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

Practice Management News

Prescription Drug Rate Growth to Slow in 2019, Increasing 4.92%

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Hospitals and health systems should anticipate prescription drug rates to increase by 4.92 percent in 2019, researchers from the healthcare improvement company Vizient recently estimated. Prescription drug rates for hospitals and health...

Revenue Cycle Management Integration Boosts the Bottom Line

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When you ask a provider which EHR system he uses, you expect to hear a single vendor, such as Epic, Cerner, or MEDITECH. But when you inquire about a provider’s revenue cycle management system, you are likely to get a laundry list of...

Healthcare M&A Leads to 90% of Markets Being Highly Consolidated

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The recent uptick in healthcare merger and acquisition (M&A) activity is leading to significant market consolidation, particularly among providers organizations, a recent Commonwealth Fund analysis revealed. The majority of...

Physician Assistant Compensation Increased Almost 3% in 2018

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Median annual physician assistant compensation was $105,000 in 2018, representing a 2.9 percent boost compared to the previous year, a new American Academy of PAs (AAPA) survey found. Meanwhile, the 2018 AAPA Salary Survey of over 9,000...

How Hospitals Bring in Revenue Through the Healthcare Supply Chain

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The healthcare supply chain is a cost center for provider organizations of all sizes. Through the supply chain, healthcare organizations spend money on the items and supplies they need to deliver the services that bring in revenue. As a...

Care Integration Driving Healthcare Mergers and Acquisitions

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Improving the integration of care across the continuum is the top driver of healthcare mergers and acquisitions, according to a recent Premier Inc. survey. The survey of 45 healthcare C-suite leaders found that almost one-quarter (24...

WA Makes Healthcare Price Transparency Consumer-Friendly

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How much does a knee replacement surgery cost at MultiCare Auburn Medical Center in Auburn, Washington versus St. Anthony Hospital in nearby Gig Harbor? Does EvergreenHealth Medical Center in Kirkland deliver the highest value birthing...

255 Healthcare Merger and Acquisition Deals Announced in Q2 2018

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Healthcare stakeholders announced 255 healthcare merger and acquisition (M&A) deals in the second quarter of 2018, a new report from the Health Research Institute at PricewaterhouseCoopers (PwC) showed. The 255 announced healthcare...

Ascension, Centene Partner to Launch Medicare Advantage Plan

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The nation’s largest non-profit health system, Ascension, and health payer Centene Corporation are teaming up to launch a Medicare Advantage plan in multiple markets, the organizations recently announced in a joint statement. The...

Falling Productivity Stifles Physician Compensation Boost in 2017

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Physician compensation increased by just 0.89 percent in 2017, marking the first year that provider salaries have grown less than two percent in over a decade, AMGA recently reported. The 31st annual AMGA Medical Group Compensation and...

Quantifying Financial Distress to Stop Hospital Bankruptcy, Closure

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More healthcare organizations will face financial troubles, and possibly a hospital bankruptcy or closure, in the coming years as the healthcare industry undergoes major changes. Changes that will result in lower reimbursement rates, more...

Revenue Cycle Management Outsourcing Market to Grow at 11.9% CAGR

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The global healthcare revenue cycle management outsourcing market is slated to significantly increase, with its valuation rising from just $11.7 billion in 2017 to $23 billion by the end of 2023, a new market report shows. The authors of...

When Should Providers Consider a Strategic Hospital Acquisition?

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For many small hospitals, remaining independent as the healthcare industry hurdles toward value-based purchasing, population health management, and other transformations is a source of pride even if the organization has one foot in the...

Medical Liability Immunity Reduces Defensive Medicine, Costs by 5%

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A new working paper by the National Bureau of Economic Research shows that medical liability immunity can change how a provider practices medicine by decreasing defensive medicine use and its associated healthcare costs. Providers ordered...

Hospital Employment, Medical Group Participation Increases in 2018

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Hospital employment is trending up, with 64 percent of medical professionals in a recent survey by the Medicus Firm reporting being employed by a hospital, medical group, or other healthcare facility in 2018. The percentage of employed...

Healthcare Revenue Higher for Practices Employing More NPs, PAs

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Primary care practices that employ more physician assistants, nurse practitioners, and other non-physician providers have greater healthcare revenue and productivity, the Medical Group Management Association (MGMA) recently reported. In...

Finding a Revenue Cycle Management System for Post-Acute Care

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Post-acute care has become a major focus as providers, payers, and policymakers attempt to cut healthcare costs and improve long-term patient outcomes. However, the revenue cycle management space is dragging its feet when it comes to...

Target Prices to Control Prescription Drug Spending, AHA Advises

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With prices, not utilization, driving prescription drug spending at hospitals and health systems, the American Hospital Association (AHA) recently called on policymakers to focus on controlling costs via average sales price (ASP)...

NY Health System Settles E&M Upcoding, Healthcare Fraud Case

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A New York-based health system will pay the federal government $14.7 million to settle healthcare fraud allegations that claim the system engaged in evaluation and management (E&M) upcoding. According to the Department of Justice...

Healthcare Cost Control Rises to Top Hospital Exec Priority

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Healthcare cost control rose to the top of hospital leader priority lists, bypassing revenue growth for the first time, according to the Advisory Board’s most recent Annual Health Care CEO Survey. The survey of 146 C-suite...

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