Healthcare Industry
Hear it directly from the providers! In the new reality where patients are responsible for more of their healthcare expenses, hospitals need to be more “patient-centric” in their approach, as this shift from payer reimbursement to patient reimbursement has major implications for revenue cycle management. Frankly, it forces hospitals and health systems to abandon traditional processes for the adoption…
Read MoreIn March of 2014 we were warned that the ballooning of ICD-10 diagnostic codes from 13,000 to 68,000 was going to disrupt the finances and data systems of healthcare providers. As it turns out – it was manageable. A new report from public accounting, consulting and technology firm Crowe Horwath reveals four key findings (as originally cited by…
Read MoreWould you believe 31% of all providers are still handling denied claims with completely manual processes? Imagine how difficult that is with EDI 835 remittance files coming in? Even handling correspondence letters manually is outdated. According to a HIMSS Analytics survey, about a third of healthcare providers are still manually processing claim denials. “Given the complexities around submitting claims and…
Read MoreTransUnion Healthcare on Tuesday released a report showing patient deductibles and out-of-pocket costs both increased by 13% between 2014 and 2015. “It’s clear that patients are becoming the new payer – a major source for payments to hospitals at both the time of service and after procedures,” said Jonathan Wiik, principal for revenue cycle management…
Read MoreThe HFMA ANI conference in Las Vegas, Nevada concluded yesterday. The sessions and keynote presentations were well coordinated and integrated with the theme — “Out of the Box” — for the finance and revenue cycle groups within hospitals. The challenge of our healthcare revenue cycle and payment process is to understand how one can actually attain a level of…
Read MoreThe challenges of achieving an efficient healthcare system are far reaching. In the US, we are all familiar with HIPAA, healthcare fraud, delayed payments, PCI and the challenges of converting from traditional workflows into digital. As companies like OrboGraph help facilitate a transition to full automation of the insurance payment process, others are introducing innovations…
Read MoreJaeme Adams, cofounder and CEO of SwervePay, has an interesting take on improving the reliability of patient payments. He lists three very good reasons to take seriously what he calls an “illness” infecting Healthcare provider offices across the country: $32 billion could be recaptured annually if the patient billing and payment process was simplified. This can be…
Read MoreDo you agree with RevCycle Intelligence’s ranking of the top five most common pain points for the hospital revenue cycle? Billing and collections errors Health information technology challenges Lack of staff training Failure to monitor the entire claims process Failure to have a financial policy The article is well worth reading, because it offers useful solutions. Given the…
Read MoreEfforts to improve revenue generation and capture are focused on the front end. However, well-designed and well-run operations contribute to employee satisfaction and better service, as well as reduced costs.
Read MoreYet another example of how continual evolution in healthcare is an opportunity for providers as well as solution companies to address specific market needs.
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