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

Practice Management News

KLAS: athenahealth, Aprima Earn Top Marks for Ambulatory RCM


Aprima, athenahealth, and NextGen Healthcare topped the list for overall performance and most consistently satisfactory ambulatory revenue cycle management (RCM) services among large and small practices in 2017, according to a new KLAS...

Top 10 ICU Diagnoses Driving Up Healthcare Costs, Care Variations


Cardiac procedures and sepsis dominated the list of top ten intensive care unit (ICU) diagnoses that represented the greatest opportunity for hospitals to reduce healthcare costs and care variations for ICU length of stay, a recent Premier...

Management, Job Perception Drive Healthcare Employee Turnover


Senior leadership, employee perceptions of their job, and management are the top drivers of voluntary healthcare employee turnover, research firm SMD recently reported. High healthcare employee turnover is a major challenge for hospitals...

Top 4 Healthcare Revenue Cycle, Finance Trends to Watch in 2018


As 2017 comes to an end, hospital and practice leaders are preparing their priority lists and agenda items for next year. The top four healthcare revenue cycle and finance trends that should appear on 2018 agendas include voluntary...

Healthcare RCM, Medicare Reimbursement Dominate 2017 Stories


From the Quality Payment Program’s launch to the Affordable Care Act debate, the healthcare finance world saw an abundance of change and uncertainty in 2017. In the face of payment reform and political debates, healthcare leaders...

Predictive Analytics Improve Nursing Schedules, Saving Mercy $4.3M


Even with 40,000 physicians, nurses, and other employees, St. Louis-based Mercy still relied on staffing agencies and employee incentives to fill critical nursing schedule gaps until a predictive analytics platform helped operations...

Advocate, Aurora and Dignity Health, CHI Sign Hospital Merger Deals


The healthcare market in Chicago is bracing for some major changes starting with the recently announced hospital merger between Advocate Health Care and Wisconsin-based Aurora Health Care. The largest health system in Illinois revealed...

ED Spending Increases 85% As Hospitals Code for More Severe Cases


Emergency department spending per member rose 85 percent between 2009 and 2015 primarily because of hospitals coding and billing for a greater number of high severity cases, new Health Care Cost Institute (HCCI) data revealed. Spending on...

VA Next Gen Healthcare Supply Chain Program Needs Work, GAO Says


The Government Accountability Office (GAO) recently found several issues with the VA’s implementation of a next generation healthcare supply chain management program. The federal watchdog argued the implementation process failed to...

Physician Compensation at Non-Academic Hospitals Up to $123K More


Physician compensation at non-academic hospital systems was almost $123,000 more than the amount paid to physicians in academic systems, a new Medical Group Management Association (MGMA) survey showed. The 2017 DataDrive Physician...

Nearly One-Third of Providers Dissatisfied with Healthcare Costs


Almost one-third of providers are dissatisfied with the healthcare costs their patients pay for care, according to a recent survey from the University of Utah Health. The national survey of 5,031 patients and 687 physicians revealed that...

Six Characteristics of High-Value Primary Care Practices


High-value primary care practices that achieved exceptional care quality at reduced costs shared six attributes centered around risk-stratified care management, mindful specialist selections, and care coordination, a new study in the...

Hospitals Write Off 90% More Claim Denials, Costing up to $3.5M


Hospitals strengthened key revenue cycle components over the past two years, but claims denials represented a major threat to their financial health, the recent Revenue Cycle Survey from Advisory Board revealed. Health systems and...

Sutter Health Destroys Evidence for Case on High Healthcare Prices


A state judge ruled that California-based Sutter Health intentionally destroyed 192 boxes of documents that pertained to a lawsuit accusing the health system of inflating healthcare prices and practicing anticompetitive behavior. In the...

Consumers Use Healthcare Price Info for Budgeting, Not Shopping


Most consumers want healthcare price information to plan how they will pay for patient financial responsibility, not to shop around for lower cost providers, a recent survey revealed. The survey from Accenture showed that just 11 percent...

Automating Healthcare Contract Management Improves Business Ops


Improving care access at hospitals is key to ensuring the health of pregnant women and their babies. But the business operations behind improving care access, such as employee and vendor contract management, must be as efficient as...

Providers Who Accept Pharma Gifts Prescribe More Expensive Drugs


Providers in the DC area who received gifts from the pharmaceutical industry tended to prescribe more drugs per patient, including more expensive, branded medications, than their peers who did not accept gifts, a recent PLoS One study...

Service Prices Drove $933.5B Increase in Healthcare Spending


Service prices and intensity represented over one-half of the $933.5 billion increase in healthcare spending between 1996 and 2013, a new Journal of the American Medical Association study revealed. Prices and intensity were the primary...

Type of Provider Data Presented Influences Patient Volume, Choice


Healthcare consumers who initially prioritized appointment availability when choosing a physician were four times more likely to select a physician based on provider data on quality performance and clinical expertise when presented with...

How Did Providers Respond to Demand After the Affordable Care Act?


Provider organizations employed additional staff, especially advanced practice clinicians, and expanded facilities and hours in response to increased care demands from more insured patients under the Affordable Care Act, a new Urban...

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