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

Practice Management News

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...

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...

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...

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...

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...

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...

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...

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...

Payment Plans Key to Collecting Patient Financial Responsibility


With the rise in popularity of high deductible health plans, hospitals are no longer waiting on just payers to collect what is owed to their hospital or practice. Patients have become a major revenue source, but hospitals are struggling to...

Epic EHR, Cerner Dominate Patient Accounting System Conversions


Healthcare organizations are starting to implement new patient accounting systems to achieve clinical integration, and most are going to Cerner or Epic EHR for the revenue cycle management technology, according to the Patient Accounting...

Partners HealthCare, Harvard Pilgrim Consider Healthcare Merger


Partners HealthCare and Harvard Pilgrim may be heading for a healthcare merger as the organizations consider a partnership to reduce costs and improve outcomes. “As the healthcare environment changes and insurers and providers...

Industry Orgs Express Concerns with Healthcare Price Transparency


Industry groups are cautioning a bipartisan group of Senators on the challenges and limitations of healthcare price transparency from the provider organization perspective after the policymakers called for more information on the topic...

Ascension, Australian Co Form Global Healthcare Supply Chain Org


Ascension, the largest non-profit health system in the US, recently announced the launch of a global healthcare supply chain joint venture with Sydney, Australia-based Ramsay Health Care Limited. The joint venture will add Ramsay Health...

Hospital Merger and Acquisition Activity Still Strong in Q1 2018


Health system and hospital merger and acquisition activity continues to be strong, with 30 transactions announced in the first quarter of 2018, recently reported consulting firm Kaufman Hall. 2017 was a record year for health system and...

Addressing Productivity, Labor to Bend the Healthcare Cost Curve


From alternative payment models and value-based purchasing to artificial intelligence and data analytics tools, the healthcare industry is transforming how care is delivered and paid for to reduce constantly rising medical costs. While...

Practices Upping Healthcare C-Suite Bonuses for Value-Based Care


Bonuses and incentive payments for healthcare C-suite executives are on the rise as medical groups and practices transition to value-based care, according to the most recent AMGA Medical Group Executive and Leadership Compensation...

Gaining Visibility into Healthcare Workforce Management Cuts Costs


If it takes a village to raise a child, then it may take an entire city to operate a health system. From executives and clinicians to IT managers and front desk staff, healthcare workforce management involves hundreds to thousands of...

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