The fee-for-service (FFS) payment model dominated the medical reimbursement system for decades. In this payment model, all the services a physician or other healthcare provider delivers are paid for separately. Over the years it became clear that this payment model encouraged over-utilization, because patients were well-shielded from costs and physicians were paid more when they … Continue reading Preparing for the Revolution in Revenue Cycle Management 

Without effective billing practices your hospital or medical clinic can’t remain financially secure, and that can ultimately affect how well you’re able to serve your patients. Some facilities manage to increase cash collections by analyzing and tightening the revenue cycle and offering updated training to in-house coding and billing staff. But it requires constant vigilance. … Continue reading In-House Billing May Be Hurting Your Healthcare Business – Some practices don’t realize the level of problems they had until they outsource revenue cycle functions.

 Republicans are expected to release legislation this week to repeal and replace the ACA, Reuters reported. Dive Brief: A newer draft of Republican legislation to repeal and replace the ACA includes changes to eligibility for tax credits to help people buy insurance, Politico reported. The latest draft, which has not publicly been released, is not … Continue reading GOP expected to introduce ACA repeal bill this week

Imagine opening your car window while on a road trip while you have an important stack of papers in the passenger’s seat. It will only be a matter of time until those papers get caught by a wind gust, never to be seen again. Now, think of time as the wind, and your organization’s cash … Continue reading Get Paid Sooner, Get Paid More: Reduce Days in A/R or Risk Losing Money | Daily Practice Blog

What’s the fastest way to turn a happy patient into a frustrated one? An unexpected medical bill is the first thing that comes to mind. Inconvenient payment options stand out, too. Not surprisingly, as patients take on more responsibility for the cost of their healthcare, they also want more transparency from providers on the amounts … Continue reading 3 Revenue Cycle Trends Worth Watching at HIMSS17 | Daily Blog

If Seema Verma, President Trump’s nominee to head the Centers for Medicare and Medicaid Services, is confirmed by the Senate, she will seek to modernize CMS’s programs to better address the changing needs of the people the agency serves, leveraging innovation and technology to drive coordinated, cost-effective care. “Doctors are increasingly frustrated by the number … Continue reading Trump’s pick to lead CMS has concerns about EHRs | Health Data Management

Patient satisfaction is not just about whether a patient is pleased with the treatment being received; more important is whether the patient really is having a good clinical experience that will translate to improved outcomes. Hospitals aiming to provide optimal patient satisfaction and outcomes could learn some lessons from the hotel industry, particularly Hilton Hotels, … Continue reading What providers can learn from the hospitality industry | Health Data Management

Medical record administrators are continuing to have difficulties exchanging patient records with other providers. Data exchange is particularly difficult when receiving providers are not on the same electronic health record as the sender, according to results of a survey conducted in January by Black Book Research, which found that more than 40 percent of responding … Continue reading Why practices are struggling to exchange records | Health Data Management

While Senate Democrats voted along party lines against Price’s nomination because of concerns about his strong support for repealing the Affordable Care Act, health IT stakeholders generally see his combined legislator and physician experience as a big plus for taking the helm at HHS. Also See: Trump’s pick for HHS Secretary has health IT chops … Continue reading HIT leaders buoyed by Price confirmation as HHS head

As the country wonders about the next iteration or obliteration of the Affordable Care Act, the 1996 movie Jerry Maguire starring Tom Cruise and Cuba Gooding, Jr., provides all the information needed to prepare for changes in the healthcare marketplace in 2017. Cruise plays sports agent Jerry Maguire who represents Rod Tidwell, a fictional Arizona … Continue reading Why the pressure’s rising for EMRs to make an impact