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

Practice Management News

Fewer Hospitalizations Reduced Skilled Nursing Facility Use by 15%

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Skilled nursing facility (SNF) utilization has declined 15 percent from 2009 to 2016, a new Avalere analysis revealed. The analysis of Medicare fee-for-service claims revealed that SNF utilization dropped from 1,808 SNF days per 1,000...

Hospitals Acquired 5K Independent Practices from 2015 to 2016

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Hospital acquisitions of independent practices continued, with another 5,000 physician practices acquired by hospitals from July 2015 to July 2016, a recent Physicians Advocacy Institute (PAI) and Avalere Health analysis showed. The...

NPs, PAs, and Lay Workers Address Physician Shortage, Reduce Costs

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For hospitals facing a physician shortage, nurse practitioners, physician assistants, and health lay workers may be the key to providing high-quality care at lower costs, according to recent research. The physician shortage is expected to...

Healthcare Staffing, Recruiting a Major Problem for Hospitals

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Healthcare staffing remains a problem for hospitals, with almost 31 percent reporting that they cannot find enough candidates to fill open positions, a recent survey of over 200 hospital C-suite executives, administrators, and human...

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...

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