Revenue Cycle Management
More healthcare providers are outsourcing end-to-end revenue cycle management amid the change to value-based payment models, a new survey shows. Experts predict the market for RCM outsourcing will approach $10 billion by 2016.
Earlier this month, CMS published its final rule to update the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for 2015. Here are the highlights.
Collaboration with university-based business schools can bring a new perspective to hospital and health system problems, especially when trying to introduce new thinking into an organization.
Although it may be tempting to rely on the status quo when it comes to payer payment, opportunities exist to boost collections by shifting key activities upfront and leveraging revenue-driving tools and processes on both the front and back ends of the revenue cycle.
Changing eligibility standards could purge a million or more beneficiaries from Medicaid rolls in California. A lawsuit seeks to stop the state from canceling coverage for Medi-Cal recipients who haven't been properly notified.
The Affordable Care Act is injecting billions upon billions of dollars to provide Medicaid to previously uninsured people. More money should help healthcare providers' finances, not hurt them. So what's going on?
As more new patients come into the healthcare system, savvy providers are seeing opportunities to develop better relationships with the hope that it will translate to greater bill collection success.
For many Americans, the ACA open enrollment period offers them an opportunity to have health insurance for the first time. But for hospitals and healthcare organizations, ACA open enrollments create financial and operational challenges.
Healthcare providers can expect an increase in medical claim denials after Oct. 1, 2015. But that doesn't have to mean that revenue will be lost.
Bon Secours Health System wants to ensure discharged patients get the care and attention they need without being unnecessarily readmitted to the hospital. To that end, they're launching a new population health and care management program.