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

Practice Management News

Healthcare Merger and Acquisition Activity Up 14.4% in 2018

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Healthcare merger and acquisition activity in 2018 broke some records, PricewaterhouseCoopers (PwC) reports. Specifically, quarterly deal volumes exceeded 300 merger and acquisition transactions twice. The year ended with providers,...

Mid-Revenue Cycle Management, CDI Market to Reach $4.5B by 2023

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The revenue cycle is traditionally broken into the front and back ends. But a new market report shows providers are still looking to bolster the middle of their revenue cycles. According to a recent Markets and Markets report, the...

Major Health Systems Create New Company to Tackle Drug Shortages

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Drug shortages are preventing hospitals from providing even the most basic care to patients. In a recent study by the National Opinion Research Center (NORC) at the University of Chicago, approximately 80 percent of hospitals found it...

Loyola Medicine, Palos Health Consider Hospital Merger Deal

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Two Chicago area health systems are considering an official hospital merger after four years of engaging in a strategic partnership. Palos Health and Loyola Medicine jointly announced on Jan. 21, 2019 that the health systems signed a...

Small Hospital Boosts Bottom Line Through Patient Access Automation

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“The patient access area is where everything starts, and that mindset is what led to our success.” That was the sentiment of Deonne Henry, the Vice President of Revenue Cycle at Magnolia Regional Health Center in Mississippi....

Hospital Prescription Drug Spending Increased 18.5% Per Admission

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Average total hospital prescription drug spending per admission rose by 18.5 percent between the 2015 and 2018 fiscal years, according to a new study conducted by NORC at the University of Chicago. Hospitals spent an average of $555.40...

Tenet Healthcare Plans to Outsource 1,000+ Positions to Cut Costs

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The country’s largest for-profit hospital system is looking to significantly expand their offshore healthcare workforce in the next year or two. Local news source Dallas News recently reported that the large hospital system is...

Hospital Merger and Acquisition Deals Got Bigger in 2018

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The average size in revenue of the sellers in hospital merger and acquisition deals grew at a compound annual growth rate (CAGR) of 13.8 percent since 2008, reaching $409 million in 2018, consulting firm Kaufman Hall recently...

Addressing Healthcare Consumerism a Top Priority for Docs in 2019

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2019 will be the year of healthcare consumerism, according to industry experts. As patient financial responsibility increases, revenue cycle and finance leaders are finding it high time to align their business practices with...

CMS: We Must Do More Than New Healthcare Price Transparency Rule

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Hospitals may have to publish a list of their standard charges online, but that doesn’t have to be their only step to increase healthcare price transparency, CMS Administrator Seema Verma recently stressed. “While many...

40% of Revenue Cycle Leaders Don’t Discuss Charge Capture Regularly

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Over three-quarters (78 percent) of revenue cycle leaders at acute care organizations agreed charge capture is essential to an organization’s success, yet most leadership teams only discuss charge capture once a month or less. Those...

Major Healthcare Mergers and Acquisitions Making Waves in 2019

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Increasing financial pressures are pushing providers and even non-provider entities to engage in healthcare merger and acquisition (M&A) activity. Value-based reimbursement, shrinking hospital margins, and record-high healthcare...

Opioid Overdose Care Totals $1.94B in Annual Hospital Costs

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The opioid crisis is hitting hospital costs, a recent analysis by healthcare improvement company Premier uncovered. Approximately $1.94 billion in annual hospital costs were attributable to patients who experienced an opioid overdose...

Prescription Drug Spending Higher at 340B Hospitals, Study Finds

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Per-patient prescription drug spending increased by 32.4 percent at hospitals that recently enrolled in the 340B Drug Pricing Program, revealed a new Berkeley Research Group (BRG) study funded by the Pharmaceutical Research and...

Hospital Mergers Save More When Facilities Are Close Together

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Hospital mergers produce even greater efficiencies and savings when the acquired facilities are in close proximity to each other, a new report shows. The Charles River Associates report prepared for the American Hospital Association (AHA)...

Justice Dept Recovered $2.5B from Healthcare False Claims in 2018

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The Department of Justice recovered over $2.8 billion from False Claims Act cases in the 2018 fiscal year, and the majority of the recoveries stemmed from healthcare fraud schemes. The False Claims Act makes individuals and companies...

CHI, Dignity Health Push Back Hospital Merger Closing Date

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California-based Catholic Health Initiatives and Colorado-based Dignity Health recently announced a one-month delay of their hospital merger deal. The two health systems are moving the expected closing date of their new combined...

Medical Billing, Patient Access Top Revenue Cycle Risks of 2019

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Patient access and medical billing and collections are among the top healthcare revenue cycle risk areas for hospitals, practices, and other provider organizations in 2019, according to a new report from the public accounting, consulting,...

17% of Families Make at Least One Large Healthcare Payment a Year

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One in six families make at least one extraordinary healthcare payment of at least $400 and one percent of annual income in any given year, researchers from the JPMorgan Chase Institute recently reported. Their findings, recently...

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