Healthcare Industry
The shift from fee-for-service to value-based care as well as an increasing number of patients enrolling in high-deductible health plans mean big revenue cycle management challenges for the industry. Becker’s Hospital Review asked six industry experts for their predictions and outlook on the coming year. It’s a quick read and easily digestible, but the main thread seems…
Read MoreRevCycleIntelligence.com is hosting a comprehensive white paper entitled “Don’t be Derailed by Denials – 7 Strategies to Slash Your Denial Rate” that deserves our attention (it’s a free download). Denial management in healthcare continues to be a challenge—in part because the traditional way of working denials is time-consuming, costly, and prone to error. Denials eat…
Read MoreWhy not start off the holiday season with a little political analysis from The Washington Post? They have a pretty comprehensive online package, including videos, examining the possible future of the ACA and health Care in general under a Trump administration. As we noted last week, it’s not gone unnoticed that the “repeal and replace” rhetoric…
Read MoreAfter last week’s election results, the healthcare community is now on notice that there WILL BE changes in the future. The man who vowed to eliminate the ACA (“ObamaCare”) had just been elected president. Must see TV! Granted, eliminating ACA might not mean completely “eliminating,” as Trump took a more cautious approach days later (see…
Read MoreIt’s clear that with more and more medical/healthcare payments being remitted by the patient rather than via insurance providers, tracking and leveraging data derived from all payments is harder than ever. However, as Health System Management notes in a new article, it’s imperative to take a “3-D” — “Data Driven Decisions” – – approach to…
Read MoreGet ready for a new complication, er… challenge – The Centers for Medicare and Medicaid Services is readying the healthcare industry for the removal of Social Security numbers from Medicare cards by April 2019. From HealthData Management: In April 2018, CMS will start generating new MBIs for all living and deceased Medicare beneficiaries, with information systems and…
Read MoreWhat’s one of the most powerful components of RCM, and one that ensures great financial results for hospitals? Case management consultant Mindy Owen makes an excellent “case” for EDUCATION – – ongoing training of case managers is the key. Owen is a specialist in educating and developing case management teams, and has traveled across the country teaching case…
Read MoreFor a variety of businesses and organizations, a lock box (or “lockbox”) solution is key to efficient and profitable payment processing for corporations, healthcare providers, and non-profits. Chris Nichols, Chief Strategy Officer at CenterState Bank, posted a great piece on LinkedIn about leveraging Lock Box services, along with a concise history. You’ll want to read the entire article, but here’s…
Read MoreI don’t think I’m being particularly provocative when I note that this year’s presidential race is fairly unprecedented in its … colorful rhetoric. Still, it’s important in this industry to cut through the clutter and grasp the issues that touch us as defined by both sides. Republican candidate Donald Trump’s campaign website encapsulates his healthcare viewpoints here; Democratic…
Read MoreDoctor-owned multi-specialty practices spent more than $32,500 per doctor in 2015 on new health IT, staff, maintenance, and related costs last year, according to a new analysis from the Medical Group Management Association. This is up from $23,000 in 2010. In 2009, President Obama signed into law the Health Information Technology for Economic and Clinical Health…
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