Revenue Cycle Management
More than a century ago, Alabama enshrined a basic protection in the state's constitution shielding its poorest citizens from being forced to pay debts they couldn't afford. But a public hospital in the mostly rural southeast corner of the state has found a way around the law.
Revenue cycle management faces serious challenges, the third quarter report from research firm Black Book suggests, placing CFOs in the tough spot of trying to manage the costs of implementation with the need for more comprehensive systems.
Revenue cycle upgrades at U.S. hospitals have been pushed aside, in favor of preparation for the October 2015 ICD-10 transition and the chase for incentives tied to electronic health records, according to a Black Book survey of chief financial officers.
Despite the marketing buzz carried by terms like "population health" and "integration," experts say this kind of regionalization works best with partnerships between providers and commercial payers.
The ICD-10 transition could affect every department at a healthcare system. That means success will depend on organized project management and planning.
Colorado-based Catholic Health Initiatives saw its credit rating cut this week when Standard & Poor’s dropped it from a A+ to an A over first quarter losses.
The economic and professional appeal of DPC has caused it to spread to at least 24 states. Scalable models are being developed and increasingly attract investor dollars.
UnitedHealthcare and the University of Texas MD Anderson Cancer Center are piloting an episode of care, or bundled, payment model for patients being treated with head and neck cancers, a collaboration they describe as among the first to use bundled payments in a large, comprehensive oncology center.
Earlier this month, CMS published a final rule that expands the circumstances under which it may deny or revoke the Medicare enrollment of entities and individuals on program integrity grounds. Here are the details.
One of the nation's largest health systems is struggling with its new health insurance business, leading to the first financial loss in 15 years, and adding to other uncertainties.