Category: Revenue Cycle Management

Physician Compensation Plateaus Despite Pandemic Losses

Physician Compensation Plateaus Despite Pandemic Losses

Despite a fiscally challenging year for the healthcare industry, physician compensation for most specialties has remained the same or has slightly increased, a new report from the Medical Group Management Association (MGMA) reveals. However, most specialties showed an overall decrease in productivity in 2020. The report utilized data from 185,000 providers spanning over 6,700 organizations, […]
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Advanced Technology Will Help Drive Reimbursement Change (1)

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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Proactive Strategies for Reducing Mid-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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Hospice Addendum Problems Solved

Hospice Addendum Problems Solved

  2022 Hospice proposed rule would help with addendum statement snags, but other problems remain. In the Hospice proposed rule, published in the April 14 Federal Register, the Centers for Medicare & Medicaid Services outlines these changes to the election statement addendum that was implemented on Oct. 1, 2020. Three vs. Five Days In the […]
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Get Paid for Noncovered COVID-19 Vaccine Fees

Get Paid for Noncovered COVID-19 Vaccine Fees

HHS program reimburses healthcare providers and facilities for testing, treatment, and vaccine administration fees associated with insured patients. On May 3, 2021, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the new COVID-19 Coverage Assistance Fund (CAF) program that covers costs of administering COVID-19 vaccines […]
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CMS Releases 2022 Proposed Inpatient Prospective Payment System Rules

CMS Releases 2022 Proposed Inpatient Prospective Payment System Rules

On April 27, 2021, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule for the fiscal year (FY) 2022 Medicare Hospital Inpatient Prospective Payment System (IPPS). The proposed rule includes CMS proposals for certain annual Medicare payment policies and rates as well as certain quality and value-based programs for FY 2022. Stakeholders must submit […]
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