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

Practice Management News

Who Should be Held Accountable for Healthcare Costs?


While the recent growth in patient financial responsibility has providers thinking about healthcare costs when making care decisions, many still do not think they should be held accountable for the costs of care, a recent survey showed. A...

Beth Israel, Lahey Health Hospital Merger May Up Costs, MA AG Says


The proposed hospital merger between Beth Israel Deaconess Medical Center and Lahey Health is facing pushback from the Massachusetts Attorney General despite a previous endorsement from a key state board. Local news sources are reporting...

Key Terms, Components of Payer Contracts Providers Should Know


Providers are in the business of keeping their patients healthy. But confusing payer contracts riddled with “legalese” and other complicated provisions can get in the way of improving patient outcomes. Payer contracts define...

Healthcare Claims Management Market to Reach $13.9B by 2023


The global healthcare claims management market is slated to reach $13.93 billion by 2023, up from a valuation of $10.16 billion in 2017, MarketsandMarkets recently reported. The significant projected growth in the healthcare claims...

Over 600 Individuals Charged in 2018 Healthcare Fraud Takedown


The HHS Office of the Inspector General (OIG) and Department of Justice (DoJ) recently announced the largest healthcare fraud takedown to date, with over 600 defendants charged with participating in fraud schemes amounting to about $2...

Hospital Revenue from Patient Financial Responsibility Up 88%


Total hospital revenue attributable to patient financial responsibility after insurance increased 88 percent between 2012 and 2017, a new TransUnion Healthcare analysis uncovered. The growth in hospital revenue stemming from patient...

Providers Investing in Home Health to Prepare for Aging Population


Faced with the pressure to reduce healthcare costs as the elderly population rapidly grows, providers plan to shift elder care from hospitals and skilled nursing facilities to the home, healthcare experts explained. According to CMS and...

Physician Shortage Drives Boost in Nursing, Physician Assistant Pay


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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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