Financial/Revenue Cycle Management

By Scott Rea 02:27 pm October 07, 2015
Electronic Submission of Medical Documentation aims to eliminate the use of fax for prior-authorizations and audits. Four years later, more than 7,000 Medicare providers use esMD, possibly leading to lagging patient care or redundant, unneeded procedures being performed.
By Rick Kam 09:26 am July 30, 2015
The dangers of data breach make for great headlines: data held for ransom, financial fraud, medical identity theft. But despite the risks of a breach, the most immediate threat in most security incidents is failure to comply with regulatory requirements.
By Mark Byers 09:18 am July 24, 2015
As healthcare organizations scramble to meet the progressively more ambitious data exchange thresholds of Meaningful Use, many are focusing on electronic health record integration projects for improved flow of clinical data to enable better care coordination across the healthcare continuum.
By Tom Giannulli, MD 01:50 pm July 22, 2015
There are many tools and features that patients want, but for practices to get the most from them, they need to be a part of a larger platform and integrate with other technologies, like billing solutions and EHRs.
By Bob Chaput 10:16 am June 08, 2015
What used to be viewed as an operational issue is now a trustee responsibility because of the likelihood of lawsuits following a data breach. Boards across the U.S. want to avoid the headaches recently experienced by other organizations.
By Bird Blitch 08:26 am May 15, 2015
It’s no secret that healthcare is transitioning from a focus on episodic care to more regular, wellness-driven visits. For hospitals and health systems, this shift into a more value-driven environment has as much impact on the revenue cycle as clinical care.
By Jeff Rowe 08:40 am May 14, 2015
Usually, we report on changes in the care delivery systems by pointing to new technologies or organizational configurations. Sometimes, though, it's easier just to point to the money.
By Monte Sandler 03:56 pm May 07, 2015
Dwindling resources, mounting regulatory hurdles, declining payer reimbursement and increasing patient financial responsibility are all taking a toll on physician practices’ bottom lines. With these factors in mind, practices must find ways to optimize revenue and reduce costs.
By Liz Kirk 10:39 am April 10, 2015
CIOs must become more aligned with the strategic priorities of their colleagues in the C-Suite -- and in the "post-EHR era" that means focusing on cost improvement.
By Matt McElheny 12:58 pm February 19, 2015
Tying reimbursement to outcomes can lead to better patient recoveries, more predictable costs for all parties, higher prescription adherence rates, fewer readmissions and fewer medical errors, among other benefits.

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