united states seal

CMS and Medicaid DSH Calculation: 4 Things to Know

May 18, 2017 / 0 Comments

The Centers for Medicare & Medicaid Services (CMS), the US federal agency which administers Medicare, Medicaid, and the State Children’s Health Insurance Program, issued a final rule March 30 addressing how Medicare and other third-party payments are treated when calculating hospitals’ Medicaid Disproportionate Share Hospital payments. Becker’s Hospital Review breaks down four important things to know about the…

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healthcare payments

Stop Blaming “Gravity” for Your Revenue Cycle Problems

May 5, 2017 / 1 Comment

Derek Pierce of the consulting firm Healthcare Management Partners (HMP) says stop blaming market conditions for lagging revenue cycle performance. Look within, he advises. “If you’re unable to collect the cash quick enough, that could indicate that management isn’t focused on what’s important,” the HMP Managing Director recently told RevCycleIntelligence.com. “You can blame gravity for…

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healthcare payments

Hospital Revenue Cycle: Hire More Physician Assistants?

April 28, 2017 / 0 Comments

In an environment that seems to value the leanest possible organizations, a somewhat contrary case is being made for the addition of more physician assistants in order to bolster Hospital Revenue Cycles. “They are well positioned to drive change as the US healthcare system adapts to a growing and aging population, the shift towards value-based care,…

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healthcare provider revenue ecosystem

It’s Time for Patient Care Leaders to Rethink Revenue Cycle

April 20, 2017 / 0 Comments

Last month, Kevin Ormand, Thomas Kiseau, Todd M. Bankhead, and Catharine Wilder of The Chartis Group published a white paper entitled “The Next Strategic Imperative: Rethinking Revenue Cycle Transformation.” It looks at the dramatic changes taking place around payment and operations in U.S. healthcare, and how those changes are impacting revenue cycle management. The white paper’s authors focus…

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Healthcare tech

2017 OrboGraph Client Conference: Healthcare Update

April 14, 2017 / 0 Comments

Yesterday, we basically proclaimed victory for conquering the check processing world at the 2017 OrboGraph Client Conference in Atlanta.  As a continuation of world domination, we’ll move into the topic of healthcare payments from the conference. Just to get you fired up, watch this introduction movie trailer. The topic of Healthcare payments is very complex and is…

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leigh williams

“Crazy and Creative” Tools Fuel Population Health in New Ways

April 11, 2017 / 0 Comments

Leigh Williams, administrator of business systems at University of Virginia Health System and an assistant professor at The University of Mississippi Medical Center, explained to Healthcare IT News how health information technologies can help identify target populations, as well as enhance clinical decision support to enable more effective and efficient population health management. Conclusion? “Not…

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Would ACA Repeal be Credit Negative for Hospitals?

April 7, 2017 / 0 Comments

It wasn’t long ago that all signs pointed to “doom” for the Affordable Care Act, or Obamacare. Though it seems that the Trump administration’s initial attempt to repeal the ACA has been thwarted/deferred for now – – someone needs to add a question mark to our “end is near” signage… as of April 6th, Paul Ryan now…

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football o line

Would You Want Tom Brady or Brett Favre To Deliver Healthcare Payment Processing?

February 9, 2017 / 0 Comments

If Tom Brady was in healthcare payment processing, he’d get to 100% automated posting of insurance payments… but he wouldn’t get there the way you think. Does he have the physical tools? Sure – – but that’s not enough. Attention to detail, discipline and hard work factor in even more than a strong arm. As much…

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2017 RCM Global Forecast: Realistic or Exaggerated?

February 2, 2017 / 0 Comments

When a market report predicts steady, or potentially explosive growth of revenue cycle management, what comes to mind? Is it a real opportunity or should we be skeptical? This link provides a summary of the larger, comprehensive report offered by ReportLinker: The global revenue cycle management market is projected to reach USD 80.56 billion by…

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President Trump's ACA Executive Order

January 26, 2017 / 0 Comments

No, the ACA isn’t repealed – – that will take an act of Congress and, one would hope, a suitable replacement  – – but President Donald Trump did sign an executive order hours after taking office that greases the wheels toward a repeal scenario: “To the maximum extent permitted by law, the Secretary of Health and…

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