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

Practice Management News

Nurse Compensation Remained Flat Across Most Care Settings


Nurses did not see a significant boost in average annual compensation in 2017, a recent survey of over 10,200 registered nurses (RNs), and licensed practical nurses (LPNs) revealed. The average earnings of a full-time RN were $81,000 in...

Hospital-Acquired Conditions Increase Hospital Costs by $2B


Pressure ulcers, surgical site infections, and other potentially avoidable hospital-acquired conditions (HACs) led to over $2 billion in excess hospital costs in 2016, a recent research brief showed. The research brief from IBM Watson...

AHA: Consolidated Payer Market Influences Hospital Contracting


“The overwhelming majority of hospitals and health systems are not the drivers in contract negotiations with commercial health insurers,” the American Hospital Association (AHA) recently said in response to a potential FTC...

Aligning the Healthcare Revenue Cycle with Patient Experience


Improving a patient’s financial experience is key to healthcare revenue cycle management success, according to the Senior Regional Director of Revenue Cycle at Ascension Healthcare. “Moving into the future, we need to focus...

Healthcare Merger and Acquisition Deal Value Dips in Q3 2018


Healthcare merger and acquisition activity was still trending up in the third quarter of 2018, but deal value dipped, the most recent US Health Services Deals Insights report from PricewaterhouseCoopers (PwC) showed. PwC recorded 261...

Optum360, WayStar Named Top Revenue Cycle Management Vendors


The eighth annual revenue cycle management technology and outsourcing solutions survey from Black Book recently uncovered the top client-rated healthcare revenue cycle management vendors for health systems, hospitals, and physician...

Looking Beyond Price in the Healthcare Supply Chain to Add Value


Don’t equate value in the healthcare supply chain with just price, Premier, Inc’s Myla Maloney recently advised healthcare stakeholders at Xtelligent Healthcare Media’s Value-Based Care Summit in Boston. “Price...

Hospitals Lagging with Healthcare Cost Transformation Efforts


Healthcare cost transformation is a top hospital and health system need. But less than one in five executives reported cost reductions of more than five percent in any priority area in the last year, a new Kaufman Hall survey...

Telemedicine at Center of Billion-Dollar Healthcare Fraud Scheme


Law enforcement officials in Tennessee recently charged four individuals and seven companies involved in a $1 billion healthcare fraud scheme involving telemedicine services, according to details recently released by the Department of...

4 Hospital Business Models for Consumer-Centric Healthcare


When a member of Gurpreet Singh’s family broke his wrist, they didn’t go to a hospital emergency room or an academic medical. Instead, the family headed to an urgent care center to triage the situation and develop a care...

Healthcare Business Office Experience Impacts Patient Collections


Consumers are less likely to pay their patient financial responsibility in full if they experience a negative healthcare business office interaction, a new survey shows. The survey of 500 recent healthcare consumers conducted by Connance...

Hospital Prices in Colorado Increase 76% As Expansions Continue


Hospital prices in Colorado increased 76 percent over a seven-year period as profits rose to some of the highest in the nation, preliminary data from the state’s Department of Health Care Policy and Financing showed. Initial...

Steady, Moderate Growth for Healthcare Prices and Spending in 2018


Healthcare prices and spending are seeing steady, but moderate growth, the Altarum Center for Value in Health Care recently reported. Healthcare prices increased just two percent in the second quarter of 2018, bringing healthcare price...

GAO Finds Uptick in Rural Hospital Closures as Inpatient Use Falls


Sixty-four rural hospitals closed between 2013 and 2017, more than double the number of rural hospitals closures in the prior five-year period, the Government Accountability Office (GAO) recently reported. Rural hospital closures are not...

3 Strategies to Minimize the Burden of Prior Authorizations


Prior authorizations, or prior approvals, are strategies that payers use to control costs and ensure their members only receive medically necessary care. The cost-control process requires providers to acquire advance approval from payers...

Implementing a Patient-Focused Culture Good Business for Practices


Fostering a patient-focused culture was a top business strategy top-performing medical groups and practices implemented in 2018, the Medical Group Management Association (MGMA) recently reported. As part of its 2018 MGMA DataDive Better...

Care Variation Reduction Key to Improving Care Quality, Costs


Higher care quality and care variation reduction result in lower healthcare costs, according to a new Advisory Board analysis. Analyzing healthcare cost and quality data from 468 hospitals from April 2014 to March 2017, the...

Baylor Scott & White, Memorial Hermann Eye Hospital Merger Deal


Two major non-profit health systems in Texas recently announced their plans for a hospital merger, which is expected to advance cost-effective patient care in the state. Baylor Scott & White Health, a non-profit based in Dallas,...

End-to-End Revenue Cycle Management Key to Success at Ascension


The healthcare revenue cycle contains many moving parts. Hospitals and health systems typically rely on a patchwork of technologies and best practices to ensure everything from patient access and registration to medical billing and...

Patient Access to Care Falls As More Docs Look to Retire, Cut Hours


Patient access to care could decrease as a greater number of physicians plan to cut down their hours, retire, or find a non-clinical job in 2018 compared to two years ago, a recent survey from the Physicians Foundation and Merritt Hawkins...

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