Claims Processing
A new healthcare electronic funds transfer (EFT) standard went into effect at the beginning of 2014, and many healthcare professionals are reaping the benefits of time and money saved.
We keep telling physicians that they may have to survive without reimbursement revenue for six months after the ICD-10 transition in Oct. 1, 2015. But it doesn't have to go down that way if organizations take practical steps.
Viral hashtag campaigns aren't new, but it's not often you see groundswell campaigns about healthcare management topics.
Opponents of the transition to ICD-10 coding were successful in attaching a delay to "must-pass" Congressional legislation earlier this year. If ICD-10 proponents are not vigilant, such tactics could work again.
The Obama administration took another step to close what many see as a health-law loophole that allows large employers to offer medical plans without hospital coverage and bars their workers from subsidies to buy their own insurance.
More healthcare providers are outsourcing end-to-end revenue cycle management amid the change to value-based payment models, a new survey shows. Experts predict the market for RCM outsourcing will approach $10 billion by 2016.
Although it may be tempting to rely on the status quo when it comes to payer payment, opportunities exist to boost collections by shifting key activities upfront and leveraging revenue-driving tools and processes on both the front and back ends of the revenue cycle.
The Affordable Care Act's online insurance exchanges launched this weekend with far fewer problems and less fanfare than last year. Many people qualified for federal subsidies that kept their monthly premiums well under $100.
For many Americans, the ACA open enrollment period offers them an opportunity to have health insurance for the first time. But for hospitals and healthcare organizations, ACA open enrollments create financial and operational challenges.
Healthcare providers can expect an increase in medical claim denials after Oct. 1, 2015. But that doesn't have to mean that revenue will be lost.