Revenue Cycle Management

On average, roughly 10 percent of all healthcare claims are initially denied and require additional work on the part of the provider to secure payment. One industry expert offers a three-part plan for reducing the impact of denials on the revenue cycle.

For the second time, the government has delayed enforcement of HIPAA 5010, CMS said Thursday. The new enforcement date is June 30, 2012.

Since joining the Premier healthcare alliance last year, Edward Hospital & Health Services has saved $3.5 million while improving clinical quality and patient safety.

Based on existing overall cost estimates for ICD-10 from multiple sources, officials estimate a year-long delay of ICD-10 could cost the industry anywhere from $475 million to more than $4 billion.

Fifty-seven percent of private health plan payers are hesitant to accelerate the adoption of bundled payment without positive provider feedback, according to a recent poll from healthcare IT and research firm Gantry Group, LLC.

Government Health IT Editor Tom Sullivan speaks to Wendy Whittington, MD, who is CMO of Anthelio Healthcare Solutions about the possibility of an ICD-10 delay.

Revenue and payment cycle specialist Recondo Technology announced last week it had acquired revenue cycle competitor Lakewood, Fla.-based Trilogi, Inc., in a move that broadens Recondo's customer base.

As healthcare reform pushes the industry toward accountable care organization models and payment reform, the American Academy of Family Physicians (AAFP) is hoping to offer its members a tool that will allow them to bring in revenue and improve the health of their patients.

As reimbursement rates have declined and more employers are offering their employees high-deductible health plans, doctors’ offices are more dependent on often less reliable payment directly from patients. In 2012, strategies for handling billing those patients will be a focus of doctors’ offices experts say.

Industry experts offer insights into how an electronic health record system can generate revenue and improve cash flow.