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

Practice Management News

Provider Collaboratives Combat Healthcare Merger Pressures

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Value-based reimbursement continues to drive healthcare merger and acquisitions activities. But hospitals and health systems can remain independent and achieve healthcare cost reduction and value-based reimbursement goals by joining a provider...

Healthcare Prices, Spending, Employment Decline in Early 2017

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Recent research from the Altarum Institute showed that healthcare prices, spending, and employment are all trending downward after a three-year period of healthcare spending acceleration. Healthcare employment growth declined by 10,000 per month...

Seeing PCP As Main Provider Lowered Medicare Spending by 9%

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Using a primary care provider versus a specialist as the predominant provider of care and care coordination resulted in similar clinical outcomes for Medicare beneficiaries. But Medicare spending was $1,781 lower per beneficiary, a recent Journal...

Top 4 Patient Financial Responsibility Collection Methods

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The top priority for providers is to deliver high-quality healthcare services to their patients. But the recent rise in patient financial responsibility and healthcare consumerism has forced some providers to bump patient collections to the top...

52% of Provider Compensation Bonuses Tied to RVUs, Not Quality

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Approximately 52 percent of provider compensation offers with a production bonus in 2017 based the additional pay on relative value units (RVUs), while just 39 percent used quality metrics, a recent Merritt Hawkins survey found. The study of...

Healthcare Employment Shifting to Hospital-Employed Providers

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Physician practice owners no longer make up the majority of patient care providers, a recent American Medical Association (AMA) healthcare employment study revealed. Approximately 47 percent of patient care providers had a full or part ownership...

Payment Plans Tackle Hospital Patient Collection Challenges

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The growing popularity of high-deductible health plans has wedged many healthcare organizations between a rock and a hard place. Healthcare organizations are struggling to implement patient collection strategies that acquire all of a patient’s...

Only 40% of ED Providers Identified Accurate Healthcare Costs

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Emergency department providers have little understanding of the healthcare costs associated with common visits, a recent Journal of the American Osteopathic Association study revealed. The survey of over 400 healthcare professionals working in...

Surviving Solo with Independent Practice Association Support

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Healthcare reform and market forces are driving more independent practice leaders to consolidate with larger hospitals or health systems. But an independent practice association, like Vermont’s HealthFirst, can help solo providers leverage...

How Clinicians Add Value to Healthcare Supply Chain Management

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Engaging clinical staff is key to adding value to healthcare supply chain management, according to three supply chain leaders at MaineHealth, a recent ECRI Institute Healthcare Supply Chain Achievement award recipient. The healthcare network...

Healthcare Framework Aims to Drop Low-Value Resource Use, Costs

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Healthcare organizations looking to reduce low-value resource use and healthcare costs should implement a framework that addresses the patient and clinician interaction, according to a recent Journal of Hospital Medicine report. Four physicians...

Physician Alignment Drives Healthcare Revenue Cycle Progress

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Hospital and health system leaders frequently rank decreasing healthcare costs and increasing efficiency as their top concerns year-after-year. But many healthcare organizations have struggled to implement and sustain healthcare cost reduction...

Cloud-Based Healthcare Supply Chain Management Drives Market

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The healthcare supply chain management market should be worth up to $2.22 billion by 2021 as healthcare organizations face increasing pressure to advance operational efficiency and profitability, according to a recent Markets and Markets report....

Do NP, PA Ordering Habits Lead to Higher Healthcare Costs?

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Nurse practitioners and physician assistants did not contribute to higher healthcare costs by ordering more ancillary or expensive services compared to primary care providers, a recent American Journal of Managed Care study uncovered. The analysis...

NYC Hospital Adds Epic Revenue Cycle Management to EHR System

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NYC Health and Hospitals Corporation (NYCHHC) recently selected to implement an Epic healthcare revenue cycle management solution to help the health system boost adjusted patient revenue by another 5 percent. The largest public health system...

High-Cost Patients Widely Distributed Across Hospitals, Markets

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A recent American Journal of Managed Care study attempting to understand why some patients incur higher healthcare costs than others found that high-cost patients were evenly spread across providers and healthcare markets. Using a 20 percent...

Is Billing Some Patients at Hospital Chargemaster Rates Legal?

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Contract law does not uphold the medical billing practice of charging uninsured or out-of-network insured patients hospital chargemaster rates that are not based on actual healthcare costs or market-negotiated prices, argued authors of a recent...

Healthcare Price Variation a Challenge for State, Local Leaders

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Local leaders may be better positioned to solve healthcare cost challenges than the federal government since healthcare price variation was more significant by state and local markets, a new Health Care Cost Institute (HCCI) and Robert Wood Johnson...

Brigham and Women’s Offers Buyouts to Lower Healthcare Costs

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Boston-based Brigham and Women’s Hospital recently presented 1,600 employees with a voluntary buyout option in an effort to control the facility’s healthcare costs, a local news source reported. Hospital officials reassured reporters...

Key Ways to Start A Hospital Revenue Cycle Turnaround Process

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Healthcare executives often point to market factors for lackluster hospital revenue cycle performance. But lagging accounts receivable days and shrinking hospital margins usually indicate that it is time for an internal hospital revenue cycle...

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