Financial/Revenue Cycle Management

Payers reject 6.4 percent of claims on the first go-round, company data show.

The defendants, 61 of them clinicians, are being charged with various crimes, including conspiracy, violations of anti-kickback statutes, money laundering and aggravated identity theft.

The nonprofit credits Medicaid expansion under the Affordable Care Act as reducing spending by $1 trillion, while Medicare and private health spending estimates are also lower. 

$20 million will be given each year, for the next five years, to provide training and education for Medicare clinicians.

New research from Peer60 found that many hospitals are focusing on effective revenue cycle management operations as they try to figure out emerging payment models.

At the HIMSS Big Data and Healthcare Analytics Forum, design and data visualization guru Teresa Larsen shows how to present information clearly, accurately and attractively.

The newly formed company aims to help providers navigate from fee-for-service to value-based care and offer revenue cycle and analytics tools to make the transformation more effective.    

The analytics startup’s research also found that less than one quarter will reach the Centers for Medicare and Medicaid Services goal by 2019, a year after CMS anticipates half of payments to be value-based.

Stakeholders have until June 27 to weigh in with the Centers for Medicare and Medicaid Services. Why should you? Experts say the Medicare Access and CHIP Reauthorization Act is an aggressive and transformational piece of rulemaking. 

Executives said that implementing the electronic health record system will enable it to add dialysis, rehabilitation, outpatient and substance abuse services that help the hospital grow.