Revenue Cycle/Finance

COVID-Related Challenges Resulted in Increased Adoption of Electronic Business Processes and Greater Opportunities for Future Savings
Revenue Cycle / Finance
CAQH released the ninth annual report measuring the progress healthcare payers and providers are making to use electronic business processes. The 2021 CAQH Index found that adoption of electronic administrative transactions increased on average by 2.3 percentage points across the medical and dental industries. This shift was driven, in part, by the challenges of virtual work environments during the pandemic.
Advanced Pain Care Selects athenahealth to Optimize Operations and Support Growth
Revenue Cycle / Finance
athenahealth and Advanced Pain Care announced a partnership that will support APC’s mission to deliver comprehensive, focused patient care while enabling the organization to drive operational and financial improvements across APC’s growing footprint.
2021 State of Healthcare Performance Improvement Report
The COVID-19 pandemic continues to undermine performance improvement efforts at hospitals and health systems across the country. Supply chain disruptions and shortages have driven up prices and forced a return to the costs of carrying larger inventories of needed supplies.
SSM Health and Optum Launch Innovative Collaboration to Make Quality Care More Accessible and Affordable
SSM Health and Optum, a subsidiary of UnitedHealth Group, announced an innovative collaboration focused on making quality care more accessible and affordable for people across the Midwest.
Decoding the transition to Medicare Beneficiary Identification
In the next 18 months, 150 million Medicare beneficiaries (active, archived, or deceased) will be transitioned to new ID numbers, called Medicare Beneficiary Identification (MBI) codes. The goal – to protect a vulnerable population from identity fraud – is admirable and urgent. But the sheer magnitude of the process, combined with significant uncertainties about its […]
Making revenue cycle data actionable
When describing the amount of revenue cycle data available to healthcare organizations, many providers use words like “massive” and “daunting.” The reality is that providers have access to more data than ever before, yet they often don’t know what to do with it. There are literally hundreds of revenue cycle metrics that healthcare organizations can […]
How patient relationship management software cultivates sustained practice success
As with any business dependent on recurring revenue, healthcare practices are encouraged to engage with their patients and build relationships with them. As patients are becoming more responsible for the cost of their care, providing a high-quality patient experience is more important than ever. With so many methods to connect and engage with patients — […]
MACRA and CCM: How IT leaders can deliver value
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which aims to replace the volume-based era of healthcare with value-based medicine, may not take full effect for another three years in terms of financial impacts, but the performance measurement period is quickly approaching, beginning this coming New Year’s Day. As organizations prepare for MACRA, […]
How a strong HIT value chain ensures success for Georgia businesses
What was once seen as ‘new’ industries, such as information technology, financial technology and cyber security, are now not only leading economic generators but are experiencing exponential growth with no signs of slowing down. There is little doubt that different states attract specific industries, and Georgia is quickly becoming recognized as the state that supports […]
In the transition to value-based care, patient relationship management technology bridges the information gap
With the doctor shortage amid a rise in healthcare costs, patients and physicians are feeling nervous about future changes in health care.
MACRA considerations for physicians in 2017
Written by: Joncé Smith Entering 2017 brings a huge degree of uncertainty amid major healthcare industry changes. In particular, the Medicare Access and CHIP Reauthorization Act (MACRA) holds several options for Medicare physician payment paths as healthcare providers interpret implications and exemption possibilities. MACRA replaces the old sustainable growth-rate (SGR) formula for physician payment, shifting […]
Why prescription benefit plan sponsors should audit
Many sponsors of prescription drug benefit programs have operated on blind faith for too long. They have depended on their pharmacy benefit manager (PBM) to deliver safe and effective prescription drug coverage to their plan members while helping to reduce costs. The problem occurs when the plan sponsor relies on their PBM to tell them […]
Optimizing healthcare revenue cycle management in 2017
If there is one thing the healthcare industry has learned in 2016, it’s that change is constant. With regards to the revenue cycle, for example, increasing patient financial responsibility coupled with pressure to improve overall revenue cycle efficiency has prompted many healthcare organizations to revisit and rethink their current operations. As 2017 dawns, healthcare organizations […]
Reinventing the medical bill through a transformed patient billing process
Let’s face it: Today’s healthcare billing system is confusing and complicated for patients. And there is a big opportunity for improvement. The billing process is lengthy and confusing, which can make it emotional and highly stressful. Patients are often unable to understand the deluge of ambiguous information mailed to their homes up to two months […]
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