Improving Hospital Point-of-Service Collections

In an era of high deductibles, how do you solve the patient collections problem? One solution is,”when hiring front-of-house staff, Gray [Josh Gray, VP of research at athena health] suggests establishing expectations and make clear that new hires understand collecting outstanding balances at the time of service is critical and hold them accountable.”

In an era of high deductibles, how do you solve the patient collections problem?  One solution is, “when hiring front-of-house staff, Gray [Josh Gray, VP of research at athenahealth] suggests establishing expectations and make…

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Are Alternative Payment Models Working to Reduce U.S. Healthcare Spending?

We take a look at the current healthcare spending in the U.S. and examine how alternative payment models are designed to help reduce these costs. Then we will review recent articles that propose changes that would make alternative payment models more effective. 

We take a look at the current healthcare spending in the U.S. and examine how alternative payment models are designed to help reduce these costs. Then we will review recent articles that propose changes that would…

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2017 Healthcare Revenue Cycle Management Challenges Met by Technology

As the financial landscape of healthcare delivery changes in the United States, hospitals, providers, and ambulatory surgery clinics are faced with unique revenue cycle management (RCM) challenges…

As the financial landscape of healthcare delivery changes in the United States, hospitals, providers, and ambulatory surgery clinics are faced with unique revenue cycle management (RCM) challenges…

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Improve Your Healthcare Organization’s Claims Denial Management Processes

Successful management of claims denials is one of the most important aspects of a productive revenue cycle management process. Learn more about claims denial management and what steps your healthcare organization can take to improve this internal process. 

Successful management of claims denials is one of the most important aspects of a productive revenue cycle management process. Learn more about claims denial management and what steps your healthcare…

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Is Hospital Pricing Transparency Possible?

When it comes to hospital pricing transparency that states and consumer advocates want to see, few hospitals are able to implement true procedure cost reporting.  Why is that, and will it ever happen?  We review the latest news.

When it comes to hospital pricing transparency that states and consumer advocates want to see, few hospitals are able to implement true procedure cost reporting.  Why is that, and will it ever happen?  We review…

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Healthcare Payer News: Blockchains, Emergency Care and New Technology

Value paradigms, blockchains, and cloud services seem to be in the wind this year as the whole technology landscape shifts.   Add to this related policy changes from CMS to”increase choices and encourage stability”.  Will lower premiums materialize and be a help to the hospital revenue cycle? 

Value paradigms, blockchains, and cloud services seem to be in the wind this year as the whole technology landscape shifts.   Add to this related policy changes from CMS to”increase choices and encourage…

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Patient Access Management Challenges, News, and Progress

From providing hospital pricing transparency to patient collections to revenue cycle management and patient access to information, hospitals are currently facing an array of access management challenges. Join us as we explore the current news and updates about patient access management.

From providing hospital pricing transparency to patient collections to revenue cycle management and patient access to information, hospitals are currently facing an array of access management challenges. Join us as we explore…

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How Hospital Billing and Claims Management Processes Affect Revenue

Hospital billing and claims management processes have a clear and direct impact on the financial health of an organization. However, oftentimes healthcare executives blame poor performance on external factors, rather than analyzing internally. We take a deeper look at this issue and how hospitals can improve their practices to increase revenue. 

Hospital billing and claims management processes have a clear and direct impact on the financial health of an organization. However, oftentimes healthcare executives blame poor performance on external factors, rather than…

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Bundled Payments Off to Delayed Start

One prediction has it that in healthcare “bundled payments will account for 17 percent of reimbursements in the next five years.”  This as healthcare industry experts are continuing to call for mandatory implementation of bundled payments while CMS pushes back deadlines.  Go or no-go?  We take a look at the latest roundup of thoughts and advice.

One prediction has it that in healthcare “bundled payments will account for 17 percent of reimbursements in the next five years.”  This as healthcare industry experts are continuing to call for mandatory implementation of bundled payments while CMS…

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Will Ambulatory Surgery Centers Become More “Hospital-Like”?

Ambulatory surgery centers (ASCs) continue to gain popularity as the costs for healthcare services steadily increase. Now, new questions arise as to what regulatory and legislative measures need to be taken to make these facilities more “hospital-like” in order to provide quality care, and to properly fund the operation of standalone outpatient clinics.

Ambulatory surgery centers (ASCs) continue to gain popularity as the costs for healthcare services steadily increase. Now, new questions arise as to what regulatory and legislative measures need to…

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Hospitals Review Pay-for-Performance Models

The government mandate is clear.  Benefits for patients are clear.  That leaves contract negotiations  for the move to the pay-for-performance model in healthcare.  It’s all about patient experience and quality of care these days.  But when it comes to pay-for-performance, or “value-based reimbursement” models, some hospitals are embracing contracts related to the concept, and some are lagging behind.

The government mandate is clear.  Benefits for patients are clear.  That leaves contract negotiations  for the move to the pay-for-performance model in healthcare.  It’s all about patient experience and quality of care…

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Hospitals and Value Based Healthcare Strategies

There is both uncertainty and emerging optimism for hospitals and value based healthcare.  Revenue cycle managers worry that this erodes hospital profits. But some hospital revenue cycle teams are embracing the new value model and finding solutions in analytics, end-to-end systems, and even telemedicine.

There is both uncertainty and emerging optimism for hospitals and value based healthcare.  Revenue cycle managers worry that this erodes hospital profits. But some hospital revenue cycle teams are embracing the new value….

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MACRA, MIPS and Revenue Cycle Managers

How will the carrot and stick associated with MACRA play out in the year ahead?  It will require more attention, but a new study shows many healthcare providers aren’t ready.  When it comes to MACRA, MIPS and Revenue Cycle Managers, 2017 is an important year with a range of new incentives and penalties at stake.

How will the carrot and stick associated with MACRA play out in the year ahead?  It will require more attention, but a new study shows many healthcare providers aren’t ready.  When it comes to MACRA, MIPS and Revenue Cycle Managers, 2017 is an important…

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Hospital Revenue Cycle Management Solutions 2017

It’s challenging for CFOs to get a handle on RCM (revenue cycle management) solutions these days.  Successful hospital revenue cycle management solutions in 2017 focus on streamlining denial management, new efficient technologies, and a holistic approach.

It’s challenging for CFOs to get a handle on RCM (revenue cycle management) solutions these days.  Successful hospital revenue cycle management solutions in 2017 focus on streamlining denial management, new efficient technologies…

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