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

Practice Management News

Low-Cost, Low-Value Resource Use Drives $586M in Wasteful Spending

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Inexpensive low-value resource use resulted in over $586 million, or $9.09 per beneficiary per month, in unnecessary healthcare spending in Virginia, a new Health Affairs study showed. The total amount spent on low-cost, low-value resource use...

Order History, Machine Ownership Leads to Low-Value Imaging

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Providers are more likely to order costly, low-value imaging services if they have a history of ordering the services, a high rate of imaging in another low-value clinical situation, and an ownership stake in the imaging equipment, uncovered...

Median Physician Assistant Salary Increased 5.2% in 2016

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The median annual physician assistant salary increased by 5.2 percent in 2016, reaching a median of about $102,000, revealed the most recent American Academy of PAs (AAPA) Salary Report. The survey of over 7,200 physician assistants also found...

Consumers Favor Patient Financial Responsibility Loan Programs

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About 90 percent of healthcare consumers stated that they are more likely to return to a provider if the organization offers a loan program to pay for patient financial responsibility, a recent Porter Research and ClearBalance survey showed....

Hospitals Turn to Bolt-On, Outsourced Revenue Cycle Management

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About 45 percent of large and community hospitals will use multiple core and bolt-on software solutions as part of their organization’s revenue cycle management strategy until 2019, according to a new Black Book survey. On the other hand,...

Healthcare Workforce Demand Growing Faster than Provider Supply

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The demands of the healthcare workforce are significantly outpacing the supply of new doctors available, especially for primary care providers, a recent Merritt Hawkins survey uncovered. The survey of 935 physicians in their final year of residency...

Social Determinants Trend at AHIP’s Medicare, Medicaid Conference

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WASHINGTON DC – Social determinants of health has emerged as a major theme at America's Health Insurance Plans’ (AHIP) National Conferences on Medicare, Medicaid, and dual eligibles in Washington DC. Health plan leaders, providers,...

Health Systems Responsible for 70% of Acute Care Hospitals

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New data from the Agency for Healthcare Research and Quality (AHRQ) showed that most hospitals were part of a health system in 2016. Almost 70 percent of non-federal generate acute care hospitals belonged to a health system, or network of at...

Over 50% of Orgs Lack Adequate Healthcare Cost Reduction Goals

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An overwhelming majority of healthcare executives (96 percent) stated that cost transformation is a significant need for their hospital or health system. Yet, over one-half of organizations either do not have a healthcare cost reduction goal...

Revenue Cycle Management, Upgrades Jump to Top Hospital Priority

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Hospitals leaders are pushing revenue cycle management to the top of their priority lists in the last quarter of 2017, a recent Black Book Market Research survey uncovered. Almost three-quarters of struggling hospitals are prioritizing revenue...

Reduced Variation, Data Analytics Cut Supply Chain Costs by 17.8%

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Hospitals could save a total of $23 billion by implementing evidence-based and data-driven healthcare supply chain management best practices used by the top 24 percent of organizations studied, a recent Navigant survey of over 2,300 hospitals...

Federally Qualified Health Centers Troubled By Rising Competition

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About 61 percent of leaders at federally qualified health centers (FQHCs) anticipate competition to rise in the next year, threatening their revenue cycle and financial stability, a recent Sage Growth Partners (SGP) survey revealed. The survey...

Tenet Sells Remaining Philly Hospitals, Announces Divestitures

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Tenet Healthcare Corporation will no longer own hospitals in Philadelphia after the Dallas-based company recently sold Hahnemann University Hospital and St. Christopher’s Hospital for Children for $170 million. The national healthcare organization...

Small Transactions Drive Healthcare Mergers and Acquisitions

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About one-half of the growth of medical groups that originally employed over 100 physicians between 2007 and 2013 involved healthcare mergers and acquisitions with groups of ten or fewer physicians, a recent Health Affairs study showed. Another...

Carolinas HealthCare, UNC Health Announce Healthcare Merger

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Carolinas HealthCare System and UNC Health Care recently announced their intentions to engage in a healthcare merger that would create one of the largest non-profit systems in the nation. The two North Carolina-based health systems signed a Letter...

OK Physician Pays $580K to Settle Medicare Fraud Allegations

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A physician from Oklahoma recently agreed to pay $580,000 to settle a Medicare fraud case in which the federal government alleged that he submitted false claims to the federal healthcare program, the  Department of Justice (DoJ) announced....

Key Strategies for Health Systems to Achieve Economies of Scale

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Companies from across industries use economies of scale to realize cost savings. While hospitals and health systems are borrowing the economic concept to reduce spending, many healthcare organizations have encountered challenges with achieving...

36% of Providers Never Address Patient Financial Responsibility

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Healthcare organizations are struggling to collect full patient financial responsibility, especially with the rise of high-deductible health plans. Yet, 36 percent of providers report never discussing a patient’s ability to pay prior to...

How Palomar Health Created a High-Value Post-Acute Care Network

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Ensuring patients receive high-value care delivery during their hospital stay or office visit is a top priority for healthcare providers. But value-based purchasing models are pressuring doctors to extend that same cost-efficient, high-quality...

Exploring Key Components of the Healthcare Revenue Cycle

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The healthcare revenue cycle encompasses “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue,” according to the Healthcare Financial Management Association...

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