Medical Lockbox
The Architecture, Infrastructure, and Operations Booklet is one in a series of booklets that compose the Federal Financial Institutions Examination Council (FFIEC) Information Technology Examination Handbook (IT Handbook), prepared for use by examiners. As described at the FFIEC website: With the publication of this booklet, the FFIEC member agencies replace the “Operations” booklet issued in July 2004.…
Read More
The No Surprises Act — which is part of the Consolidated Appropriations Act introduced earlier this year — is a pretty straightforward proposition: It is designed eliminate some of the surprises that group health plan participants encounter from unexpected charges. Health Affairs This Week Podcast provides a tidy summary of the act. An initiative that affects revenue cycle needs further discussion : Advanced EOBs.
Read More
This comes as no surprise to anyone in the industry: The COVID-19 pandemic did a number on the healthcare economy, ravaging volumes, revenues, and other financial metrics. We may be on our way to recovery, however. Kaufman Hall’s latest Hospital Flash Report paints an optimistic picture, reporting increases across hospital volumes, revenues, and margins last month compared…
Read More
In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing Omnichannel Check Fraud Detection. Review the latest OrboNation Newsletter online or via PDF download.
Read More
RevCycleIntelligence reports on a new survey that shows about three-quarters of hospitals and health systems in the US deployed revenue cycle management (RCM) technology or underwent active technology deployments during the COVID-19 pandemic. The survey polled over 350 CFOs and revenue cycle leaders at hospitals and health systems between December 17, 2020, and Feb 5, 2021, using…
Read More
Already picking up steam pre-pandemic, healthcare consumerism has been hastened by the COVID-19 crisis. RevCycle Intelligence spoke to Kathy LeBrew, chief system revenue cycle officer at University Hospitals in Ohio, about how best to address this new state of the industry. “We need to recognize what’s important to the patient as a consumer, caring about…
Read More
It’s no secret to anyone who’s read previous posts here that artificial intelligence (AI) and machine learning are a boon for revenue cycle management — probably one of the strongest use cases for this type of technology, in fact, as reported by RevCycle Intelligence. “Integrating artificial intelligence into an RCM solution allows us to have data driven approaches to automate each step in the process, whether it’s when that first letter is going out, that first contact is happening, or that payment is going into a payment plan. Each step, there’s a model supporting that decision which helps a person to take the right action at the right time,” says Greg Allen, senior director of data science and product management at Ontario Systems.
Read More
Stanford University’s 2021 AI Index Report is now available, and it goes into significant detail regarding Computer Vision, which is integral to the sorts of recognition tasks important in fraud detection and EOB processing.
Read More
Hindsight is 20/20, but it turns out that many medical practices and providers didn’t put into motion much digital preparation pre-pandemic, and that places them in a current payments predicament. This is according to Colin Mellon, senior vice president of Healthcare and Insurance Solutions at Fiserv. During a PYMNTS TV Trend Talk, Mellon noted that “the pandemic…
Read More
For healthcare providers, the decision of whether to handle revenue cycle management internally vs. outsourcing the function is not something be taken lightly. While there are pros and cons for each choice, the COVID-19 pandemic has complicated the decision even further. Medical Economics features an in-depth conversation with Anurag Mehta, president and co-founder of Omega Healthcare, about various impacts of COVID and how medical practices should adapt and rise to the challenge.
Read More