Healthcare Revenue Cycle Management

Newsflash: 90 Percent Jump in Uncollectable Denials in Just 6 Years

It looks like 2018 is going to be the year of denials and that’s exactly as foreboding as it sounds. Becker’s article based on the Advisory Board’s survey revealed that denials written-off as uncollectable, costs the average 350-bed hospital $3.5 million annually; a whopping 90 percent jump from just six years prior. Compounding this challenge…

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7 Strategies to Prevent Claims Denials

We operate in an already complicated reimbursements environment, so anything we can do to minimize the constant threat of denials is going to help the entire revenue cycle. Becker’s Hospital Review produced a helpful webinar discussing strategies to prevent claims denials that can be accessed here. In an article summing up the presentation, Becker’s distills…

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Fee-For-Service Healthcare Payments – Shrinking

An article on the HealthExec website describes a Health Care Payment Learning and Action Network (LAN) report recently released, showing that 43 percent of payments to health systems came from traditional fee-for-service (FFS) payment models in 2016. That’s down from 62 percent the year before. Meanwhile, alternative payment models’ (APMs) share increased from 23 percent to 29 percent. While…

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Selling a Latte For $5; Collecting Only 50¢ at Time of Purchase …

Sometimes it’s instructive to remind ourselves just how “different” the world of health care payments can be. Consider Dr. Andrew L. Pecora’s Starbucks metaphor in an article entitled The Quirky Way Physicians Are Paid: Imagine a hypothetical board meeting at Starbucks Corporation where a newly hired CEO tells the board how he intends to increase same-store…

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Feel the Pain: Paper Is Hurting All Healthcare Stakeholders

The Trends in Healthcare Payments Seventh Annual Report: 2016, available for free download – offers a look at how delaying the inevitable electronification of payments at all levels of healthcare transactions is costly on many levels to healthcare providers. Consider the following facts from a post at at AJMC: 88% of providers reported that they received…

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Becker “Power Panel” Makes 5 Key Observations on Managing RCM

Attendees at the Becker’s Hospital Review 3rd Annual Health IT + Revenue Cycle Conference in Chicago were treated to a panel of healthcare heavyweights discussing revenue cycle performance. The distinguished group included Vice President of Revenue Cycle Management at San Diego-based Sharp HealthCare Gerilynn Sevenikar; Vice President of Product Management and Revenue Cycle Analytics at…

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Press Release: OrboGraph Profiled as Top 10 Leading Healthcare Solution in The TECHNOLOGY HEADLINES

Overcoming the challenges of EDI adoption with electronification of EOB/EOPs   Billerica, MA, October 19, 2017 – OrboGraph, a premier developer and supplier of intelligent electronic/paper automation solutions in healthcare revenue cycle management (RCM), as well as recognition solutions, image validation and check fraud detection for the U.S. check processing market, was recently profiled in the…

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Deloitte Describes 3 Ways Blockchain Might Boost Hospitals Within Ten Years

Becker’s Hospital Review links to a neat and tidy summation of a comprehensive Deloitte report that examines the digital hospital of tomorrow. As we’ve discussed in this space previously, blockchain technology is poised to boost hospital operations in the foreseeable future. The three takeaways Becker’s extracted from the report in terms of specific ways blockchain tech…

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Payers Pressuring Providers for Robotic Process Automation (RPA)

A deep dive into revenue cycle issues in an article by Healthcare Informatics reveals a need for scale and cost reduction through process automation. “Commercial payers want more automation. The biggest movement we’ve seen in the past 12 months is a willingness to move ahead with electronic processing for pre-authorization for service. More recently, we’re seeing…

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Revenue Cycle Management Moves to Head of the Class

RevCycleIntelligence reported on a Black Book Market Research survey that revealed a resurgence of focus on the revenue cycle by hospitals: Almost three-quarters of struggling hospitals are prioritizing revenue cycle management over a number of initiatives, including population health, data analytics, physician practice acquisitions and recruitment, and patient engagement. The survey of over 6,000 financial and business…

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