Price transparency, increasing revenue, and reducing denials are three of the revenue cycle’s thorniest issues. At the HealthLeaders Revenue Cycle Ideas Exchange in mid-March revenue cycle leaders from the nation’s top health systems shared their proven strategies for success for each of these problems. Here’s what they had to say. Although root cause data showed that 47% of […]
Given the current state of the world, AI is expected to play a critical role in home-based care systems, particularly in the areas of data collection, monitoring, analysis, and interpretation. The increase in the number of monitoring devices such as fitness trackers and wearable technology, for example, demonstrates the effect of AI on home […]
The world is changing and the operations behind healthcare reimbursement is changing with it. Healthcare organizations are recovering from an unprecedented public health crisis during which entire service lines shut down so providers could focus on stopping the spread of a deadly virus. Meanwhile, healthcare has been going through a digital revolution. The clinical shift […]
Healthcare consumerism is on the rise , as patients report the desire to use telehealth and contactless payment options post-COVID-19. However there are disconnects between payer, provider, and consumer expectations, according to the eleventh annual Trends in Healthcare Payments Report from InstaMed. The report explores how COVID-19 has accelerated many trends that have improved the consumer experience […]
Today the Biden Administration announced its latest group of appointments to the Department of Health and Human Services. The new appointees join tens of thousands of career officials throughout the agency at a time when expertise is critical to tackling the ongoing COVID-19 pandemic. WHAT’S THE IMPACT? Kristina Schake will serve as HHS Secretary Xavier Becerra’s […]
A cost-cutting change in Medicare policy will reduce payments to hospitals for some surgical procedures and increase costs for patients, according to a March 21 report from the The Washington Post. Before the change, CMS categorized 1,740 surgeries and other services as eligible for Medicare payments only if they were performed on beneficiaries who were admitted […]
The U.S. Department of Health and Human Services is releasing new funding aimed at helping schools reopen and to expand access to COVID-19 testing and treatments among underserved populations. On Wednesday, HHS made two funding announcements – to invest more than $12 billion to expand COVID-19 testing, as well as $150 million to increase access to monoclonal antibody therapeutic treatments […]
The extended unemployment benefits and $1,400 direct payments that are part of the American Rescue Plan Act of 2021 signed into law by President Biden on March 11 have gained much attention. But the new law contains several other provisions aimed at making health insurance more affordable for millions of people with lower and moderate incomes, […]
Make sure you’re using the latest code files for your Medicare claims. A second quarter update to the HCPCS Level II code set used for reporting products, supplies, and services adds 23 codes. Additionally, six codes are revised and 12 are discontinued, effective April 1, 2021. There are also two codes with changes to Medicare coverage. […]
The latest $1.9 trillion COVID-19 relief package includes several provisions advantageous to healthcare providers but will leave them to face significant Medicare spending cuts in the future. Passed by the House yesterday, the American Rescue Plan Act of 2021 will funnel $8.5 billion to reimburse rural healthcare providers for expenses and lost revenues attributable […]