From Pay Kiosks To Data Analytics: 4 Experts Talk RCM Strategies

From pay kiosks to data analytics: 4 experts talk RCM strategies

  • May 5, 2017

Revenue cycle management is top-of-mind among healthcare professionals in today’s fast-moving environment, as a recent round table discussion covered by Becker’s Hospital CFO revealed. Reporter Mackenzie Bean noted some of the highlights of the discussion, including the struggles of hospitals getting proper reimbursement for rendered care, and how analytics can play a bigger role in the overall revenue cycle. Read the article

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Saltzer Medical Group Chooses Change Healthcare For Practice Management Services

Saltzer Medical Group Chooses Change Healthcare for Practice Management Services

  • May 2, 2017

Change Healthcare has signed a long-term managed services agreement with Saltzer Medical Group, P.A., a multi-specialty physician practice serving the Boise metro area and southwestern Idaho. Under the agreement, Change Healthcare will be responsible for Saltzer’s strategic, practice management, and revenue cycle management services. Read the news release

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How Culture Can Make Or Break The Value Of Your Data

How culture can make or break the value of your data

  • April 28, 2017

Everyone in healthcare can agree that, used properly, data is invaluable. But as Jason Williams, VP at Change Healthcare aptly points out in Becker’s Health IT & CIO Review, “The important thing is not the data, it’s about the objectives we’re trying to accomplish.” Read the article

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How Hospitals Can Use Data Analytics To Improve RCM Performance: 4 Thoughts From Change Healthcare’s Marcy Tatsch

How Hospitals Can Use Data Analytics to Improve RCM Performance: 4 Thoughts from Change Healthcare’s Marcy Tatsch

  • April 4, 2017

Why is data analysis so important for hospitals? To thrive, hospitals need to accelerate reimbursement, remove obstacles to payment, and reduce bad debt -- all of which require harnessing their data for performance improvements. Change Healthcare's Marcy Tatsch explains why data analysis is becoming even more critical as hospitals move to complex value-based reimbursement models. Read the article

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The Perfect Pairing: Patient Access And Analytics

The perfect pairing: Patient access and analytics

  • March 28, 2017

While more providers are taking advantage of technology to improve front-end revenue cycle processes, analytics lags behind. But when applied to patient access, analytics can help identify issues with registration and eligibility accuracy, and reduce downstream denials. A recent article in Multibriefs outlines the benefits of using analytics to improve patient-access processes in a value-based world. Read the Article

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Rethinking Denials Management

Rethinking Denials Management

  • March 16, 2017

Most organizations take an administrative approach to managing denials. Maybe that’s why they’re not collecting as much as they should. The Denials Challenge Few hospitals would admit to not having a denials management program, and yet as many as one in five claims for services already rendered are denied or delayed.1 Denials erode the provider organization’s bottom line, resulting in the permanent loss of an estimated 3% of net revenue.2 However, it’s not just the cost of the denials themselves, or the revenue lost–3% of the bottom line is significant no matter how it is sliced–it costs an average of…

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Reinventing Claims Management For The Value-Based Era

Reinventing Claims Management for the Value-Based Era

  • February 17, 2017

Provider claims management as we once knew it is not enough to thrive in a value-based era. Here’s what you need to know about taking claims management to a higher level. By Carmen Deguzman Sessoms Provider claims management can no longer exist as a silo. With the rapid transformation from fee-for-service to value-based models, denial rates remain high–nearly 1 in 5 claims–despite advances in technology and automation.1 The complexity of value-based payment models almost guarantees an increase in denials, simply because there’s so much to get wrong. For provider CFOs and their organizations to be effective–and thrive–in this environment, the…

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Patient Access And Revenue Cycle Analytics–Perfect Together, Yet Often Ignored

Patient Access and Revenue Cycle Analytics–Perfect Together, Yet Often Ignored

  • February 17, 2017

Why bringing analytics into patient access can radically improve a health system’s ability to get under the hood, understand what’s influencing financial performance, and improve the metrics that matter. By Jason Williams Some things go naturally together. Pen and paper. Thunder and lightning. Chocolate and peanut butter. And here’s a surprising one: patient access and revenue cycle analytics. You may have never thought of bringing the last two together, but no one thought of bringing chocolate and peanut butter together until it happened. Well, hospitals can make their revenue cycle much sweeter by applying revenue cycle analytics to improve patient…

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Two New Federal Interoperability Rules: What You Need To Know

Two New Federal Interoperability Rules: What You Need to Know

  • January 12, 2017

By Lisa Conley Payers and providers are increasingly vocal about their need for health information technology (HIT) systems to interoperate in a consistent and industry-wide manner. While the industry has made progress on this front, recent actions in Washington aim to accelerate the pace of progress while also demonstrating the government’s commitment to HIT interoperability. On October 14th, 2016, the federal government announced two final regulations that impact the ongoing transformation to “full interoperability” in healthcare. One regulation was the nearly 2,400-page final rule from the Centers for Medicare and Medicaid Services (CMS) on implementation of the Medicare and CHIP…

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Authorization Playing Catch Up With Technology

Authorization Playing Catch Up With Technology

  • September 1, 2016

For as much as healthcare has been transformed by technology, there are still areas where it seems to be a game of catch up—such as obtaining pre-service authorization. While patients are becoming more involved in their own care, providers are increasingly incentivized to secure authorization from payers before procedures are performed to increase their likelihood of receiving payment. According to a June 2016 survey by HealthLeaders Media, pre-authorization is a consistent pain point that impacts leaders from the C-suite to operations and billing. A total of 158 surveys were completed by the Media Council, which consists of senior, clinical, operations,…

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