Revenue Cycle Management

Consumers shopping on the health insurance marketplaces will find many plans with out-of-pocket spending limits that are lower than the maximums allowed under the health law, according to an analysis by Avalere Health.

The end of the year is an important time for a medical practice to review its 2014 financials and prepare for the 2015 tax season. Set your practice up for financial success in 2015 with these year-end tips.

CMS appears to recognize the significant challenges that many ACOs have faced in the Medicare Shared Savings Program, and has proposed a number of changes to the financial performance tracks for ACOs participating in the program.

A new healthcare electronic funds transfer (EFT) standard went into effect at the beginning of 2014, and many healthcare professionals are reaping the benefits of time and money saved.

We keep telling physicians that they may have to survive without reimbursement revenue for six months after the ICD-10 transition in Oct. 1, 2015. But it doesn't have to go down that way if organizations take practical steps.

National health spending grew 3.6 percent in 2013, the lowest annual increase since the Centers for Medicare and Medicaid Services (CMS) began tracking the statistic in 1960, officials said Wednesday.

Patient experience is one component of value-based reimbursement, and hospital finance staff must be aware of the connection, and their role in contributing to the overall patient experience.

The case for collaboration in accountable care networks is getting a boost in the Puget Sound (Wash.) region.

Atlanta's Emory Healthcare will partner with payment financing firm CarePayment to create a flexible payment system as patients continue to be stretched thin by rising deductibles and out-of-pocket expenses.

Opponents of the transition to ICD-10 coding were successful in attaching a delay to "must-pass" Congressional legislation earlier this year. If ICD-10 proponents are not vigilant, such tactics could work again.