Financial/Revenue Cycle Management

Family Medical Specialists in Florida is using care management technology to get paid under CPT code 99490, and the practice has already gotten buy-in from almost every eligible patient.

Advanced analytics and machine learning technologies are critical to pinpointing problems in large datasets that could be losing providers money. That’s why some organizations are investigating every single denied claim to better understand trends. 

Hospitals are starting to hire younger, more diverse people to handle the new coding. The shift will likely benefit healthcare organizations in time, but it won’t happen overnight.  

Analysts say that with less focus on meaningful use and ICD-10 settling down, many healthcare organizations are turning their attention to revenue cycle technologies amid the shift to value-based care.

Looking into its crystal ball – or perhaps digital spreadsheets – PiperJaffray analysts see big plays in the RCM market. That potential is so large, in fact, that Cerner alone has a $40 billion opportunity, and it ranks fifth in market share.

Caleb Anderson says changing payment models are likely to make hospital executives rethink revenue cycles, and consider outsourcing services to Cerner or one of its competitors, including athenahealth, eClinicalWorks, NextGen, Conifer and others.

Arguing that too many well-meaning providers are facing financial penalties from meaningful use, the American Hospital Association called on the Centers for Medicare and Medicaid Services this week to offer more flexibility.

The National Quality Forum has published its guidance for the new Merit-Based Incentive Payment System.

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LAS VEGAS – Newly expanded health IT vendor CPSI has introduced nTrust, a program designed to help community hospitals and skilled nursing facilities improve financial operations while moving into an electronic health records system with no upfront costs, CPSI said.