In the midst of a medical recovery, the last thing you want to deal with is an unexpectedly high medical bill. As Americans continue to pay an estimated $3.4 trillion yearly in health care costs, it’s likely that at some point we’ll all encounter a big bill from a trip to the doctor’s office or an […]
Expect more mass production of audits. Looking forward to the remainder of 2019, we will see a number of exciting information technologies (IT) that will reshape healthcare and Medicare. These include artificial intelligence (AI), the cloud, DNA sequencing, in silico testing of new molecular entities (NMEs), and distributed ledger systems, also known as “blockchain.” We also will […]
The high cost of medical care is giving some Americans sticker shock. Annual health care spending in the U.S. is estimated to be $3.5 trillion. Hospital costs make up almost a third of that total. And a portion of those costs come as a big surprise. Whether intentional or due to careless mistakes, “surprise” medical charges are […]
Hospital revenue cycle departments have gained greater visibility in recent years as a significant driver of revenue streams. Yet many of these departments continue to face serious challenges in several areas, including workforce, interoperability, and EHR optimization. Taking revenue cycle management to the next level by harnessing technology and data analytics can help hospitals […]
Healthpac has announced that Allzone Management Services, Inc., an industry leader in Healthcare Revenue Cycle Management Outsourcing Solutions, will be one of the Silver Sponsors for the Healthpac 2019 Annual User’s Meeting. Allzone Management Services, Inc., is pleased to announce that they will be exhibiting at the Healthpac 2019 Annual User’s Meeting from February 07th […]
Many providers are still struggling with the non-physician practitioner (NPP) billing rules from the Centers for Medicare & Medicaid Services (CMS). Most facilities are now referring to NPPs as Advanced Practitioner Professionals or APPs. I get questions all the time about APP billing, and during audits many times it is found that the rules just […]
Providers and payers are increasingly adopting electronic claims management transactions, but remittance advice and prior authorizations are still largely manual. Electronic claims management adoption by plans and providers is at or above 80 percent for three of the seven transactions analyzed in the most recent CAQH Index. The CAQH 2018 Index showed adoption of fully electronic […]
Ripple effects from 2018 will continue well into the new year as players deal with some massive policy and business shifts. The coming year for healthcare will see the industry reckon with some of the massive changes set in motion last year, such as megamergers like CVS-Aetna and Cigna-Express Scripts and a judge’s declaration that the Affordable Care Act is no […]
Value-based care is driving transformation of many established operations within medical groups—and the revenue cycle is no different. It is likely that 2018 will be remembered as the year that value-based care became a financial reality for most U.S. medical practices. Those participating in MIPS (the Merit-based Incentive Payment System) received their first round of […]
It’s a new year! While your organization’s initiatives may not have changed when the ball dropped, you can be sure that your employees are feeling a burst of motivation as they start 2019, an eagerness to tackle the tough to-dos and an energy to learn, grow, and achieve. Perhaps you’re feeling it too! Let’s […]