The revenue cycle management process is becoming increasingly more complicated as CMS adds codes to reflect the industry's transition into a value-based arena.
ASC Coding, Billing & Collections
As healthcare payment models shift their focus from volume to quality of service, healthcare providers and payers are facing increased pressure to improve patient outcomes in an efficient, cost-effective way.
A Government Accountability Office report examined Medicare Advantage utilization rates and found a disproportionately high number of beneficiaries dropped coverage as they became sicker, NPR reports.
Minneapolis-based Children's Minnesota and Blue Cross Blue Shield of Minnesota failed to finalize a contact by the July 5 deadline, which could mean major rate increases for customers, according to Star Tribune.
Narrow networks, bundled payments and consumer demand for price transparency are affecting reimbursement. It is critical to understand these rapidly emerging concepts, otherwise, surgery centers may be missing opportunities to optimize payment and enhance their bottom line.
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Reimbursement cuts are driving many planners to convert vascular access centers into Medicare-certified ASCs to expand their offering, according to Nephrology News and Issues.
Researchers conducted a study to assess whether fix-amount fee schedules or percent-of-charge-based fee regulations impacted hospital outpatient payments per surgical episode.
Health Affairs published a study conducted by Leavitt Partners and the Accountable Care Learning Collaborative documenting the growth and spread of ACOs and alternative payment models.
A joint report from KPMG and the American Medical Association claimed less than one out of four physicians are "well prepared" for the Medicare Access and CHIP Reauthorization Act of 2015, HITConsultant.net reports.
The Congressional Budget Office released a report analyzing private-sector pricing for physicians claiming these physicians charge commercial payers higher rates than the government, Twin Cities Business reports.