Category: Revenue Cycle Management

Health Systems Innovation

5 Ways Health Systems Can ‘Advance To The New Normal’

  The COVID-19 pandemic created the opportunity for hospitals and health systems to innovate in a short amount of time. Learning how to advance and scale those opportunities will be the key to redesigning the health system of the future, said CommonSpirit Health Senior Vice President and Chief Strategic Innovation Officer Rich Roth, and CommonSpirit […]
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RCM Automation

Transforming Revenue Cycle Management Using Automation

In today’s healthcare industry today, there is a lot of buzz and hype surrounding automation. Large healthcare networks, medical facilities, and revenue cycle management service providers alike are looking to achieve a more efficient, robust revenue cycle through automation technologies. Any technology that can free employees to focus on high-value tasks and make revenue cycle […]
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Healthcare Price Transparency Rule

CMS Issues Long-Awaited, Controversial Final Rule on Price Transparency

  A long-awaited and controversial final rule on healthcare price transparency was released Thursday by the federal government. The rule, mandated under a June 2019 executive order by President Donald Trump, requires private group health plans and individual health insurance market plans to disclose pricing and cost-sharing information in a consumer-friendly format. The mandate, which takes effect on January […]
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Medicare Reimbursement Rates for COVID-19

CMS Sets Medicare Reimbursement Rate for COVID-19 Vaccine

A new interim final rule with comment period ensures Medicare reimbursement for the administration of a COVID-19 vaccine and provider use of innovative treatments for the novel coronavirus. The rule released last night states that Medicare will pay providers $28.39 for the administration of a single-dose COVID-19 vaccine. In the event an approved COVID-19 vaccine requires multiple […]
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Telehealth Reimbursement Changes

Telehealth Reimbursement May Be Changing. How Should Providers Prepare?

The future potential of telehealth hinges on how it’s reimbursed. Virtual care may be popular among patients, but if providers can’t get paid for their services, it’s unlikely they’ll be able to continue to provide them. The government has signaled its support for reimbursing some telehealth services, at least in the short term. The Centers […]
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Medicare Reimbursement rate for COVID-19 Testing

CMS Reduces Medicare Reimbursement Rate for Some COVID-19 Tests

The base Medicare reimbursement rate for COVID-19 tests using high throughput technology will decrease to $75 next year unless labs can process results in 2 days or less. CMS will reduce the base Medicare reimbursement rate for COVID-19 tests done by laboratories using high throughput technology, according to a new announcement. The announcement made late last […]
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Healthcare Supply Chain Management

Hospitals Use Supply Chain Analytics to Recover from COVID-19 Losses

The COVID-19 pandemic has challenged healthcare networks throughout the U.S. in unprecedented ways. As financial losses are being surveyed, new opportunities have emerged for hospitals and health systems to not only recover from those losses, but also simultaneously establish cost-saving initiatives in the perioperative area by using optimized supply chain analytics. Healthcare organizations are also recognizing the […]
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New in Remote Patient Monitoring

Remote Patient Monitoring, What’s Changing?

  For the longest time, patient monitoring involved direct contact between healthcare providers and patients. However, advancing technologies are already on their way to change the fundamentals of patient monitoring by enabling mobile monitoring facilities. High-speed networks, extensive connectivity, and the availability of smart devices with patients and doctors alike is making remote patient monitoring […]
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Revenue cycle management innovation and disruption

Providers Want Innovation, Disruption for Revenue Cycle Management

In fact, health system leaders in a new report said revenue cycle management was the area in healthcare that has the greatest need for innovation and disruption like AI. Technology can’t solve all of healthcare’s problems, but providers agree that it can definitely improve revenue cycle management. In a recent survey conducted by KLAS and the Center […]
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