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

Practice Management News

Healthcare Supply Chain Management Market to Reach $2.3B by 2022


Growing at a compound annual growth rate (CAGR) of 8.4 percent, researchers projected the global healthcare supply chain management market to reach $2.31 billion by 2022, a recent Markets and Markets report showed. The value of the...

Prescription Drug Rate Growth Slows, But Prices Still Rising 7.35%


Providers should anticipate a 7.35 percent increase in prescription drug rates between July 2018 and June 2019, researchers from Vizient projected in a new study. Based on hospital and non-acute facility purchasing data from the...

KLAS: Epic Among Top Healthcare RCM, Finance Solutions in 2018


Epic and MEDITECH were just a few of the vendors that earned top marks in the 2018 Best in KLAS Software and Services report for healthcare revenue cycle management (RCM) and finance solutions. Unlike other healthcare markets, like the...

AMGA: Link Spending, Quality Performance for True Value-Based Care


In response to a Request for Information from the Assistant Secretary for Planning and Evaluation (ASPE), AMGA recently called on CMS to “define value in a meaningful way” to ensure value-based care models incentivize providers...

Consolidated Medical Billing Boosts Collections for a TX Group


Providing a unified medical billing experience was key to improving patient collections by 24 percent in one year at the largest independent multi-specialty physician group in Abilene, Texas. Abilene Diagnostic Clinic boasts 30 physicians...

Healthcare Merger, Acquisition Deal Value Increased 145% in 2017


Despite the number of healthcare merger and acquisitions deals dipping slightly in 2017, deal value significantly increased by 145.8 percent, reaching a total of $175.2 billion, a new PricewaterhouseCoopers (PwC) report revealed. In 2017,...

Flexibility, Value-Based Payment Key to Rural Hospital Success


Health policies should provide rural hospitals with the flexibility to develop healthcare services that meet community needs and the value-based payment and funding structures to support tailored services, the Bipartisan Policy Center...

Team-Based Care for Kidney Disease Saves Park Nicollet $1.2M


End-stage renal disease comes with a hefty price tag for both patients and providers. But Park Nicollet Health Services, an integrated care system in Minnesota, found that a team-based care approach to late-stage kidney disease helped to...

Health Systems Form Drug Company to Combat Rising Costs, Shortages


Intermountain Healthcare, Ascension, SSM Health, and Trinity Health recently announced that they will create a non-profit generic drug company to reduce prescription costs and alleviate critical drug shortages. With consulting services...

Global Healthcare RCM Software Market to Reach $43.3B by 2022


The global market for healthcare revenue cycle management software will grow at a compound annual growth (CAGR) rate of 6.9 percent from 2017 to 2022, researchers from Future Market Insights recently predicted. At that growth rate, they...

Prescription Drug Rates Continue to Challenge Cancer Centers


Prescription drug rates and the costs of new treatment modalities continued to challenge cancer centers, according to the most recent Trending Now in Cancer Care survey from the Association of Community Cancer Centers (ACCC). For the...

CDC Urges Providers to Improve Asthma Care as Costs Soar to $81.9B


The annual costs of asthma care, including medical expenses, absenteeism, and mortality, cost the US economy $81.9 billion in 2013, researchers from the Centers for Disease Control and Prevention (CDC) recently reported. And that value...

Healthcare Costs, Outcomes Vary When VA Outsources Cardiac Care


Veterans seeking cardiac care at community hospitals may lower their travel expenses, but they also face varying healthcare costs and mortality rates by stepping outside the VA’s healthcare system, a recent JAMA Cardiology study...

6 Major Hospital Merger Deals Making Headlines in 2018


In 2017, the healthcare industry saw a boom of hospital merger announcements. And many of those deals are set to close in 2018 pending federal and state regulatory review. Hospital merger and acquisition activity last year was well on its...

Care Coordination, Community Health Workers Reduce ED Costs, Use


Average direct emergency department costs dropped 15 percent for frequent emergency department users after Brigham and Women’s hospital implemented a care coordination program using community health workers, according to a recent...

4 Key Ways to Improve Healthcare Revenue Cycle Management


“There is always room for improvement” should be healthcare revenue cycle management’s mantra. Declining claims reimbursement rates, the shift to value-based purchasing, and evolving health policies keep revenue cycle...

Hospital Discharge Patterns Trouble Skilled Nursing Facilities


Hospital discharge patterns under value-based reimbursement models are troubling the revenue cycles of skilled nursing facilities, causing operating margins and occupancy rates to significantly decline in 2016, consulting firm...

Long-Term Healthcare Spending Doesn’t Aid Heart Attack Survival


Healthcare spending on 180 days of heart attack care grew 14.4 percent since 1999, but patient morality rates remained constant for heart attack patients after the 30-day discharge period when the bulk of spending growth occurred, a recent...

74% of Younger Patients Underpay Patient Financial Responsibility


Nearly three-quarters of younger individuals did not pay their patient financial responsibility in full in 2016, a recent Transunion survey found. Millennials, or individuals between 23 and 37 years old, were significantly less likely to...

Physician Groups Pay $33M To Settle Healthcare Fraud Claims


Two physician groups will pay over $33 million to settle healthcare fraud allegations that the groups received illegal kickback payments for patient referrals to hospitals owned by former Health Management Associates (HMA), the Department...

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