Tag Archives: revenue cycle management

A way to save real dollars on each business transaction

As providers work to meet the demands of value-based care and population health management, they are discovering the importance of data and the ability to share that data. Often the focus is on the shareability of clinical data. But data sharing can also provide opportunities for efficiencies and cost savings in claims submissions and patient payments — […]
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Monitor these metrics to find revenue leaks

Tracking, explaining and plugging gaps in your revenue cycle is tough enough without the added challenge of practice acquisitions and mergers. Joining two systems means standardizing and streamlining policies that may differ greatly from each other. As consolidation work takes place, health systems can pay close attention to certain metrics to help identify revenue leaks. […]
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KentuckyOne Health Medical Group transforms its revenue cycle for growth

KentuckyOne Health Medical Group was in the midst of a revenue cycle “perfect storm.” With 200 locations serving 500,000 patients in Kentucky and southern Indiana, the health system was implementing an electronic health record (EHR) at the same time as an unfavorable payer mix shift. And KentuckyOne Health was growing — fast. That rapid growth […]
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Roadmap to partnership: Keys to identifying the best revenue cycle partner for you

After careful scrutiny of productivity, processes and technology costs, many CFOs see the value in partnering with an external company that can take over day-to-day revenue cycle operations. Such a partner is built for revenue cycle management (RCM) and can likely do it better than most hospitals or health systems. For CFOs, it may make […]
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Roadmap to partnership: Assessing your current revenue cycle operations

Fee-for-service reimbursement is pretty cut-and-dried for revenue cycle managers. Profits revolve around billing, collecting from insurers and resolving patient claims on an individual basis. That’s not the case under fee-for-value models, where insurers capitate reimbursement for certain populations — a scenario that has revenue cycle management (RCM) leaders scrambling for ways to handle changes in […]
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Value-based reimbursement leads providers to externalize revenue cycle management

As value-based reimbursement becomes the norm, consumers demand better-quality care, and federal agencies put new regulations in place, provider executives are feeling the impact. And perhaps no leader feels the effects of these changes more so than the chief financial officer. Significant pressure is on CFOs to find new ways to manage their organizations’ revenue […]
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Pressure to perform: What health care finance leaders are thinking

Today, hospitals are reeling from financial and compliance pressures due to a combination of bad debt, newly covered patients, changing reimbursement models, and the risk of denials in the face of the migration to ICD-10. Health care organizations are looking for more effective and new approaches to optimizing revenue cycle management performance across the enterprise. […]
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