Financial/Revenue Cycle Management
Revenue cycle management has gone from being a "back office" function to an "end-to-end" system that begins at patient intake or even before, claims specialists say.
In push to population health and value-based payments, health systems look to post-acute care netwo…
The move toward population health and alternative payment models has seen providers embracing innovative approaches to care delivery, including significant investments in health information technology, according to the spring 2016 Economic Outlook survey from Premier.
Some experts are predicting a spike in denials beginning on Oct. 1, 2016 when the Centers for Medicare and Medicaid Services will require claims to be more specific. Forward-looking providers are assembling teams to prepare now.
Family Medical Specialists in Florida is using care management technology to get paid under CPT code 99490, and the practice has already gotten buy-in from almost every eligible patient.
ICD-10: Providers can recoup millions of dollars in lost revenue by analyzing claims denials, data …
Advanced analytics and machine learning technologies are critical to pinpointing problems in large datasets that could be losing providers money. That’s why some organizations are investigating every single denied claim to better understand trends.
Hospitals are starting to hire younger, more diverse people to handle the new coding. The shift will likely benefit healthcare organizations in time, but it won’t happen overnight.
Analysts say that with less focus on meaningful use and ICD-10 settling down, many healthcare organizations are turning their attention to revenue cycle technologies amid the shift to value-based care.
Looking into its crystal ball – or perhaps digital spreadsheets – PiperJaffray analysts see big plays in the RCM market. That potential is so large, in fact, that Cerner alone has a $40 billion opportunity, and it ranks fifth in market share.
Caleb Anderson says changing payment models are likely to make hospital executives rethink revenue cycles, and consider outsourcing services to Cerner or one of its competitors, including athenahealth, eClinicalWorks, NextGen, Conifer and others.
Arguing that too many well-meaning providers are facing financial penalties from meaningful use, the American Hospital Association called on the Centers for Medicare and Medicaid Services this week to offer more flexibility.