Tag: Revenue Cycle Management

advanced-technology-will-help-drive-reimbursement-change

Advanced Technology Will Help Drive Reimbursement Change

  An industry through leader recaps current challenges to traditional reimbursement models for Medical Economics®. Limited by the slow pace of change in traditional reimbursement models, shifts in the paradigm for patient care have also lagged far behind the possibilities created by transformative technology. The COVID-19 pandemic has changed that, catalyzing improvements in reimbursement by […]
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reduce-revenue-cycle-leakage

Proactive Strategies for Reducing Mid-Revenue Cycle Leakage

Educated guesses and imprecise, stopgap efforts aren’t enough. Revenue cycles need precise strategies to identify exactly where leakage occurs and implement solid processes to stop leakage before it starts. Even before COVID-19, 250-bed hospitals lost $4.7–$11 million a year from mid–revenue cycle leakage. Now, pandemic-fueled volume losses and razor-thin margins mean that hospitals can no […]
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COVID-19-Testing-Uninsured-Reimbursement

$4.8B to COVID-19 Testing Reimbursement for the Uninsured

HHS will designate $4.8B from the American Rescue Plan to COVID-19 testing reimbursement under the HRSA COVID-19 Uninsured Program. Under the Health Resources and Services Administration (HRSA), HHS announced it will allocate $4.8 billion to COVID-19 testing reimbursement for the uninsured as part of the American Rescue Plan. There are currently approximately 29 million uninsured […]
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telehealth-on-remote-patient-monitoring

Remote Patient Monitoring, Telehealth Support Value-Based Contracts

  The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient monitoring and other virtual care services beyond the pandemic, according to telehealth experts at the Revenue Cycle Management Summit. “Remote patient monitoring programs are growing,” Andrew […]
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Medicare-Advantage-Plans-Benefits

Medicare Advantage Plans and Benefits Exploding in Popularity

Many plans charge a daily copayment, starting the first day, compared to deductibles charged by traditional Medicare plans. Last fall, I reported on the rise of Medicare Advantage (MA) plans, most of which have added coverage for issues associated with the social determinants of health (SDoH). Of 62 million Medicare beneficiaries, over 24 million enrolled […]
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Prior-Authorization-Challenges

Prior Authorization Challenges Persist, AMA Survey Reveals

  Prior authorization still presents challenges to physicians, three years after the AMA and other health organizations released a consensus statement urging reform. A recent survey from the American Medical Association (AMA) evaluated the challenges and roadblocks of prior authorization (PA) for physicians and patients three years after a coalition of industry groups led by […]
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get-paid-for-telehealth-in-2021

3 things practices must do to assure they get paid for telehealth in 2021

  It’s critical that independent practices make sure that they are laying the groundwork to make telehealth a robust part of their care delivery and their bottom line. In a very real sense, telehealth has been responsible for enabling independent healthcare practices to stay in practice and continue to provide care to their communities during […]
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steps-to-build-success-of-affordable-care-act

ACHP Urges Policymakers to Solidify Affordable Care Act Changes

ACHP provides several steps that will leverage the advancements of the Affordable Care Act and increase access to high-quality coverage and care. The Alliance of Community Health Plans (ACHP) released recommended steps to build on the success of the Affordable Care Act (ACA) and enhance and expand coverage in the individual health insurance market. First, […]
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