Revenue Cycle Management

Practical tips for maintaining control over the revenue cycle

As evolving market trends shape healthcare payment, providers continue to face real-world, day-to-day challenges that contribute to unpaid claims, unnecessary denials, workflow inefficiencies, and rework. By implementing the recommendations outlined here, providers can obtain the necessary visibility and control over their claims payment processes that can help them not only sustain a healthy revenue cycle,…

Eric Arnson May 23, 2019

Part D savings plan dialed back

Part D plans will have fewer new tools to control drug spending than Medicare initially proposed.

Rich Daly May 21, 2019

Safety net hospitals issue warning about looming DSH cuts

Faced with $4 billion in cuts to Medicaid uncompensated-care payments that start in October, some hospitals warn they may have to close.

Rich Daly May 20, 2019

Short-term plans have little adverse effect on insurance market: study

Although a federal boost to short-term insurance plans raised alarm among hospital advocates, early evidence suggests there has been little adverse impact on the individual insurance market.

Rich Daly May 20, 2019

Boosting Accountability Helps ProMedica Save $108 Million in 2018

Each year, leaders at ProMedica set a 3 percent cost-reduction goal, which they believe is achievable and still has a significant impact on the bottom line.

Laura Ramos Hegwer May 19, 2019

5 essential steps for driving revenue integrity through the CRC

Hospitals and health systems seeking to establish a clinical revenue cycle should follow 5 steps.

Sonia Choi May 19, 2019

High-impact clinical revenue cycle key performance indicators

There are 11 key performance indicators health systems should track to assess the performance of a clinical revenue cycle.

HFMA May 19, 2019

Revenue integrity: an evolving function for hospitals and health systems

Hospitals and health systems require a revenue integrity function to best manage revenue cycle processes in today’s healthcare environment.

Navigant May 19, 2019

Engaging the next generation of physicians in the business of healthcare

Improved scheduling procedures and education on coding bolstered revenue at one academic medical center.

Curtis Turner, MD May 15, 2019

17 Seconds: Referential Matching Helps Reduce Duplicate Patient Records

Referential matching allows healthcare organizations to identify patient matches that their own records would not reveal.

Lola Butcher May 15, 2019
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