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

Practice Management News

Permanent SGR Repeal, Physician Medicare Fees Overhauled

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The Senate, in conjunction with the House of Representatives, has approved the Sustainable Growth Rate (SGR) repeal to replace it with the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2). The Senate overwhelmingly voted 92 to 8...

Physician Practices Struggling with New Payment Models

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As physician practices continue to utilize new healthcare payment models to increase quality and decrease costs, they are actively struggling. The way physicians and health professionals are paid by the federal government and private payers is...

Congress Debates Economic Benefits of EHR Incentive Programs

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The Electronic Health Record (EHR) Incentive Programs are failing to prove economically beneficial and impose unreasonable mandates on providers according to members of the Senate Health, Education, Labor and Pensions Committee hearing on Health...

Cost Management Effectively Optimizes Revenue Cycle Activity

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Effective means for managing revenue cycle activity and optimization continue to evolve amidst the upcoming effects of ICD-10 implementation, the urgent push for mainstream mobile data processing, and a vigorous demand for bundled and capitated...

Electronic Transactions Could Save Healthcare Billions  

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As the healthcare industry continuously eliminates paper-based administrative processes and pushes for mainstream electronic transactions, the possible result is essentially tens of billions in savings for the healthcare industry. If six routine...

The Difficulty in Quantifying Improper Medicaid Payments

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Recently, the Government Accountability Office (GAO) recommended that state Medicaid agencies should mandatorily quantify improper Medicaid payments and inform the effectiveness of their electronic payment-integrity tools to the federal...

Value-Based Care Transition Begins with Physician Engagement

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Physician engagement is the key to improving how the American healthcare system performs in 2015 in regards to a smooth value-based care transition, according to The Advisory Board Company’s Annual Health Care CEO Survey. Physician engagement...

Telehealth Reimbursement Needed for its Growth, Advancement

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An increasingly digitalized healthcare system has experienced significant telehealth reimbursement changes — even within the past five years — as it becomes more routinely integrated. The snowballing demand for telehealth solutions...

AHA Supports Proposed Changes for Virtual CAHPS Surveys

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The American Hospital Association (AHA) expressed support Friday for the Agency for Healthcare Research and Quality’s (AHRQ’s) proposal to improve the Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS)...

Telehealth Reimbursement Complications Paint a Vague Future

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Despite its overwhelming benefits for improved patient quality of life, reimbursement complication is a major negative aspect regarding teleheath’s evolving legislation limitations. Fluctuating definitions regarding location may affect expected...

EHR Incentive Payments, Medicare Payment Adjustments in Brief

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The EHR Incentive Programs comprise two distinct programs: one for Medicare and other for Medicaid providers. The Medicare & Medicaid EHR Incentive Programs grant incentive payments for qualifying healthcare providers to actively utilize ...

Costly Aspects of an Overstretched Revenue Cycle Management

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It is imperative physicians adequately review all expected possible financial shortcomings within revenue cycle management to immediately improve long-term healthcare performance and pinpoint performance opportunities that are commonly ignored...

Focusing on esMD for Healthcare Revenue Cycle Optimization

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With such a high volume of requests for medical documentation each year, handling them efficiently is beneficial for those working toward healthcare revenue cycle optimization in the years to come. Claim review contractors receive over 1,000,000...

Hospital Information Systems Market Set for Expansion

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A new study found that through 2020, the hospital information systems market will increase nearly 59 percent to $17.6B. In the healthcare landscape, there have been several popular technology trends that become industry standards. Typically this...

Healthcare IT Funding Surpassed $7B in 2014

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A new study found healthcare IT funding has doubled the number seen in 2013, with mobile devices and RCM pushing trends. Many healthcare executives are watching industry trends to help determine future investments. However, it seems that regardless...

The Multiple Benefits of Remote Monitoring and Telehealth

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By adopting remote monitoring and telehealth technology, clinics can improve patient health and organizational finances. In the healthcare landscape, keeping patients out of the hospital had become just as important as treating them if they arrive....

Role of CIO Increases Importance as Healthcare Embraces Digital

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A new study examined the CIO role and found a rapidly changing landscape that can cause fatigue among executives. For healthcare providers, having the right executive team can be a major factor toward success. One of the more important roles...

Colorado Launches Multi-Payer Data-Sharing Online Tool

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Dr. Judy Zerzan speaks about the creation of a new database and how it will impacts payers, providers and consumers. Last month, it was announced that seven health plans in Colorado have come together to form a multi-payer data-sharing online...

HCCI Partners with NORC to Create Data Enclave

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The most sophisticated gathering of healthcare data is being created with claims of 50 million Americans available. When it comes to decision making, data is king. The more you know, the easier it is to make accurate choices and implement the...

Adoption of Telemedicine and Remote Monitoring ‘Inevitable’

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With shifting incentives to a value-based approach, technology like telemedicine becomes a must have solution. When it comes to improving the quality and cost of care through technology, telemedicine is one of the most talked about solutions....

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