10:48 am July 05, 2016
New rules under MACRA mean that qualified providers can share or sell analyses of Medicare and private claims data, which the Centers for Medicare and Medicaid Services could be a boon to better care delivery.
RelayHealth Financial launches new module for its cloud-based suite to help providers work denied claims
10:33 am June 27, 2016
Payers reject 6.4 percent of claims on the first go-round, company data show.
11:43 am May 27, 2016
While EHR implementations can be disruptive, the hospital system implemented new clinical and revenue cycle software in January and is pointing to its strategy of engaging every employee in the electronic health records system deployment.
02:47 pm May 17, 2016
The platform will enable payments to be processed faster, reduce risk for hospitals transitioning to value-based care and ultimately decrease the cost of bundled procedures, the companies said.
11:04 am May 16, 2016
The collaboration aims to help health plans more easily scale both fee-for-service and value-based models.
Florida Hospital reaps $72.5 million from clinical documentation improvement, achieves ICD-10 compliance
11:06 am May 02, 2016
The health system credits clinical and financial improvements to a CDI initiative that resulted in more accurate coding and greater physician engagement.
09:30 am April 20, 2016
Revenue cycle management has gone from being a "back office" function to an "end-to-end" system that begins at patient intake or even before, claims specialists say. Advanced technologies, in tandem with improved workflows and better data have resulted in RCM systems that encompass the entire healthcare enterprise.
ICD-10: Providers can recoup millions of dollars in lost revenue by analyzing claims denials, data scientist says
10:12 am April 11, 2016
Advanced analytics and machine learning technologies are critical to pinpointing problems in large datasets that could be losing providers money. That’s why some organizations are investigating every single denied claim to better understand trends.
09:41 am April 11, 2016
Hospitals are starting to hire younger, more diverse people to handle the new coding. The shift will likely benefit healthcare organizations in time, but it won’t happen overnight.
08:18 am April 11, 2016
The healthcare industry appears to have successfully withstood the transition from ICD-9 to ICD-10. But are the sighs of relief premature? Is another shoe waiting to drop?