Category: Revenue Cycle Management

Optimizing Self-Pay Collection Strategies

Optimizing Self-Pay Collection to Aid Patients, Revenue During COVID-19

Healthcare is the industry most at-risk during the coronavirus (COVID-19) pandemic. Providers are on the front lines of response efforts. At the same time, the financial implications of the pandemic are also creating significant revenue cycle challenges, putting providers even more at risk during the pandemic. Individuals are postponing non-emergency care for many reasons, from […]
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MACRA Payment Model

Providers Support Value in Health Care Act that Amends MACRA Payment Model

Among other provisions, the bill extends the 5% advanced APM bonus for an additional six years and modifies thresholds to achieve the bonus. Thirteen national provider groups support the newly-introduced House bill, the Value in Health Care Act of 2020, a bipartisan effort that proposes to make changes to the Medicare Access and CHIP Reauthorization Act (MACRA) […]
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Telehealth in Payment and Patient care

Telehealth’s Future: What’s Coming for Payment and Patient Care?

Telehealth is hot right now among physicians and patients, but what’s its long term outlook? What impact will telehealth have on patient outcomes and physician reimbursement? Telehealth is hot right now among physicians and patients, but what’s its long term outlook? What impact will telehealth have on patient outcomes and physician reimbursement? To learn more […]
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Value based Reimbursement

Value-Based Incentives Didn’t Reduce Hospital-Acquired Infections

  Value-based incentive programs in Medicare did not improve hospital-acquired infection rates and may have disproportionately penalized safety-net hospitals, a recent study shows. Two of Medicare’s value-based incentive programs did not improve the levels or trends of certain hospital-acquired infections, potentially widening the gap between safety-net and non-safety-net hospitals, according to a recent study out of Boston […]
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AI difference in Healthcare

The AI Difference in Revenue Cycle Management

Effective Revenue Cycle Management (RCM) is non-negotiable for all health care practices, but despite this, clinics across the board are reporting increasing levels of dissatisfaction with their current RCM tools. According to a 2019 KLAS report, more than one-third of the 140 respondents to their RCM survey said they wouldn’t purchase their vendor’s services again, […]
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2021 Telehealth Reimbursement

CMS Outlines Telehealth Reimbursement for 2020-21 eCQM Programs

  The documents released earlier this month offer details on 42 eCQMs for telehealth services during the 2020 performance period and 39 eCQMs for telehealth services during the 2021 performance period. The Centers for Medicare & Medicaid Services has released additional details on telehealth reimbursement through quality reporting programs for the 2020 and 2021 performance […]
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Telehealth Medicare Expansion

Early Impact Of CMS Expansion Of Medicare Telehealth During COVID-19

During the Coronavirus pandemic, the Centers for Medicare and Medicaid Services (CMS) has taken unprecedented action to expand telehealth for Medicare beneficiaries. Since people were advised to stay at home to reduce risk of exposure of COVID-19, there was an urgency to increase access to telehealth services to help people who need routine care and […]
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