Category: Revenue Cycle Management

Prior Authorization Burden Still High Despite COVID Struggles

Prior Authorization Burden Still High Despite COVID Struggles

Most physicians still faced a high prior authorization burden despite treating a surge of positive COVID-19 cases this winter, the American Medical Association (AMA) reports. In a survey of 1,000 practicing physicians between Nov. 23, 2020, and Dec. 14, 2020, AMA found that 85 percent of physicians described the burden associated with prior authorization as high […]
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CMS Proposes Medicare Payment Bump for Rehab, Psychiatric Facilities

CMS Proposes Medicare Payment Bump for Rehab, Psychiatric Facilities

  CMS has released the proposed rules for the Inpatient Rehabilitation Facility (IRF) Prospective Payment System and the Inpatient Psychiatric Facility Prospective Payment System for fiscal year (FY) 2022. Issued yesterday, the proposed FY 2022 IRF Prospective Payment System rule would increase Medicare payments by 1.8 percent, or $160 million, compared to the previous fiscal year. The […]
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Covid-19 Brought Little Relief from Prior Authorizations

Covid-19 Brought Little Relief from Prior Authorizations

Despite the strain placed on physicians by the COVID-19 pandemic, insurers continued to impose prior authorization requirements which delayed care and hurt some patients. According to a news release from the American Medical Association (AMA), a new survey showed that nearly 70 percent of the 1,000 respondents showed that health insurers had either reverted to prior authorization […]
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3 Great Strategies From The Revenue Cycle Ideas Exchange

3 Great Strategies From The Revenue Cycle Ideas Exchange

Price transparency, increasing revenue, and reducing denials are three of the revenue cycle’s thorniest issues. At the HealthLeaders Revenue Cycle Ideas Exchange in mid-March revenue cycle leaders from the nation’s top health systems shared their proven strategies for success for each of these problems. Here’s what they had to say. Although root cause data showed that 47% of […]
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Top 5 Trends Impacting Healthcare Revenue Cycle Management

Top 5 Trends Impacting Healthcare Revenue Cycle Management

The world is changing and the operations behind healthcare reimbursement is changing with it. Healthcare organizations are recovering from an unprecedented public health crisis during which entire service lines shut down so providers could focus on stopping the spread of a deadly virus. Meanwhile, healthcare has been going through a digital revolution. The clinical shift […]
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Contactless Payments, Virtual Care Surge To Continue Post-COVID-19

Contactless Payments, Virtual Care Surge To Continue Post-COVID-19

Healthcare consumerism is on the rise , as patients report the desire to use telehealth and contactless payment options post-COVID-19. However there are disconnects between payer, provider, and consumer expectations, according to the eleventh annual Trends in Healthcare Payments Report from InstaMed. The report explores how COVID-19 has accelerated many trends that have improved the consumer experience […]
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