Skip to content

Management

Rural Hospital RCM Challenges Require Straight-Through Processing

September 25, 2018

In an environment where value-based reimbursement performance presents challenges to even the most “metropolitan” of hospitals and healthcare facilities, rural hospitals find themselves facing challenges heightened by their specific set of circumstances. As RevCycleIntelligence reports: Despite serving as a critical healthcare safety net for millions of patients, many rural hospitals are constantly on the brink…

Read More

10 Things to Know About the CMS’s Proposed Outpatient Payment Rule

September 14, 2018

The Centers for Medicare and Medicaid Services released its 2019 Medicare Outpatient Prospective Payment System proposed rule on July 25th, which calls for site-neutral payments and would make changes to the 340B program. For the adventurous, a 760-page explanation is here. For the rest of us, Becker’s Hospital CFP Report offers 10 things to know about the…

Read More
CPT codes

AMA Adds Connected Health CPT Codes; Will It Yield More Revenues?

September 7, 2018

The American Medical Association (AMA) updated the Current Procedural Terminology code set (CPT codes) in 2019 to include new codes for connected health services in an effort to encourage the Centers for Medicare and Medicaid Services (CMS) to pay for the services. According to RevCycleIntelligence.com: The 2019 CPT code set contains 335 changes that will…

Read More
value-based payments

Value-Based Payments See Momentum – Electronic Payments Not So Much

August 30, 2018

We’ve made note of the shrinking usage of fee-for-service models in healthcare billing ecosystems, and now it looks as though the emergent model, value-based payments, is not only growing in deployment but actually delivering benefits to both sides of the transactional equation. As explained by RevCycleIntelligence.com: Value-based care is a form of reimbursement that ties payments…

Read More
EHR

Direct Patient Benefits via EHR

August 23, 2018

One of the positive repercussions of wider adoption of Revenue Cycle Management (RCM) platforms is the accelerated implementation of sophisticated Electronic Health Record (EHR) technology (back in 2013 we noted that the HITECH Act had stimulated the adoption of EHR and Health Information Exchange (HIE) solutions). EHR Intelligence reports that the wider adoption of electronic health…

Read More

Blockchain: Turbocharging Healthcare?

August 3, 2018

A new article in Healthcare IT Insights takes a deep dive into blockchain technology and its impact on healthcare components including health payments and record keeping: Because blockchain enables both data security and data transparency, it has been presented as a solution to many of healthcare’s most vexing problems – data-interoperability, medication adherence, physician satisfaction,…

Read More

5 Common Patient Collections Mistakes – Are You Guilty of One or More?

July 19, 2018

Becker’s ASC Review offers a concise guide to some of the most common patient collections mistakes made by Healthcare providers. In a healthcare environment that is becoming more and more “retail” and dependent upon the patient’s financial responsibility, it’s critical to lock down the basics of patient billing and collections, from beginning to end. Patients…

Read More

The Promises of AI & Advanced Analytics

July 6, 2018

Healthcare IT News reports communicates an AI and analytics path for healthcare organizations, but as you read, there is a bit of a paradox at work… Expect next-generation revenue cycle management systems to boast quite advanced analytics, said Kellye Sherbet, president of RCM services at Aprima Medical Software, which markets EHR, practice management and revenue…

Read More

Healthcare Layoffs Highlight New Industry Realities

June 1, 2018

We’ve talked in this space about the wave of healthcare consumerism and “value shopping” that is becoming the new industry reality. Now we’re seeing some of the more dramatic results of that transition. General Hospital of Lowell, Massachusetts, laid off 29 managers and non-clinical administrative employees in an effort to cut expenses, reports The Lowell…

Read More

Message to Small Banks: Tech is a SOLUTION, not a PROBLEM

May 23, 2018

Small banks are at a crossroads: adopt new technologies or face the possibility of shutting the doors. According to Americanbanker.com: For community banks in highly competitive markets, service with a personal touch can be a differentiator to win and keep customers. But when legacy technology hampers the customer experience, all the cups of coffee in…

Read More