s four hospitals in the Chicago area. Loyola Medicine, an affiliate of Trinity Health, will...

Provider Data Integrity Key to Directory Accuracy, Value-Based Care

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Providers and their payers oftentimes have a love-hate relationship. Payers boost the number of patients walking through physician office doors using provider directories as well as reimburse providers for treating those patients. But navigating...

$67.4B in Hospital Community Benefit Outweighs Tax Revenue Loss

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Non-profit hospitals and health systems delivered $67.4 billion in community benefit activities in 2013, representing a benefit 11 times greater than the value of the tax revenue forgone by the tax-exempt status of the healthcare organizations,...

Does Where Freestanding EDs Operate Change Hospital Payer Mix?

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Freestanding emergency departments (EDs) may be altering the payer mix at the equivalent hospital-based facility because the freestanding EDs tend to be located in areas with greater household incomes and insured rates, stated a recent Health...

Physician Advisors Crucial to Navigating Reimbursement Rules

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When physicians are asked why they went into medicine, the classic response is that they wanted to help people. But as value-based reimbursement takes hold and clinical documentation demands increase, providers are finding that the business of...

77% of Leaders Say Their Provider Orgs Use Paper Patient Billing

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While over one-half (52 percent) of patients prefer to receive medical bills electronically, approximately 77 percent of providers still use paper-based patient billing methods, a recent MGMA and Navicure survey revealed. The survey of 761 executives...

Low-Cost, Low-Value Resource Use Drives $586M in Wasteful Spending

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Inexpensive low-value resource use resulted in over $586 million, or $9.09 per beneficiary per month, in unnecessary healthcare spending in Virginia, a new Health Affairs study showed. The total amount spent on low-cost, low-value resource use...

Order History, Machine Ownership Leads to Low-Value Imaging

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Providers are more likely to order costly, low-value imaging services if they have a history of ordering the services, a high rate of imaging in another low-value clinical situation, and an ownership stake in the imaging equipment, uncovered...

Median Physician Assistant Salary Increased 5.2% in 2016

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The median annual physician assistant salary increased by 5.2 percent in 2016, reaching a median of about $102,000, revealed the most recent American Academy of PAs (AAPA) Salary Report. The survey of over 7,200 physician assistants also found...

Consumers Favor Patient Financial Responsibility Loan Programs

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About 90 percent of healthcare consumers stated that they are more likely to return to a provider if the organization offers a loan program to pay for patient financial responsibility, a recent Porter Research and ClearBalance survey showed....

Hospitals Turn to Bolt-On, Outsourced Revenue Cycle Management

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About 45 percent of large and community hospitals will use multiple core and bolt-on software solutions as part of their organization’s revenue cycle management strategy until 2019, according to a new Black Book survey. On the other hand,...

Healthcare Workforce Demand Growing Faster than Provider Supply

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The demands of the healthcare workforce are significantly outpacing the supply of new doctors available, especially for primary care providers, a recent Merritt Hawkins survey uncovered. The survey of 935 physicians in their final year of residency...

Social Determinants Trend at AHIP’s Medicare, Medicaid Conference

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WASHINGTON DC – Social determinants of health has emerged as a major theme at America's Health Insurance Plans’ (AHIP) National Conferences on Medicare, Medicaid, and dual eligibles in Washington DC. Health plan leaders, providers,...

Health Systems Responsible for 70% of Acute Care Hospitals

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New data from the Agency for Healthcare Research and Quality (AHRQ) showed that most hospitals were part of a health system in 2016. Almost 70 percent of non-federal generate acute care hospitals belonged to a health system, or network of at...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

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An overwhelming majority of healthcare executives (96 percent) stated that cost transformation is a significant need for their hospital or health system. Yet, over one-half of organizations either do not have a healthcare cost reduction goal...

Revenue Cycle Management, Upgrades Jump to Top Hospital Priority

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Hospitals leaders are pushing revenue cycle management to the top of their priority lists in the last quarter of 2017, a recent Black Book Market Research survey uncovered. Almost three-quarters of struggling hospitals are prioritizing revenue...

Reduced Variation, Data Analytics Cut Supply Chain Costs by 17.8%

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Hospitals could save a total of $23 billion by implementing evidence-based and data-driven healthcare supply chain management best practices used by the top 24 percent of organizations studied, a recent Navigant survey of over 2,300 hospitals...

Federally Qualified Health Centers Troubled By Rising Competition

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About 61 percent of leaders at federally qualified health centers (FQHCs) anticipate competition to rise in the next year, threatening their revenue cycle and financial stability, a recent Sage Growth Partners (SGP) survey revealed. The survey...

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