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

Practice Management News

Prices, Administrative Costs Drive Higher US Healthcare Spending

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High prices for provider compensation, healthcare services, and prescription drugs, as well as administrative costs, are responsible for increased healthcare spending in the US compared to other high-income countries, a new JAMA study...

Hospital Readmissions With Value-Based Penalties Vary by Provider

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Hospital readmission rates for conditions that carry value-based penalties under the Hospital Readmissions Reduction Program (HRRP) varied by admitting physician attending type, with geriatricians having the lowest 30-day readmissions...

Hospitals, Vendors Pay Health IT Professionals an Average of $109K

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Compensation for health IT professionals in provider and vendor organizations slightly increased from last year, reaching an average salary of $109,610 in 2018, according to the most recent HIMSS US Compensation Survey. The survey of 885...

UNC Health Care, Atrium Health Scrap Hospital Merger Deal

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North Carolina-based UNC Health Care and Atrium Health recently announced that they will no longer pursue a hospital merger deal that would create one of the largest health systems in the country. “After months of discussions and...

Patient Financial Responsibility Increased 11% in 2017

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Patient financial responsibility is on the rise, according to findings from a TransUnion Healthcare analysis revealed at HIMSS18. Patients saw their average out-of-pocket costs increase 11 percent in 2017, growing from $1,630 in the fourth...

Hospitals Target Labor Costs, Layoffs to Reduce Healthcare Costs

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Hospitals and health systems are under immense pressure to improve efficiency and reduce their healthcare costs as payers decrease claims reimbursement rates and hospital consolidation continues to grow. Facing tighter margins and...

Docs Call for Provider Directory Accuracy to Improve Care Access

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Over one-half (52 percent) of physicians reported that their patients faced coverage issues at least once a month because of provider directory accuracy challenges, revealed a new survey from the American Medical Association (AMA) and...

EHR Adoption Does Not Lower Administrative, Medical Billing Costs

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Electronic health records (EHRs) did not reduce insurance-related and medical billing costs despite the federal government’s claims that EHR adoption would lower administrative expenditures, according to a recent Journal of the...

Bon Secours, Mercy Health Engaging in Hospital Merger Talks

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Maryland-based Bon Secours Health System recently announced its intent to engage in a hospital merger deal with Mercy Health in Ohio and Kentucky. The Catholic health systems are currently engaged in merger talks, with a final deal...

Service Sharing Helps Independent Physician Practices Stay Open

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Small and independent physician practices can survive in the era of healthcare consolidation by entering service sharing arrangements that allow practices to pool and manage resources collectively within a network, industry experts from...

Patient Education Boosts Revenue, Quality for Joint Replacements

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Offering interactive patient education pre- and post-total joint replacement surgery is key to improving patient outcomes and generating new revenue, a multi-specialty hospital system in the Twin Cities area recently found. An estimated 7...

State Green Lights Partners, Mass. Eye and Ear Hospital Merger

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Massachusetts public health officials recently approved a proposed hospital merger between the state’s largest hospital system, Partners HealthCare, and specialty hospital Massachusetts Eye and Ear. The Public Health Council...

Addressing Regulatory Burden, Patient Payments Top HIMSS18 Trends

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Healthcare finance professionals can bet on discussing compliance, innovative health IT systems, and patient financial responsibility at the 2018 HIMSS Annual Conference and Exhibition (HIMSS18) in Las Vegas. Over 45,000 healthcare...

Addressing Prices, Use at Local Level to Lower Healthcare Costs

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Local patterns of healthcare utilization and pricing resulted in significant healthcare costs variation across five states, a new Network for Regional Healthcare Improvement (NRHI) report showed. NRHI’s second annual report,...

Doctors to HHS: Level the Playing Field for Independent Practices

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In the face of increased hospital consolidation, HHS should better support independent practices and develop policies that allow solo providers to compete with hospitals and health systems, the Physicians Advocacy Institute (PAI) recently...

Providers Skeptical Practice Variation Reduction Will Lower Costs

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Clinicians strongly agreed that providers should be responsible for reducing healthcare costs, but fewer clinicians felt that decreasing practice variation would lower costs, a recent Plos One study uncovered. The survey of over 170...

Partners, Care New England Move Ahead with Hospital Merger Deal

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Partners HealthCare of Massachusetts recently announced that it has signed a definitive hospital merger agreement to add Rhode Island-based Care New England Health System to its hospital system. The health systems signed a letter of...

Financial Challenges Continue to Trouble Community Hospital CEOs

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Financial challenges continued to keep community hospital CEOs up at night in 2017, according to a recent American College of Healthcare Executives (ACHE) survey. Once again, hospital leaders identified financial obstacles as the top...

Ex Lab Exec, Marketing Partners Liable For $51M in Medicare Fraud

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A federal jury in South Carolina recently found the former CEO of Health Diagnostic Laboratory and the owners of the healthcare organization’s marketing partner liable in a Medicare fraud case brought on by three whistleblowers, the...

Blue Cross NC Says Carolinas, UNC Hospital Merger Will Raise Costs

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The potential hospital merger deal between Carolinas HealthCare System and UNC Health Care recently hit another roadblock. Blue Cross Blue Shield of North Carolina (Blue Cross NC) announced that the organization opposes the proposed health...

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