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

Practice Management News

Medicare, Medicaid Exclude 200% More Docs for Healthcare Fraud

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Efforts to combat healthcare fraud, waste, abuse by Medicare, Medicaid, and public insurance programs may be paying off, according to a new study from the University of Southern California and Harvard Medical School. The study recently...

Provider Directory Accuracy Issues Persist for Medicare Advantage

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Online Medicare Advantage provider directories are still not accurate, according to a recent CMS analysis of approximately one-third of Medicare Advantage Organizations (MAOs). In its third round of online provider directory reviews, CMS...

VA Hospitals Outperform Private Hospitals in Most Areas

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A new study by the Dartmouth Institute for Health Policy and Clinical Practice shows that Department of Veterans Affairs (VA) hospitals are providing care as good as or better than their peers in the private sector. “This is proof...

Aurora Health Care Pays $12M to Settle Healthcare Fraud Claims

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An integrated health system that services patients in Wisconsin, Illinois, and Michigan recently agreed to pay $12 million to federal and state governments to settle healthcare fraud allegations. According to an announcement from the US...

Nurse Practitioners Earn a 6% Increase in Annual Compensation

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Nurse practitioners received a significant boost in compensation compared to other advanced practice registered nurses (APRNs), a new survey revealed. The survey of over 3,200 advanced practice registered nurses (APRNs), including nurse...

Hospital Revenue Unstable Despite Outpatient Volume Growth

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Hospitals recently saw increases in national inpatient and outpatient volumes. However, net hospital revenue continues to be unstable for non-profit organizations, according to a new analysis from the public accounting, consulting, and...

26% of Hospitals Without Effective Revenue Cycle Management System

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Approximately one-quarter of US hospitals (26 percent) do not have an effective healthcare revenue cycle management solution in place, according to a new Black Book survey. Black Book surveyed over 4,640 individuals from 522 hospitals and...

Accounting for the Patient in the Healthcare Revenue Cycle

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From value-based care to record-high levels of patient financial responsibility, the healthcare industry is undergoing a tremendous amount of evolution. And the healthcare revenue cycle is having to learn some new tricks to keep up. Top...

AGs Approve Large Hospital Mergers, But with Special Conditions

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Attorneys General in California and Massachusetts recently approved two separate hospital merger deals. But the approvals came with a set of special conditions the health systems must meet to finalize the mergers. After 17 public...

Hospital ERP Adoption Up to 38.4% and Will Continue to Climb

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Enterprise resource planning (ERP) adoption remains slow and steady, HIMSS Analytics recently reported. Hospital ERP adoption increased from 18.8 percent of hospitals in 2008 to 38.4 percent of hospitals a decade later, the analysis of...

68% of Hospital Execs Plan for 2018 Revenue Cycle IT Budget Growth

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Fewer healthcare organizations are increasing their revenue cycle IT budgets compared to last year, a new survey shows. The annual Healthcare Financial Management Association (HFMA) and Navigant survey of 107 hospital and health system...

Patient Perception of Hospital Affiliations Influences Care

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Hospital affiliations can influence patient volume, a new study by the Yale Cancer Center shows. The study recently published in the journal Annals of Surgical Oncology revealed that 85 percent of individuals about to receive complex...

Hospital Operating Income Falls for Two-Thirds of Health Systems

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Health system operating income is deteriorating as hospital expenses continue to grow, according to a recent Navigant analysis. In the three-year analysis of the financial disclosures for 104 prominent health systems that operate...

Hospitals Seek Value-Based Contracting in Healthcare Supply Chain

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Nearly three-quarters of hospital and health system leaders are interested in value-based contracting in the healthcare supply chain, but opportunities to secure contracts with suppliers are lacking, a new survey from Premier Inc....

Atrium Health Settles Anticompetitive Hospital Contracting Claims

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Atrium Health in North Carolina recently agreed to a settlement with the Department of Justice (DoJ) and the North Carolina Office of Attorney General that prohibits the health system from using anticompetitive hospital contracting terms...

Partners, Harvard Pilgrim Suspend Healthcare Merger Talks

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Partners HealthCare, the largest hospital system in Massachusetts, recently halted healthcare merger talks with local insurer Harvard Pilgrim Health Care over concerns the deal would not earn regulatory approval. “Now isn’t...

NP, PA Office Visits Grow 129%, But Healthcare Costs Still Rising

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Office visits to primary care physicians dropped 18 percent from 2012 to 2016 among non-elderly adults with employer-sponsored healthcare coverage, the Health Care Cost Institute (HCCI) recently reported. “The decline in primary...

Consumers Seek Care in New Settings for Lower Healthcare Costs

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Consumers are generally comfortable with seeking routine care in healthcare settings beyond the hospital or their doctor’s office if the healthcare costs are lower, data from PwC’s Health Research Institute (HRI) showed. For...

Hospitals Want Practice Management Systems to Work with EHR, RCM

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Hospitals are seeking customizable practice management systems that integrate with their revenue cycle management and EHR systems, according to a new survey from Black Book Research. Thirty-six percent of hospital system executives said...

AHA: Tariffs on Chinese Goods Will Impact Hospital Supply Chain

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The American Hospital Association (AHA) recently opposed the Trump Administration’s tariffs on medical equipment and products imported from China, arguing the tariffs would impact the hospital supply chain. “The imposition of...

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