Management

EDI 835’s Close the Loop for Healthcare Fraud and Compliance

A comprehensive article at RevCycleIntelligence entitled “How Providers Can Detect, Prevent Healthcare Fraud and Abuse” offers insight into ways to “tighten the ship” regarding practices that cost the industry billions of dollars a year. Complying with the myriad of regulations can be difficult for providers who already focus on a range of priorities, including care delivery,…

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Hospitals Leaving $22M On the Table Says Advisory Board

Fierce Healthcare reviewed a report by The Advisory Board and lists four challenges in the area of Revenue Cycle Management. Most significantly, they point out that hospitals concentrating on costs are leaving big dollars on the table: The Advisory Board found that because of the focus on cost reductions over RCM revenues, the average 350-bed hospital…

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Small Practices: Time to Jump on the Tech Bandwagon

An article in RevCycleIntelligence points out that an astounding 95 percent of practices with less than five physicians identified their facilities as “not tech savvy,” according to a Black Book survey. Small practices tend to avoid or delay health IT adoption because of the costs associated with implementation and upkeep. A 2016 Medical Group Management Association…

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How to Simplify Concurrent, Revenue Cycle Improvements

On the heels of the HFMA ANI expo and show, where thousands of vendors presented new and invigorating concepts for finance and the revenue cycle, an article in RevCycleIntelligence.com, spearheaded by Nalin Jain, Delivery Director of Advisory Services for CTG Health Solutions, provides insight on how to simplify many ongoing RCM improvements. “Whether you call it…

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Revenue Cycle Management – Attention to Detail is Vital

The June Coker Connection newsletter takes a deep dive into the importance and intricacies of Revenue Cycle Management, a topic we at OrboGraph hold near and dear. Jeff Gorke, Senior Vice President at Coker Group, opens with an irrefutable statement of fact: “Revenue is the lifeblood of any business. Businesses cannot thrive nor survive, regardless of their market…

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9 Healthcare Takeaways in Trump’s Proposed Budget

Becker’s Healthcare outlines in succinct form what they feel are the nine main takeaways in President Trump’s proposed budget. 1. Medicaid cuts. 2. Repeal and replace the ACA. 3. Medicare unscathed. 4. Reduction in CHIP funding. 5. NIH funding cut. 6. Cuts to CDC funding. 7. Veterans Choice Program extended.  8. Medical malpractice limits. 9. Funds…

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Value-Based Purchasing Still on the Table Despite Risk to ACA

RevCycle Intelligence reports on a recent BDC Advisors survey stating that, in spite of a possible Affordable Care Act repeal, healthcare executives still plan to stay the course with value-based purchasing implementation and healthcare cost reduction initiatives. However, political and legislative uncertainty has prompted executives to slow major capital investments. The report went on to say: Among the dozen C-suite leaders…

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Hospital Revenue Cycle: Hire More Physician Assistants?

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

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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2017 RCM Global Forecast: Realistic or Exaggerated?

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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